Care Coordinator (Remote, US)
About the Role:
As a Care Coordinator, you will work collaboratively with Members (our customers), healthcare providers, and internal Clearwater teams to guide Members through their experience with our products. Care Coordinators play a key role in coordinating patient care and delivering exceptional service.
Role Responsibilities:
- Screen Members for eligibility and refer qualified individuals for Care Coordination services (varies by plan).
- Coordinate patient care directly with healthcare providers and partnered vendors.
- Communicate with Members to address their requests and provide guidance.
- Keep Members updated throughout the Care Coordination process.
- Assist Members with the provider nomination process.
- Review high-risk calls with plan Members.
- Establish Letters of Agreement (LOA) or Single Case Agreements (SCA) with provider offices.
- Negotiate cash-pay rates with provider offices.
- Support patients on-site at the provider's office for “on-the-spot case agreements” as needed to ensure timely care.
- Monitor and manage Member information, schedules, files, and forms.
- Represent Clearwater at conferences, training sessions, and other events as required.
Key Competencies:
- Minimum of 2-3 years of healthcare experience (e.g., roles like hospital administrator, medical assistant, CNA). Alternatively, 2 years of Case Management (e.g., Care Coordinator, Discharge Planner) or Healthshare experience may be considered.
- Knowledge of HIPAA regulations and other privacy laws to maintain the confidentiality, security, and integrity of patient health information.
- Ability to explain medical terminology and processes clearly to Members.
- Strong documentation skills; experience with Zendesk and IPS/Salesforce systems is a plus.
- Strong organizational skills and adaptability to a fast-paced environment.
- Commitment to exceptional customer service.
- Excellent verbal and written communication skills; fluency in English required, bilingual abilities are a plus.
- Ability to prioritize tasks based on urgency.
- Willingness to travel occasionally as needed (conferences, team on-sites, etc.).
- Legally authorized to work in the US.
The compensation for this position depends on experience, skills, qualifications, location, and competencies. We are a remote first organization with employees in 25 states and 5 countries and growing! We offer competitive compensation, bonus’, and benefit packages, PTO (unlimited or 3 weeks accrued depending on the role) as well as a 401K match and regularly review these to align with industry standards. We also offer new employees a one time work from home reimbursement to set up your home office.
Pay Range
$25 - $30 USD
About Us:
Better plans, better benefits, and better prices. Clearwater is a cutting edge InsurTech company headquartered in Austin, TX, the city known for its unicorns, tech giants, food scene, weirdness, and never-ending heat. Our team of innovators, operators, and healthcare veterans were determined to drive major change in our industry, once and for all. Whether you are seeking benefits as an individual, your family, or your business, we have the right plan, at the right price, with total transparency—even if it’s not one of our exclusive offerings.
We are committed to fostering an inclusive environment where all employees feel valued, respected, and supported. We actively promote diversity in all its forms and strive to create equitable opportunities for everyone regardless of race, ethnicity, gender, sexual orientation, age, disability, religion, or any other characteristic protected by law.
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