Care Coordinator (Must reside in Oregon)

Sun Life U.S. is one of the largest providers of employee and government benefits helping approximately 50 million Americans access the care and coverage they need. Through employers industry partners and government programs Sun Life U.S. offers a portfolio of benefits and services including dental vision disability absence management life supplemental health medical stop-loss insurance and healthcare navigation. We have more than 6400 employees and associates in our partner dental practices and operate nationwide.

At Sun Life were driven by our Purpose: helping our Clients achieve lifetime financial security and live healthier lives. Our values shape how we work: caring authentic bold inspiring and impactful.

When you join Sun Life youll work with passionate colleagues and empowering leaders who support your growth and celebrate your contributions so you can make a meaningful difference in our Clients lives.

Visit our website to discover how Sun Life is making life brighter for our customers partners and communities.

The Care Coordinator is responsible for telephone outreach to designated member populations to ensure retention utilization of services and satisfaction as well as meeting compliance regulations with reporting on these topics. Must reside in Oregon.

How you will contribute:

Assist with care coordination of members with special health care needs as designated by Coordinated Care Organizations (CCOs) the Oregon Health Authority (OHA) members members caregiver or their representative. This includes but is not limited to:

• Contacting and counseling members in regards to emergency department usage for dental related reasons as reported through companys secure connect to the Emergency Department Information Exchange (EDIE) or directly from hospitals and CCOs
• Contacting and counseling members in regards to missing dental appointments as reported by primary care dental offices (PCDs)
• Assisting in the reassignment of dismissed of members from their current PCD and coordinating success care in the future for the member; escalating to a Care Coordinator Advanced when necessary
• Coordinating care for members needing additional services in a dental practice after being seen in a community setting
• Community Partner Requests for assistance through Health Risk Screening
• Processing medical to dental referrals to care
• Processing of Pilot projects referrals to care

• Ensure all documentation is entered accurately and timely into all case management systems for continuity of care purposes
• Assist in improving the regions health by considering each community members unique health cultural and social needs
• Other duties as needed or required

What you will bring with you:

Required:

• High school diploma or equivalent
• 6 months of experience working with Medicaid populations by phone or in person or equivalent
• Computer proficiency in a variety of Windows applications
• Attends additional training as requested/deemed necessary

Preferred:

• Certification as a Community Health Worker or other Traditional Health Worker designation
• 2 years of experience working in a call center environment.
• Experience in a dental/medical insurance setting.

PHYSICAL DEMANDS:

• Incumbent must be able to communicate effectively.
• Requires overall light physical effort (up to 25lbs.)
• Manual dexterity and sitting is required in carrying out position own position responsibilities (i.e. use of personal compute).
• Ability to travel or move about within and outside serviced facilities required.
• Incumbent works primarily in either a private or shared office environment.

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We are committed to fostering an inclusive environment where all employees feel they belong are supported and empowered to thrive. We are dedicated to building teams with varied experiences backgrounds perspectives and ideas that benefit our colleagues clients and the communities where we operate. We encourage applications from qualified individuals from all backgrounds.

Life is brighter when you work at Sun Life

At Sun Life we prioritize your well-being with comprehensive benefits including generous vacation and sick time market-leading paid family parental and adoption leave medical coverage company paid life and AD&D insurance disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match stock purchase options and an employer-funded retirement account. Enjoy a flexible inclusive and collaborative work environment that supports career growth. Were proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S. weve also been recognized as a Top 10 employer by the Boston Globes Top Places to Work for two years in a row. Visit our website to learn more about our benefits and recognition within our communities.

We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans unless the accommodation would impose an undue hardship on the operation of our business. Please email to request an accommodation.

For applicants residing in California please read our employee California Privacy Policy and Notice.

We do not require or administer lie detector tests as a condition of employment or continued employment.

Sun Life will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of applicable state and local laws including applicable fair chance ordinances.

All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability or status as a protected veteran.