You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a Care Management Coordinator who will focus on direct engagement and outreach to individuals based on claim triggers and coverage gaps. The coordinator will assist individuals in navigating their benefits, providing guidance on medical plan coverage, and resolving non-clinical insurance inquiries. Additionally, the role involves care advocacy, case support, interdisciplinary collaboration, and operational reporting.

Key Responsibilities

• Execute proactive outbound communication to individuals based on claim triggers and referral indicators.
• Explain medical plan coverage and guide individuals toward in-network specialists.
• Resolve systemic barriers to care and manage post-discharge follow-ups.
• Collaborate with health coaches to align on care strategies and document transition plans.
• Establish workflows and operational guides scalable across multiple accounts.

Qualifications

• Minimum of 3 years in healthcare navigation/care coordination with a Bachelor’s degree, or 5+ years of relevant healthcare support experience.
• Understanding of health insurance structures and medical terminology.
• Ability to author standard operating procedures (SOPs).
• Experience managing caseloads within CRM systems and using communication tools like MS Teams.
• Strong written communication and problem-solving skills.
• Preferred: Degree or background in Healthcare Management or Social Work.
• Preferred: Certified Case Manager (CCM) or Accredited Case Manager (ACM) credentials.
• Preferred: Experience in fast-paced health management or corporate wellness environments.

Experience

• Minimum of 3 years in healthcare navigation/care coordination with a Bachelor’s degree, or 5+ years of relevant healthcare support experience.

Skills

• Technical proficiency in managing caseloads within CRM systems and using communication tools like MS Teams.
• Strong written communication and active problem-solving skills.

Schedule

Monday thru Friday, 8 am to 5 pm, 40 hours a week.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Required Employment / Compliance Language

All job offers are contingent upon the successful completion of a background check and drug screen. The above statements describe the general nature and level of work performed by employees assigned to this job.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

^*As a job position within our Care Management division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, access and handling of patient medical records, providing medical care inside a patient’s residential address, driving, prescription and other drug access and administration, and working with vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.