Support members with preventive care, benefits coverage, and clinical resources.
About CrewBloom
CrewBloom connects top global talent with innovative companies seeking remote professionals. We provide growth-focused opportunities for individuals to thrive while supporting organizations in building high-performing teams. Our culture values inclusivity, collaboration, and continuous professional development.
Schedule
- Full-time, remote role
- Client-based position
Responsibilities
- Serve as a clinical resource for members seeking guidance on preventive screenings and health measures
- Provide clinical support to the Support Team via phone, email, and chat
- Review client plan documents and prepare benefit coverage summaries to assist members and providers
- Draft coverage documentation outlining specialty-specific protocols (e.g., physical therapy, bariatric procedures, oncology)
- Act as a clinical point of contact for providers regarding treatment, second opinions, or alternative care plans
- Maintain timely follow-up with members to resolve outstanding issues
- Document all interactions and support activities to meet compliance, analytical, and legal standards
- Collaborate on educational and marketing materials for healthcare awareness initiatives (e.g., Breast Cancer Awareness, Diabetes Education)
- Proactively share ideas to improve member engagement and service delivery
- Partner with management on special projects and priorities as needed
Requirements
- Proven experience as a Care Coordinator, Case Manager, or similar healthcare role
- Strong clinical background with knowledge of preventive care and treatment options
- Excellent written and verbal communication skills
- Experience handling inquiries across phone, email, and chat channels
- Strong organizational skills and attention to detail
- Ability to work independently in a remote environment
- Familiarity with healthcare documentation standards and compliance requirements
Preferred Qualifications
- Bachelor’s degree in Nursing, Health Administration, or related field
- Experience with benefit coverage and healthcare plan documentation
- Familiarity with healthcare awareness campaigns and materials
- HIPAA Certification or training
- USRN Certificate and/or active NCLEX license
Technical & Work Environment Requirements
- Internet: Primary 15 Mbps, backup 10 Mbps (must function during outages)
- Device: Desktop/laptop (Intel i5 8th gen+ or equivalent, 8 GB RAM minimum) with backup device meeting i3 or better
- Webcam and noise-canceling USB headset
- Quiet, dedicated home office space
- Smartphone for communication/verification
Benefits
- Inclusive, innovative team culture that values your contributions
- Daily opportunities to learn, grow, and make an impact
- Career growth potential with global opportunities
- Fast-paced, engaging work atmosphere with exciting challenges
- Flexibility to work from anywhere
- Strong work-life balance with time for what matters most
Happy Hunting,
~Two Chicks…