[Remote] Community Guide Case Manager at Devoted Health

United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Minimum of 2 years doing case management or care coordination
Able to support either Mountain or Pacific time zones (hours of operation 8:30am - 8pm eastern)
Health insurance (preferably Medicare Advantage) and/or healthcare experience
Strong verbal and written communication skills in English; ability to articulate and break down complex information
Ability to comfortably multitask (listening, talking, evaluating, and writing notes simultaneously)
Ability to understand and meet performance metrics
Proficient in technology; comfortable with new and ever-changing technologies
Proven success in building relationships
Great team member with a can-do attitude; self-reflective
Ability to work in a start-up, fast-paced environment, including working outside job description and potentially taking inbound calls

Responsibilities

Establish trust and build strong relationships with members
Create personalized care plans for members tailored to their needs
Identify and catalog available community or national resources (e.g., transportation, financial, food, medication discounts, support networks, behavioral health)
Connect members to community services and follow up to ensure services were received
Help members (especially low income) get resources/care by assisting with applications for eligible government benefits and programs
Work with family members/caregivers to help them understand the member’s needs and how to be supportive
Conduct calls to members
Problem solve to break down barriers
Coordinate closely with other Devoted teams (e.g., Clinical Guides, Devoted Medical Group, Pharmacy, Telesales, Member Service Guides)
Form strong relationships with local community-based organizations and PCP offices to aid coordination between member, Devoted, and providers
Be present, reliable, and timely for members and team

Skills

Key technologies and capabilities for this role

case managementcare coordinationcare planningcommunity resourcesgovernment benefitsrelationship buildingproblem solvingstakeholder coordination

Questions & Answers

Common questions about this position

What experience is required for the Community Guide Case Manager role?

A minimum of 2 years doing case management or care coordination is required, along with health insurance (preferably Medicare Advantage) and/or healthcare experience.

What are the working hours and time zones for this position?

You must be able to support either Mountain or Pacific time zones, with Community Guide’s hours of operation being 8:30am - 8pm eastern.

What key skills are needed to succeed in this role?

Strong verbal and written communication skills in English, the ability to multitask (listening, talking, evaluating, and writing notes simultaneously), proficiency in technology, and proven success in building relationships are essential.

What is the company culture like for this position?

The role is in a start-up, fast-paced environment where team members need a can-do attitude, self-reflectiveness, reliability, and flexibility to work outside the job description, including taking inbound calls.

What makes a strong candidate for this Community Guide Case Manager role?

Candidates with an advanced degree in Social Work (e.g., LSW, LCSW, LMSW, MSW) or mental health/psychology, bilingual skills, and the ability to meet performance metrics while building strong relationships stand out.

Devoted Health

Medicare Advantage plans with personalized support

About Devoted Health

Devoted Health provides Medicare Advantage plans aimed at simplifying and making healthcare more affordable for seniors aged 65 and older. Their plans include services like provider and pharmacy searches, prescription drug coverage, and preventive care rewards. Members pay premiums for these plans, and the company may also receive government payments for managing Medicare benefits. What sets Devoted Health apart from competitors is their high level of customer service, featuring Devoted Health Guides who assist members in navigating their healthcare options and addressing common issues with traditional insurance. Additionally, they promote preventive care through the Devoted Dollars program, which rewards members for engaging in health activities. The goal of Devoted Health is to create a more compassionate and accessible healthcare experience for its members.

Waltham, MassachusettsHeadquarters

2017Year Founded

$2,194.5MTotal Funding

SERIES_ECompany Stage

HealthcareIndustries

1,001-5,000Employees

Benefits

Comprehensive health plan

401(k) retirement plan

Generous vacation and holiday time

Lyra mental health resources

Time off to vote

Risks

Increased competition from Medicare Advantage providers like Clover Health and Oscar Health.

Potential regulatory changes affecting Medicare Advantage plans by CMS.

Rising healthcare costs could impact the affordability of Devoted Health's plans.

Differentiation

Devoted Health offers personalized assistance through Devoted Health Guides for member support.

The company emphasizes preventive care with its Devoted Dollars rewards program.

Devoted Health integrates virtual and in-home care with top local providers.

Upsides

Devoted Health raised $287 million in Series E funding in 2024.

The company expanded Medicare Advantage plans to eight new states in 2023.

Devoted Health achieved a 5-star Medicare Advantage rating in Ohio in 2023.

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