Sidecar Health
Clinical Social Work Navigator, LCSW Preferred
Job Summary
The Benefit Navigator role involves guiding members in effectively using their health benefits, especially during complex health situations. Responsibilities include conducting assessments, maintaining documentation, facilitating team meetings, and ensuring compliance with HIPAA. Candidates should have experience in health benefits education, strong communication skills, and ability to build client relationships. The position offers comprehensive health benefits, retirement plans, paid time off, and opportunities to contribute to transforming healthcare.
Required Skills
Benefits
Job Description
Sidecar Health is redefining health insurance. Our mission is to make excellent healthcare affordable and attainable for everyone. We know that to accomplish this lofty mission, we need driven people who will make things happen.
The passionate people who make up Sidecar Health’s team come from all over, with backgrounds as tech leaders, policy makers, healthcare professionals, and beyond. And they all have one thing in common—the desire to fix a broken system and make it more personalized, affordable, and transparent.
If you want to use your talents to transform healthcare in the United States, come join us!
**Ohio, Georgia, and Florida residents only**
About the Role
As a Clinical Social Worker, you will be essential in guiding our members to effectively utilize their Sidecar Health benefits, ensuring they understand and navigate their policies, especially during complex health situations. You will conduct assessments, liaise between healthcare providers and the Sidecar Health team, and ensure adherence to HIPAA and other relevant protocols. In addition, you will facilitate team meetings, maintain comprehensive documentation, and actively participate in quality improvement initiatives for the Benefit Navigation team.
What You'll Do
- Provide members with education on effectively utilizing their Sidecar Health benefits in accordance with their specific policy
- Help members navigate their benefits when confronted with complicated health situations, aligning with the care and treatment recommended by their healthcare provider
- Conduct assessments of individual members, gathering pertinent information related to their conditions and concerns, and procures HIPAA authorizations when necessary
- Offer outreach on behalf of the member when needed, to ascertain the subsequent actions in the treatment plan, and good faith estimate with healthcare providers and external entities
- Establish and maintain a collaborative relationship with the team to review medical documents and/or claims and engage in discussions regarding the subsequent steps and supportive interventions based on the Sidecar Health policy
- Develop strategies, maintain comprehensive documentation of member interactions, and generate reports for the purpose of tracking progress and facilitating future reviews
- Facilitate team meetings and actively engages in ad hoc meetings when required
- Sustain an interactive relationship with the members and/or their HIPAA authorized representative (POA), by providing ongoing support for their healthcare needs
- Actively engage in quality assessment and process improvement initiatives
What You'll Bring
- 3+ years of experience in health benefits education or similar roles - specifically working with patients and family members to overcome barriers to cancer care
- Familiarity with HIPAA regulations and the process for procuring authorizations
- A history of assisting clients or members in navigating complex health or insurance situations
- Prior work in a collaborative team environment, especially in reviewing medical documents or insurance claims
- Ability to build and maintain strong client relationships, especially in sensitive or difficult scenarios
- Proven leadership or facilitation skills, especially in conducting team meetings
- Experience in outreach or liaison roles, coordinating between clients and external entities like healthcare providers
- Strong documentation skills, with experience in maintaining records of client or member interactions
- Experience in generating and analyzing reports to track progress and aid future reviews
- Bachelor’s degree
- Background in case management, social work, process improvement, or similar experience within the healthcare space (Preferred)
- LCSW License (Preferred)
What You'll Get
- Competitive salary, bonus opportunity, and equity package
- Comprehensive Medical, Dental, and Vision benefits
- A 401k retirement plan
- Paid vacation and company holidays
- Opportunity to make an impact at a rapidly growing mission-driven company transforming healthcare in the U.S.
In taking a market-based approach to compensation, base pay may vary depending on location. Additionally, base pay may vary considerably depending on job-related skills and experience. The current expected salary range for this position is: $70,000 - $80,000.
Sidecar Health is an Equal Opportunity employer committed to building a diverse team. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.
Sidecar Health
Looking for a new kind of health insurance? Sidecar Health offers transparent & affordable health insurance for individuals, and you can choose any doctor you like. Learn more.
See more jobsSafe Remote Job Search Tips
Verify Employer Thoroughly
Research the company's identity thoroughly before applying. Check for a professional website with contacts, active social media, and LinkedIn profiles. Verify details across platforms and look for reviews on Glassdoor or Trustpilot to confirm legitimacy.
Never Pay to Get a Job
Legitimate employers never require payment for applications, training, background checks, or equipment. Always reject upfront payment requests or demands for bank details, even if they claim it's for purchasing necessary work gear on your behalf.
Safeguard Your Personal Information
Protect sensitive data like SSN, bank details, or ID copies. Share this only after accepting a formal, written job offer. Ensure it's submitted via a secure company system or portal, never through insecure channels like standard email attachments.
Scrutinize Communication & Interviews
Watch for communication red flags: poor grammar, generic emails (@gmail), vague details, or undue pressure. Be highly suspicious of interviews held only via text or chat apps; legitimate companies typically use video or phone calls.
Beware of Unrealistic Offers
If an offer's salary or benefits seem unrealistically high for the work involved, be cautious. Research standard pay for similar roles. Offers that appear 'too good to be true' are often scams designed to lure you into providing information or payment.
Insist on a Formal Contract
Always secure and review a formal, written job offer or employment contract before starting work or sharing final personal details. Ensure it clearly defines your role, compensation, key terms, and conditions to avoid misunderstandings or scams.