Support members and providers with preventive care, coverage, and clinical resources while working fully remote.
About CrewBloom
CrewBloom partners with innovative companies to connect them with world-class remote talent. We help businesses scale efficiently while giving professionals the opportunity to thrive in flexible, global work environments. Our culture values ownership, integrity, and growth in a distributed setting.
Schedule
- Full-time, Remote
- Client-based role with member and provider-facing responsibilities
Responsibilities
- Serve as a clinical resource for members on screenings, preventive care, and treatment options.
- Provide direct support via phone, email, and chat for member inquiries.
- Review client plan documents and prepare benefit coverage summaries.
- Deliver coverage documentation for specialized treatments (e.g., physical therapy, oncology, bariatric).
- Act as a clinical contact for providers with questions on coverage and treatment options.
- Ensure timely follow-up on pending items and keep members informed.
- Document all interactions to meet compliance, legal, and analytical review standards.
- Lead the creation of infographics and marketing content for healthcare awareness campaigns (e.g., Breast Cancer Awareness, Diabetes Education).
- Proactively suggest new strategies for serving the member base.
- Collaborate on special projects and provide additional support as needed.
Requirements
- Experience as a Care Coordinator, Case Manager, or similar healthcare role.
- Strong clinical knowledge of preventive measures and treatment pathways.
- Excellent communication skills (verbal and written).
- Proficiency in handling member and provider inquiries across multiple channels.
- Strong organizational skills and attention to detail.
- Experience with healthcare documentation and compliance standards.
- Ability to work independently in a remote environment.
Preferred Qualifications
- Bachelor’s degree in Nursing, Health Administration, or related field.
- Familiarity with healthcare plan documentation and coverage processes.
- Experience creating educational/marketing materials for healthcare awareness.
- HIPAA Certification.
- USRN or NCLEX license.
Technical & Work Environment Requirements
- Internet: 15 Mbps+ (primary), 10 Mbps+ (backup).
- Device: Intel i5 (8th gen)/Ryzen 5+ or equivalent, 8GB RAM minimum.
- Backup device meeting Intel i3 equivalent or better.
- Webcam, noise-canceling USB headset, smartphone.
- Quiet, dedicated home office space.
Benefits
- Fully remote role with flexible setup.
- Fun, inclusive, and innovative team culture.
- Career growth opportunities and skill development.
- Impactful work supporting members’ health and wellness.
- Work-life balance with no commute.
Happy Hunting,
~Two Chicks…