About The Position

The Senior Care Access Coordinator plays a critical role in ensuring members receive timely, appropriate behavioral health care by combining proactive outreach, collaborative coordination, and operational excellence to drive engagement, continuity of care, and improved health outcomes.

Requirements

  • Bachelor’s degree in Social Work, Psychology, or other related healthcare field
  • 2+ years of experience in a healthcare, managed care, behavioral health and/or customer service setting; OR High school diploma PLUS 4+ years of experience in a health care, managed care, behavioral health and/or customer service setting.
  • Strong computer proficiency, including the ability to work within multiple systems simultaneously and accurately enter or retrieve data.
  • Working knowledge of behavioral health or medical terminology.
  • Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen.
  • High-speed internet service (cable or fiber optic) with minimum download Speed of 20 Mbps, Upload Speed of 5 Mbps, and Maximum Latency of 100 milliseconds (must be installed before starting) required.
  • Frequent use of computer and phone systems
  • Must be able to constantly remain in a stationary, sitting position, communicate and exchange information with others, inspect information, perform repetitive motions with arms and fingers, interpret data, problem solve, make decisions, organize and plan, and maintain a positive and professional attitude in all situations.
  • Sitting for long periods of time is expected and use of fingers and hands for typing is necessary.
  • A quiet workspace with minimal background noise for calls.

Nice To Haves

  • Demonstrated ability to establish trust quickly and motivate members through an engaging motivational approach
  • Demonstrate ability to manage difficult conversations and sensitive topics around a variety of member needs and presenting concerns
  • Skilled in de‑escalation, reflective listening, and responding appropriately to member needs.
  • Convey confidence and understanding of member needs and care resources
  • Ability to problem solve and arrive at solutions timely and with consideration of the end user in mind

Responsibilities

  • Conduct proactive outreach (including post-hospitalization follow-ups) to connect members with behavioral health services and resources
  • Guide members through benefits, scheduling, and provider selection while identifying risks and escalating when needed
  • Partner with clinicians, provider teams, and internal stakeholders to coordinate care, support high-risk members, and ensure timely provider access
  • Educate members, providers, and facilities on services and processes while resolving barriers and closing care gaps
  • Maintain accurate, timely documentation of member interactions while ensuring HIPAA compliance and data integrity
  • Navigate multiple systems efficiently, balance priorities, and meet performance goals while delivering compassionate, high-quality service

Benefits

  • Hourly compensation between $22.00 - $23.30, PLUS an annual performance-based, discretionary incentive.
  • Comprehensive health benefit options: Medical, dental, and vision coverage
  • 401(k) with competitive employer match
  • Company-paid life and disability insurance
  • Paid parental leave and wellbeing incentives
  • Generous paid time off, including volunteer time
  • Flexible spending accounts for healthcare and dependent care
  • Professional development opportunities and tuition reimbursement
  • Remote work flexibility (role-dependent)
  • Opportunity for meaningful growth, both personally and professionally, where your unique background and experience is welcomed and valued.
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