By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Bi-lingual Service Center Team Lead PRIMARY PURPOSE: To develop, implement and maintain the delivery of world-class service including quality assurance, client services, and workforce management ensuring departmental objectives are met. ESSENTIAL FUNCTIONS and RESPONSIBILITIES - Assesses and evaluates current team competencies to develop a baseline of service opportunities. - Leads efforts to refine Service Center measures and tracking systems for program improvements. - Maintains records of training activities, colleague progress and program effectiveness. - Analyzes and resolves customer service issues. - Supervises a Service Center unit (team) providing leadership, direction and support and monitors team's daily performance. - Monitors workloads and status; supports colleagues by providing advice on handling complex issues; and identifies and resolves problems and issues. - Works with team leadership to develop, implement and monitor staff development plans with a focus on overall customer service skills. - Communicates with upper management regarding unit issues and resolutions. ADDITIONAL FUNCTIONS and RESPONSIBILITIES - Performs other duties as assigned. - Supports the organization's quality program(s). - Travels as required. SUPERVISORY RESPONSIBILITIES - Administers company personnel policies in all areas and follows company staffing standards and training recommendations. - Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions. - Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Experience Four (4) years of call center or customer service experience or equivalent combination of education and experience required. Supervisory experience preferred. Skills & Knowledge - Strong customer service skills including call center client processes and procedures - Excellent team coaching, training, facilitation and development skills - Excellent oral and written communication, including presentation skills - Excellent customer service skills - PC literate, including Microsoft Office products - Analytical and interpretive skills - Strong organizational skills - Excellent interpersonal skills - Excellent negotiation skills - Ability to work in a team environment - Ability to meet or exceed Performance Competencies WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Bilingual (Spanish) Nurse Navigator will be responsible for utilizing their professional nursing skills, clinical experience, ability to foster relationships, strong empathy, and to provide personalized high-touch virtual support to patients and healthcare professionals (HCPs) with an emphasis on reimbursement, patient access, and therapy coordination. The role will engage with patients and HCPs to ensure patients have seamless access to treatment. - Guide HCPs through any access barriers for their patients. - Collaborate cross-functionally with the REMS vendor, HUB, specialty pharmacy, and field teams to optimize the patient treatment journey. - Leverage clinical knowledge while combining technical expertise to deliver best-in-class support, customer service, and ongoing guidance. Qualifications - Bachelor's degree preferred. - Experience in a telephonic support role centered in patient access, reimbursement, or care coordination/case management roles. - Experience with high volume inbound/outbound call center. Requirements - Current, unrestricted nursing license (RN, NP). - High emotional intelligence and ability to exhibit empathy to meet each patient where they are. - Demonstrated flexibility and adaptability in a fast-paced environment with shifting priorities, new information, and changing business demands. - Strong clinical skills and experience with medication compliance, specialty pharmacy knowledge, understanding of the insurance approval process, and motivational interviewing. - Maintain strong time management and organizational discipline while coordinating concurrent workstreams and navigating frequent interruptions. - Desire and ability to create an individualized relationship with patients as they progress through their journey. - Ability to accurately recognize and report AEPQC information. - Optimistic, upbeat, and enthusiastic in times of challenge and constant change. - Ability to deliver outstanding patient experience. - Demonstrate experienced competency and ability to independently navigate technology using multiple platforms, computer screens, and other technical components (Ex: Telephony Systems, CRM tools, Microsoft Suite). - Advanced knowledge of written and verbal communication skills and problem-solving techniques. - Detail-oriented, highly organized, and able to work through ambiguity. - Able to work independently, self-motivated, managing workload with minimal supervision. - Ability to maintain cases and complete calls on time. - Ability to maintain compliant conversations and documentation in a high-volume role. - Ability to maintain patient confidentiality by using the headset during all conversations, maintaining a private environment for home office without distraction. - Ability to maintain great flexibility in an ever-changing environment and willingness to learn other therapies or float to other brands as needed. - Willingness to assist in shift coverage as needed outside of typical hired shift. Benefits - Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Special Position Requirements - Travel: As required; less than 10%. Working Conditions - Work is generally sedentary in nature but may require standing and walking for up to 10% of the time. - The working environment is generally favorable. Lighting and temperature are adequate, and there are no hazardous or unpleasant conditions caused by noise, dust, etc. - Work is generally performed within an office environment, with standard office equipment available. Physical Requirements - Must be able to read, write, and communicate fluently in Spanish and English. - Ability to communicate effectively (hear, listen, speak) with or without reasonable accommodations.

LPN Care Coordinator (1099 Contract | Fully Remote) Make a meaningful impact—one call at a time! Are you a detail-oriented LPN with a passion for patient care and care coordination? Do you thrive in a remote environment where you can leverage your clinical expertise to improve patient outcomes? Join our team as an LPN Care Coordinator and play a vital role in supporting patients with chronic conditions—all from the comfort of your home! Why Join Us? ✔ Flexible 1099 Contract – Work remotely with hours based on business needs. ✔ Patient-Centered Impact – Help patients manage chronic conditions and navigate their healthcare journey. ✔ Collaborative Team – Work alongside primary care and specialty providers to ensure seamless patient care. ✔ Tech-Enabled Work – Utilize EMR systems and digital tools to streamline care coordination. What You’ll Do: 🔹 Review patient EMR records to determine eligibility for care management services. 🔹 Make proactive patient outreach calls (monthly) to provide support, education, and resource connections. 🔹 Develop and maintain individualized care plans, ensuring patients receive the right care at the right time. 🔹 Monitor patient progress and collaborate with care teams to prevent gaps in care. 🔹 Ensure compliance with Medicare, HIPAA, and company policies. 🔹 Engage in high-volume patient outreach—this is a phone-based role requiring consistent daily patient interaction. You will be expected to meet daily performance targets, ensuring each patient receives a minimum of 20 minutes of care coordination per month. What We’re Looking For: ✅ LPN Compact License (or ability to obtain one if needed). ✅ 5+ years of patient-centered care experience—strong clinical knowledge is a must! ✅ Tech-savvy with EMR proficiency and comfortable working in a remote, digital environment. ✅ Excellent communication skills—you'll be on the phone daily engaging with patients. ✅ Self-motivated and detail-oriented—you take ownership of your work and stay on top of performance targets. ✅ Fluency in Spanish is preferred—bilingual candidates are highly encouraged to apply! Remote Work Requirements: 💻 Reliable high-speed internet and a quiet, professional workspace.

Description ABOUT PEOPLEONE HEALTH: PeopleOne Health is one of the fastest-growing providers of value-based primary care and has earned the best-in-class member satisfaction scores. We deliver exceptional healthcare that reduces costs and significantly improves health outcomes by focusing on preventive care, behavior change, and keeping people healthier. The key to our successful culture is living our motto: care for yourself; care for each other; care for our members. JOB SUMMARY: The Care Navigator is a remote, medically trained professional who provides essential clinical and administrative support to ensure seamless care coordination and an excellent member experience. Leveraging a Medical Assistant background, the Care Navigator supports providers, care teams, and patients by managing communication, clinical documentation, and workflow tasks across the electronic health record (EHR) and related platforms. This role plays a vital part in enhancing patient access, closing care gaps, and supporting organizational success through timely follow-up, accurate chart preparation, and efficient resolution of patient needs. SUPERVISORY RESPONSIBILITIES: (Supervision means the position has responsibility for the employee life cycle: hiring/firing, assigning work, performance reviews, disciplinary action, providing direction, training, scheduling/approving time off, etc.) This position provides supervision to others: No This is a virtual position; however, candidates must reside in the Orlando, Florida area. ESSENTIAL JOB FUNCTIONS: - Patient Communication & Support - Answer incoming clinical phone calls and resolve patient needs or escalate appropriately. - Manage telephone encounters, follow-up calls, and member success communications. - Support decommissioning activities with continuity of care coordination (e.g., center closure, provider disposition) - Clinical & Administrative Support - Perform chart preparation for upcoming visits, ensuring accuracy of history, medications, and pending orders. - Manage Phreesia tasks, including intake forms, consents, messaging, and patient-submitted schedule requests. - Conduct virtual visit clinical intake. - EHR Management (eCW) - Monitor and manage jellybeans in eCW, particularly test results and orders requiring follow-up. - Assist with fax inbox routing. - Schedule and coordinate referral appointments, ensuring follow-up on referral notes and documentation completion. - Coordination of Care - Collaborate with providers and care team members to close loops on labs, imaging, and specialist referrals. - Assist in clinical call management, ensuring patient needs are addressed promptly. - Support provider efficiency by proactively managing orders, documentation, and task follow-up. Other Duties: - Participate in staff meetings, huddles, and training sessions as required. - Contribute to continuous improvement initiatives in workflows, processes, and patient experience. - Perform other related duties as assigned to support patient care and organizational goals. SKILLS & ABILITIES: - Strong understanding of clinical workflows, patient care coordination, and medical documentation. - Proficiency in electronic health record (EHR) systems (eClinicalWorks experience strongly preferred). - Ability to manage multiple priorities with accuracy and efficiency in a remote environment. - Excellent verbal and written communication skills, with a patient-centered and empathetic approach. - Strong organizational, time management, and problem-solving abilities. - Ability to work independently while collaborating with a dispersed clinical team. Requirements EDUCATION & CERTIFICATIONS: - High school diploma or equivalent required. - Completion of a Medical Assistant program from an accredited institution is preferred. - Certification as a Medical Assistant (CMA, RMA, CCMA, or equivalent) preferred. EXPERIENCE: - Minimum of 2 - 5 years of experience as a Medical Assistant in a primary care, specialty care, or urgent care setting. - Experience with telehealth or remote patient care support preferred. - Prior experience with eClinicalWorks (eCW) or comparable EHR strongly preferred. PHYSICAL REQUIREMENTS: (The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the position’s essential functions.) - Ability to remain in a stationary position while working remotely for extended periods. - Frequent use of a computer, keyboard, telephone, and headset. - Ability to communicate clearly and effectively with patients and staff by phone and electronic messaging. - Minimal physical exertion required; occasional lifting of files or office equipment up to 10 pounds. - Specific vision abilities required by this job include close vision and adjusting focus - The employee is regularly required to sit and use a computer. - Frequently required to talk, hear, and reach with hands and arms.