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Job Details

Care Coordinator 2025-1451 Remote (Strong Internal)

Raleigh, NC, USA

NPN Operations

Full Time

Description

Remote Care Coordinator

Overview

Are you looking to make a difference by providing high-quality service with a personal touch that impacts the lives of members of the World Trade Center Health Program (WTCHP)? Would you like to be part of a highly skilled clinical team, including home-based Care Coordinators focused on supporting individuals in maximizing their health and productivity?

Remote Care Coordinator Responsibilities

+ Work from your home office remotely to assist clients in locating, accessing, and utilizing a full range of healthcare services, community support groups, and resources.

+ Assess client’s needs and functions, present cases in treatment team meetings, and monitor progress as needed.

+ Serve as a single entry or "easy access" point to help members navigate through managed care. Applies knowledge and eliminates barriers where possible.

+ Interface with social worker and case management staff in coordinating client care **.**

+ Meet Agency client service expectations **.**

+ Monitor and maintain documentation of client services; ensure compliance with Agency, state, and federal policies and procedures, standards, and guidelines.

Care Coordinator Qualifications

+ High School diploma, associate degree (or higher) in clinical or medical health administration, or related field preferred

+ 3+ years of experience in medical record review, triage, customer service, prior authorizations, medical claims, and billing, assessing patient health, and/or related experience

+ Attention to detail, timetables, and commitment to completing tasks

+ Experience with Microsoft Windows and computer savvy

+ Must be well organized, efficient, and able to work independently and within a team

+ Responsible for having reliable High-Speed Cable or Fiber Optic Internet service and an Internet Router in an established home office

+ Must have Excellent Communication Skills via Phone, email, Text, Verbal, and Documentation Skills, and provide 24-hour follow-up to all communication

+ U.S. Citizenship

+ Prior to hiring and training able to pass a preliminary credit and background check

For a career path that is both challenging and rewarding, join Sedgwick Government Solutions’ talented team. Taking care of people is at the heart of everything we do. Our clients depend on our talented colleagues to take care of their most valuable assets—their employees and their customers. At Sedgwick Government Solutions, caring counts®. Join our team of creative and caring people of all backgrounds and help us make a difference in the lives of others.

Sedgwick Government Solutions provides a reasonable compensation range for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors, including but not limited to skill set, level of experience, and cost of a specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($25/hr - $27/hr). A comprehensive benefits package is offered, including but not limited to medical, dental, vision, 401 (k) and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

To be considered for this position, please submit a resume and complete the application.

_The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of all duties, responsibilities, and qualifications required._

Important Information

Successful candidates will be required to undergo a financial and criminal background check and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of the employee upon hire.

Search Firm Representatives

Please be advised that Sedgwick Government Solutions (Government Solutions) is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, a valid written agreement and task order must be in place before any resumes are submitted to Government Solutions. All resumes submitted by search firms to any employee at Government Solutions without a valid written agreement and task order in place will be deemed the sole property of Government Solutions, and no fee will be paid in the event that person is hired by Government Solutions.

Government Solutions strives to make our career site accessible to all users. If you need a disability-related accommodation to complete the application process, please contact Government Solutions regarding accommodations.

_Sedgwick Government Solutions is an Equal Opportunity and Affirmative Action Employer_

All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by federal state or local laws as appropriate, or upon the protected status of the person’s relatives, friends or associates.

Sedgwick Government Solutions abides by the requirements of 41 CFR 60-741.5(a) (http://www1.eeoc.gov/employers/upload/eeoc\_self\_print\_poster.pdf) . This regulation prohibits discrimination against qualified individuals based on disability and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities.

Sedgwick Government Solutions abides by the requirements of 41 CFR 60-300.5(a) (http://www1.eeoc.gov/employers/upload/eeoc\_gina\_supplement.pdf) . This regulation prohibits discrimination against qualified protected veterans and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans.

About Sedgwick

Sedgwick Government Solutions is a fully owned subsidiary of Sedgwick. Sedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. The company provides a broad range of resources tailored to clients' specific needs in casualty, property, marine, benefits, and other lines. At Sedgwick, caring counts; through the dedication and expertise of more than 27,000 colleagues across 65 countries, the company takes care of people and organizations by mitigating and reducing risks and losses, promoting health and productivity, protecting brand reputations, and containing costs that can impact the bottom line. www.sedgwick.com Privacy | Sedgwick Terms and Conditions | Sedgwick (https://www.sedgwick.com/termsandconditions/)