Woman’s Health Connection Care Coordinator - Bilingual - $21.63 per hour

Access To Healthcare Network•Reno, NV

3d•$22•Hybrid

About The Position

The WHC Care Coordinator ensures eligible women receive timely access to breast and cervical cancer screening services. This role is responsible for coordinating diagnostic testing, facilitating referrals, and supporting members as they navigate the healthcare system. The Care Coordinator promotes continuity of care by guiding members through screening, diagnosis, and treatment, while advocating on their behalf to address barriers and ensure appropriate, patient-centered support throughout their care journey.

Requirements

Bilingual (Spanish and English) - Required
High school diploma or equivalent required
CHW Certification required within 90 days of hire
Minimum of two (2) years of experience in healthcare-related social work and working with special needs populations, including case management
Strong communication skills with the ability to interact professionally with members, providers, and staff
Proficiency with computer systems, including Microsoft Office applications, data entry, and database management
Strong proficiency in data entry and 10-key operations, demonstrating a high degree of accuracy.

Nice To Haves

Associate degree in social work, public health, sociology, psychology, or a related field preferred, or an equivalent combination of education and experience
Experience working in a clinical or patient care office environment preferred
Preferred experience with healthcare systems and patient navigation tools, including CAST, Salesforce, and ShoreTel phone system

Responsibilities

Administer the Women's Health Connection (WHC) program in accordance with Access to Healthcare Network (AHN) policies, procedures, and program requirements
Apply critical thinking and follow ASCCP guidelines to determine appropriate diagnostic services and care pathways
Accurately enter and maintain WHC member data in the NSHD CAST system in a timely manner
Process provider Health Insurance Claim Forms (HICFs) accurately and within established program performance standards
Assist members in overcoming barriers and navigating the healthcare system to access needed services
Build and maintain effective working relationships with healthcare providers and WHC members
Deliver provider training and ongoing education to ensure understanding and compliance with WHC program guidelines
Educate members on WHC program policies, procedures, and available services
Maintain high standards of data accuracy and integrity
Monitor CDC Minimum Data Elements (MDE) requirements and manage assigned caseloads and pending cases
Track and coordinate patient progress through breast and cervical referral pathways using case management standards
Respond promptly to incoming calls, voicemails, internal communications, and eFax systems
Monitor pending services and ensure completion in alignment with program performance indicators
Maintain accurate and complete program documentation and records
Follow up on incomplete claims or cases requiring additional information or clarification
Utilize ASCCP algorithms to guide appropriate care for WHC participants
Collect eligibility and enrollment information in compliance with HIPAA regulations, ensuring confidentiality and professionalism
Refer members to appropriate social service resources and programs for cancer treatment and support
Facilitate enrollment of eligible women into Nevada Breast & Cervical Medicaid
Perform general administrative duties and other responsibilities as assigned