Care Navigation Guide

Hi, we're Oscar. We're hiring a Care Navigation Guide to join our Clinical Support Services team.

Oscar is the first health insurance company built around a full stack technology platform and a 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

As a Care Navigation Guide you will curate relative provider lists for our members who need 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 to the Associate Operations Manager of Clinical Support & Care Navigation.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. 

This is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Mexico, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role is: $19.00 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 10 days per year.

Responsibilities

• Outreach providers and facilities to provide relevant, refined and impactful personalized options that address the members’ specific care requests while staying within service level agreement and meeting access standards.
• Lean on and collaborate with nurses for support on complex cases to route care
• Discover and communicate trends to your leadership to improve processes and the member experience.
• Use all resources to navigate complex cases.
• Confirm and update provider data.
• Document tickets.
• Stay current on all information, updates, processes, and workflows. 
• Compliance with all applicable laws and regulations 
• Other duties as assigned

Qualifications

• 1+ years of experience with care coordination and navigation in a healthcare setting
• 1+ years of experience using a Chromebook and Google Workspace

Bonus Points

• Bilingual in Spanish and English
• 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.

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 Notice to Job Applicants.