Woman's Health Connection Care Coordinator - Bilingual

Job Description

Job Description

Job Title: Woman's Health Connection Care Coordinator - BilingualReports To: Assistant Director Supervises: No OneStatus: Non-Exempt Location: Access to Healthcare Network – Reno Office About Access to Healthcare Network (AHN)Access to Healthcare Network (AHN) is a mission‑driven nonprofit dedicated to improving access to quality healthcare and supportive services. We foster a collaborative, respectful, and dynamic work environment where team members feel valued and supported. Joining AHN means contributing to meaningful work that positively impacts seniors, individuals with disabilities, and underserved community members.JOB PURPOSEThe WHC Care Coordinator ensures eligible women receive timely access to breast and cervical cancer screening services. This role is responsible for coordinating diagnostic testing, facilitating referrals, and supporting members as they navigate the healthcare system. The Care Coordinator promotes continuity of care by guiding members through screening, diagnosis, and treatment, while advocating on their behalf to address barriers and ensure appropriate, patient-centered support throughout their care journey.KEY RESPONSIBILITIES AND ACCOUNTABILITIESAdminister the Women's Health Connection (WHC) program in accordance with Access to Healthcare Network (AHN) policies, procedures, and program requirements Apply critical thinking and follow ASCCP guidelines to determine appropriate diagnostic services and care pathways Accurately enter and maintain WHC member data in the NSHD CAST system in a timely manner Process provider Health Insurance Claim Forms (HICFs) accurately and within established program performance standards Assist members in overcoming barriers and navigating the healthcare system to access needed services Build and maintain effective working relationships with healthcare providers and WHC members Deliver provider training and ongoing education to ensure understanding and compliance with WHC program guidelines Educate members on WHC program policies, procedures, and available services Maintain high standards of data accuracy and integrity Monitor CDC Minimum Data Elements (MDE) requirements and manage assigned caseloads and pending cases Track and coordinate patient progress through breast and cervical referral pathways using case management standards Respond promptly to incoming calls, voicemails, internal communications, and eFax systems Monitor pending services and ensure completion in alignment with program performance indicators Maintain accurate and complete program documentation and records Follow up on incomplete claims or cases requiring additional information or clarification Utilize ASCCP algorithms to guide appropriate care for WHC participantsCollect eligibility and enrollment information in compliance with HIPAA regulations, ensuring confidentiality and professionalism Refer members to appropriate social service resources and programs for cancer treatment and support Facilitate enrollment of eligible women into Nevada Breast & Cervical Medicaid Perform general administrative duties and other responsibilities as assignedAdditional RequirementsAbility to assess member needs and provide appropriate support and guidance Comfortable working in a fast-paced, high-performance environment with routine tasks Strong flexibility and adaptability to changing priorities and assignments Team-oriented mindset with the ability to collaborate effectively Strong attention to detail with excellent organization and follow-through Ability to maintain confidentiality and comply with HIPAA requirements Compassionate, professional, and service-oriented approach when working with diverse populations Ability to manage multiple tasks while maintaining accuracy and meeting deadlines Participation in team meetings, staff meetings, and regular check-ins with leadership required Willingness to learn program processes, community resources, and organizational services QUALIFICATIONSEducation & ExperienceBilingual (Spanish and English) - Required High school diploma or equivalent required; Associate degree in social work, public health, sociology, psychology, or a related field preferred, or an equivalent combination of education and experience CHW Certification required within 90 days of hireMinimum of two (2) years of experience in healthcare-related social work and working with special needs populations, including case managementStrong communication skills with the ability to interact professionally with members, providers, and staffExperience working in a clinical or patient care office environment preferred Preferred experience with healthcare systems and patient navigation tools, including CAST, Salesforce, and ShoreTel phone systemProficiency with computer systems, including Microsoft Office applications, data entry, and database management Strong proficiency in data entry and 10-key operations, demonstrating a high degree of accuracy.WORK ENVIRONMENTThe noise level in the work environment is usually moderate, and the employee usually works in a climate-controlled office environment Be able to sit at a computer for up to 6 – 8 hours per day Be able to stand between 3 – 6 hours per day. Be able to withstand hand/wrist deviation and repetition Must be able to lift, carry up to 30 pounds with a fair consistencyThe statements herein are intended to describe the general nature and level of the position, but are not necessarily a complete list of responsibilities, duties and skills required of employee(s) so classified. As such, responsibilities, duties, and required skills may be changed, expanded, reduced, or deleted to meet the business needs of Access to Healthcare Network. Furthermore, they do not establish a contract or implied contract for employment. FUNDING CLAUSEThis position is funded through external grant sources. Continued employment is contingent upon the ongoing availability of this funding. If funding is reduced or discontinued, the position may be changed or eliminated.As an equal opportunity employer, we are committed to identifying and developing the skills and leadership of people from diverse backgrounds. We encourage all qualified candidates to apply.        Benefits:Medical Insurance & Vision provided at no cost to the EmployeeHealth Savings Account HDHP (HSA) includes employer matching $35.00 per monthDependent Care Flexible Savings Account (FSA)Low-cost health insurance options for your dependentsDental InsuranceFree Life Insurance and Long-Term DisabilityVoluntary Ancillary Benefits4 Weeks Paid Time off in your first yearWFH options14 HolidaysBereavement Leave4 weeks Paid parental leaveTuition Assistance and more!Required to pass a background check through the State of Nevada