Oscar Health Insurance logo
Oscar Health Insurance

Operating on the belief that healthcare is broken, Oscar Health Insurance is on a mission to reinvent and humanize the industry by combining technology, design,

Care Navigation Guide

Location

Arizona + 3 moreAll locations: Arizona | Florida | Georgia | Texas

Posted

62 days ago

Salary

$0 / hour

Seniority

Entry Level

No structured requirement data.

Job Description

Care Navigation Guide

Oscar Health Insurance

Title: Care Navigation Guide Location: Texas United States Job Description: Hi, we're Oscar. We're hiring a Care Navigation Guide to join our Care Navigation. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family. About the role: You will be responsible for curating relative provider lists for our members who need readily available care. This requires regular engagement with our network providers to ensure that we are providing the most optimal options to our members. You will report into the Care Navigation Team Lead. Work Location:This is a remote role. You must reside in Arizona, Florida, Georgia, or Texas. Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. #LI-Remote Pay Transparency: he set pay rate for this role is $19.00 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year. Responsibilities: - Outreach providers and facilities in an effort to provide relevant, refined and impactful personalized options that address the members' specific care requests while staying within SLA and meeting access standards. - Lean on and collaborate with RNs for support on complex cases in order to effectively route care - Discover and communicate trends to your leadership in order to improve processes and the member experience. - Effectively utilize all resources to navigate complex cases. - Confirm and update provider data. - Properly document tickets. - Stay current on all information, updates, processes, and workflows. - Compliance with all applicable laws and regulations - Other duties as assigned Requirements: - 1+ years of experience with care coordination and navigation in a healthcare setting - 1+ years of experience utilizing a Chromebook and Google Workspace Bonus points: - Experience working in a collaborative environment This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Related Categories

Related Job Pages

More Therapist Jobs

Pediatric Readiness Coordinator

aFit Staffing

aFit Staffing is a women-owned staffing company specializing in information technology and operations placements across public sector and commercial industries.

Therapist62 days ago

Title: Pediatric Readiness Coordinator - Hybrid, Indianapolis Location: Indianapolis IN US Job Description: Pediatric Readiness Coordinator Be part of a transformative effort to improve the health and well-being of rural communities across Indiana. Our client is leading Indiana’s 5-year Rural Health Transformation Program, including the Make Rural Indiana Healthy Again Regional Grants, a historic $600M investment to strengthen healthcare access, prevention, and system resilience across 64 fully rural and nine partially rural counties. This initiative brings together state leadership, healthcare providers, and community organizations to design and implement solutions that reflect local needs while advancing a shared, statewide vision for better health outcomes. This role leads the coordination and implementation of efforts to strengthen pediatric and obstetric emergency care readiness across rural Indiana. About the Role The Pediatric Readiness Coordinator serves as a Project Manager within the Indiana Department of Health’s Division of Emergency Preparedness, leading the execution of Initiative 4: Growing Pediatric and Obstetric Readiness in Rural Emergency Departments. This role is central to improving emergency care capacity for children and obstetric patients across rural communities. You will manage a complex, multi-partner initiative that brings together state agencies, rural hospitals, EMS providers, and healthcare coalitions. The role combines strategic project leadership with hands-on coordination, ensuring that training, equipment deployment, technical assistance, and readiness efforts are implemented consistently and effectively across the state. This position is ideal for a senior project manager who can navigate healthcare and public health systems, align diverse stakeholders, and drive measurable improvements in emergency preparedness and patient outcomes. What You’ll Do Program Leadership & Project Management Lead end-to-end execution of a high-impact statewide initiative. - Manage full lifecycle project delivery, including workplans, timelines, milestones, and risk management - Track deliverables and ensure alignment with RHTP and GROW grant requirements - Maintain visibility into program progress and proactively address risks and barriers - Support development of standardized tools, templates, and implementation frameworks Statewide Coordination & Implementation Align partners and activities to ensure consistent execution across regions. - Coordinate across IDOH, FSSA, IDHS, EMSC, healthcare coalitions, hospitals, and EMS agencies - Synchronize activities supporting pediatric and obstetric readiness in rural emergency departments - Support planning and execution of needs assessments, training, equipment deployment, and technical assistance - Ensure alignment with broader emergency preparedness and healthcare system initiatives Stakeholder Engagement & Communication Build strong connections across a diverse network of partners. - Serve as a primary point of contact for Initiative 4 implementation - Facilitate stakeholder meetings, workgroups, and cross-agency collaboration - Coordinate communication across Emergency Care Coordinators, perinatal centers, EMS, and hospital partners - Support outreach and education efforts to increase awareness and participation Data, Reporting & Performance Tracking Ensure program performance is measurable, transparent, and actionable. - Track key performance metrics such as training completion, equipment deployment, and readiness indicators - Prepare reports, dashboards, and summaries for leadership and grant stakeholders - Support state and federal reporting requirements, including documentation and narrative updates - Use data insights to inform quality improvement and program adjustments Grant Compliance & Operational Support Maintain strong program integrity and readiness for oversight. - Ensure compliance with state and federal grant requirements - Maintain audit-ready documentation and standardized reporting practices - Support coordination of deliverables aligned with grant timelines and expectations What You Bring SkillRequired / DesiredYears of Experience Experience in senior project management within public health, emergency preparedness, hospital/EMS operations, or maternal and child healthRequired5 years Experience with state health department operations, grants management, and coordination with healthcare coalitions, hospitals, and EMS systemsRequired5 years Knowledge of public health systems, functions, and infrastructureRequired5 years Ability to manage multiple projects independently and in team environments while meeting deadlinesRequired5 years Ability to analyze programs and translate findings into actionable strategies and outcomesRequired5 years Ability to build and maintain effective relationships with stakeholders across agencies and organizationsRequired5 years Strong written and verbal communication skillsRequired Proficiency with Microsoft Office and virtual collaboration toolsRequired Ability to develop and maintain collaborative networksRequired Experience in hospital emergency department settings or RN licensureHighly Desired Work Environment & Travel - Hybrid role based in Indianapolis, Indiana - 3 days onsite at the IDOH office in downtown Indianapolis and 2 days remote - Standard schedule of 37.5 hours per week - Statewide travel required to support hospitals, EMS agencies, and partner coordination - Travel reimbursement provided in accordance with Indiana State Travel policy Why This Role Matters This role strengthens the ability of rural emergency departments and EMS systems to care for pediatric and obstetric patients during critical moments. By coordinating training, resources, and system alignment across the state, you help ensure that rural communities have access to safe, high-quality emergency care when it matters most.

Indiana
Job Closed
Full TimeHybridTeam 10,001+H1B Sponsor

Title: Patient Service Coordinator II Location: 32 Fruit Street Boston (Yawkey Center) Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Summary<br>Performs both administrative and clinical functions to support smooth and efficient clinical service or practice operations under general supervision. Performs basic clerical work and tasks that are repetitive and routine. Administrative duties related to patient visits including scheduling, check-in, check-out duties. Actual job duties may vary by Department.<br><br>Does this position require Patient Care?<br>No<br><br>Essential Functions<br>-Perform routine administrative and clerical duties relating to a clinical service or physician practice office. <br> -Make patient appointments and maintain appointment records. <br> -Greet and assist patients. <br> -Answer telephones, assist callers with routine inquiries, and schedule appointments. <br> -File materials in patient folders, and print appointment schedules. <br> -Process patient billing forms and scan documents to patient medical record/LMR. <br> -Call for patient medical records and laboratory test results. <br> -Open and distribute unit mail or faxes. <br> -Type forms, records, schedules, memos, etc., as directed. <br> -May be required to accept co-payments. <br> -Handles, screens and/or takes messages related to prior authorizations, <br> -provider questions, prescription refills, and test results. <br> -Acts as "Super User" for scheduling, registration and billing systems. <br> -Provides assistance and training to others in these areas. <br> -May perform more complex or specialized functions (i.e. surgical scheduling, schedule changes/blocking) at more advanced competency level. <br> Qualifications Education High School Diploma or Equivalent required Can this role accept experience in lieu of a degree? No The Patient Services Coordinator II, under general supervision of the Administrative Manager provides administrative support to health care providers in a high-volume ambulatory setting, functioning as the primary interface between the patient and providers within an outpatient Cardiology practice. The emphasis is placed on the ability to organize priorities, complete tasks, manage confidential patient information, and enhance the quality of service to patients. PRINCIPAL DUTIES AND RESPONSIBILITIES: - Performs all duties that are the responsibility of a Patient Service Coordinator I - Provides support and information to providers to problem solve and manage complex patient issues. - Performs the daily management of Physician and Advanced Practice Provider patient schedules via EPIC. - Performs the daily management of Epic In Basket with respect to patient scheduling and staff messages to members of the clinical team. - Performs the daily management of Referral and Follow Up Order work queues in Epic. - Understands HMO, Managed Care, and other Third Party Insurers. Functions as a resource for patients around managed care plans, insurance and referral issues, with an ability to perform electronic insurance verification. Obtains prior authorizations for procedures as needed. - Understands financial services and self-pay resources and provides patients with information as needed. - Triages and manages more complex telephone calls, utilizing courteous customer service skills. - Maintains confidentiality and privacy, which is consistent with HIPAA guidelines. - Completely performs and is a resource to other team members in all revenue enhancement activities, including but not limited to registration verification, co-payment collection, cash management, encounter form reconcilement, etc. - Schedules patient appointments. Coordinates the scheduling of diagnostic testing. - Coordinates and tracks referral appointments and visits. - Provides cross coverage for other Practice staff members for absences, vacations, etc. and during variations in workflow, as needed. - Assists with training and orientation of new staff, where applicable. - Performs all other related tasks which would facilitate the flow of patients through the practice, or which would enhance the quality of service to patients. - Works on special projects as directed. - QUALIFICATIONS: - High School Diploma or GED required; Associate&rsquo;s Degree in Business/Secretarial Science or Secretarial Certificate Program desirable - 3 years secretarial experience or equivalent in a medical or health care related setting preferred SKILLS/ ABILITIES/ COMPETENCIES REQUIRED: - Good command of the English language, including medical terminology - Excellent interpersonal and verbal/written communication skills - Exceptional organizational skills, flexibility to manage multiple tasks and accurate attention to detail - Ability to work independently and within a team environment - Ability to solve problems and resolve complex issues on behalf of providers and patients - Ability to function as a role model and provide administrative guidance to others - Knowledge of computer applications necessary to function in administrative role Additional Job Details (if applicable) Physical Requirements - Standing Occasionally (3-33%) - Walking Occasionally (3-33%) - Sitting Constantly (67-100%) - Lifting Occasionally (3-33%) 20lbs - 35lbs - Carrying Occasionally (3-33%) 20lbs - 35lbs - Pushing Rarely (Less than 2%) - Pulling Rarely (Less than 2%) - Climbing Rarely (Less than 2%) - Balancing Occasionally (3-33%) - Stooping Occasionally (3-33%) - Kneeling Rarely (Less than 2%) - Crouching Rarely (Less than 2%) - Crawling Rarely (Less than 2%) - Reaching Occasionally (3-33%) - Gross Manipulation (Handling) Constantly (67-100%) - Fine Manipulation (Fingering) Frequently (34-66%) - Feeling Constantly (67-100%) - Foot Use Rarely (Less than 2%) - Vision - Far Constantly (67-100%) - Vision - Near Constantly (67-100%) - Talking Constantly (67-100%) - Hearing Constantly (67-100%) Remote Type Hybrid Work Location 32 Fruit Street Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $17.71 - $24.94/Hourly Grade 3 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 1200 The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran&rsquo;s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership &ldquo;looks like&rdquo; by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Massachusetts
$17 - $24 / hour
Job Closed
Therapist62 days ago
Full TimeHybridTeam 501-1,000H1B No Sponsor

Title: Patient Care Coordinator Location: USA, Colorado, Lakewood Full time Job Description: Job Description: The Patient Care Coordinator plays a pivotal role in care coordination and healthcare service management for the Medicare patient population within the primary care practice. Collaborating closely with healthcare providers, the Patient Care Coordinator ensures seamless transitions of care and supports follow-up engagement of high risk or vulnerable patients within the practice. The Patient Care Coordinator duties involve patient-facing tasks, facilitating smooth communication, support, and assistance throughout the patient's healthcare journey. The position demands a comprehensive understanding of clinical care delivery, coupled with robust communication abilities, all aimed at elevating patient satisfaction and care quality. This is a hybrid role with approximately 80% remote work and periodic working hours in supported clinics. ESSENTIAL FUNCTIONS Responsible for coordinating care management activities: - Collaborate with clinical teams to ensure comprehensive care for responsible patients, including pre-visit planning and retrieval of post-discharge summaries. - Serve as an essential conduit of information flow between healthcare entities and our care teams and systems. - Engage patients in health improvement activities and educate them on self-management tasks to avoid unnecessary ED visits and hospitalizations. - Support team huddles to enable clinic team to review active hospital census and population health data to close gaps in care, identify high risk patients in need of a visit, and review utilization trends. - Actively manage a panel of high risk patients, anticipating their needs, addressing barriers to care, and coordinating with their attributed PCP care team to provide them access to care. - Collaborate with patients, physicians, and care team members to assess progress toward health goals and ensure consistent documentation of patient self-management measures and progress. - Maintain confidentiality and adhere to HIPAA regulations. - Treat all individuals with dignity and respect. - Participate in professional development activities. Responsible for coordinating care coordination services: - Monitor various platforms to stay informed of patient utilization events such as hospital admissions, ED visits etc. and document occurrences. - Perform and document transitional care activities, including 48-hour follow-ups post hospital visits, medication reviews, obtaining hospital records, and TCM visit scheduling. - Collaborate with healthcare providers and staff to identify patients for care transition services. - Support providers in regular engagement and scheduling for high-risk, complex patients. - Collaborate with Medical Receptionists, Medical Assistants and clinicians to proactively identify gaps in care and risks that may lead to avoidable hospitalizations during patient visits. - Coordinate with the PHP Care Management Team to escalate issues with C-SNP members in the office&rsquo;s panel. - Ensure patient&rsquo;s health plan is flagged appropriately in the EMR, including flagging new C-SNP members. - Provide clinical follow-up with patients as needed and offer guidance on effective care transitions. - Support use of coding tools in the clinic during patient visits to capture chronic conditions. - Maintain accurate and timely documentation of care coordination activities. EDUCATION and EXPERIENCE - Preferred Qualifications: Active Medical Assistant Certification - Or minimum of 3 years experience - Minimum Qualifications: One (1) year medical experience in physician&rsquo;s office - Experience in Primary Care is highly desirable - Acquainted with value-based care & Medicare Advantage preferred - Preferred, but not required: Experience with care navigation or care coordination to include transitions of care support KNOWLEDGE, SKILLS and ABILITIES: - Current Basic Life Support Certification - Advance knowledge of medical terminology - Supports practice mission and goals - Bilingual Spanish may be preferred Salary Range: $17.45- 23.27 hourly

Colorado
$17 - $23 / hour
Full TimeRemoteTeam 1,001-5,000H1B No Sponsor

• Support autistic people and their families to build practical skills • Work alongside a team in various locations • Provide therapy as an Occupational Therapist, Speech Pathologist, or Psychologist

Australia
$81K - $120K / year
Job Closed