Care Coordinator III, Premium Assistance (Spokane)

POSITION SUMMARY

This position reports to the Chief Mission Officer. The Care Coordinator III, Premium Assistance supports clients by providing premium assistance and insurance navigation, specialty medical referral coordination, and Health‑Related Social Needs (HRSN) navigation.

This is a hybrid position requiring a minimum of three (3\) days per week working on site, primarily in the office, with occasional participation at local community outreach events. Remaining days may be worked remotely.

This role serves uninsured and underinsured individuals by facilitating access to Qualified Health Plans, Washington HealthPlanFinder (WAHPF), and specialty medical care coordination. The position acts as a key liaison between clients, community health centers, specialty providers, insurance carriers, social service organizations, and internal Project Access Northwest teams.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Demonstrates a strong commitment to the mission, core values, and goals of Project Access Northwest and its commitment to healthcare access.
• Guides clients through Qualified Health Plan enrollment and Washington Apple Health using Washington HealthPlanFinder (WAHPF).
• Maintains certification as a WAHPF In‑Person Assister / Navigator or completes required training as soon as possible.
• Receives and processes referrals for premium assistance and specialty care coordination from in‑person assisters, financial counselors, social workers, patient financial advocates, clinics, and community partners.
• Performs eligibility assessments for premium assistance and specialty medical services.
• Facilitates access to specialty medical services by serving as a liaison between patients, primary care providers, community health centers, and participating specialty providers with an eye toward local healthcare communities and issues.
• Assists clients with scheduling medical appointments, transportation planning, appointment reminders, and follow‑up.
• Participates in community outreach such as health fairs, public speaking engagements, tabling events, and networking activities, as necessary.
• Maintains accurate, timely, and confidential documentation in databases, Community Information Exchange (CIE), EMRs/EHRs, and internal tracking systems.
• Enters data with a high degree of accuracy and completes documentation within required timelines.
• Monitors client billing, invoicing, and insurance premium payments; tracks budgets and processes monthly invoices.
• Troubleshoots insurance, plan, billing, and referral issues with strong follow‑through to resolution.
• Develops and maintains strong working relationships with internal staff, clients, providers, and community partners.
• Maintains strict confidentiality and compliance with HIPAA regulations.
• Identifies system or process issues and participates in team‑based problem solving.
• Participates in staff meetings, trainings, and in‑service sessions as required.
• Performs reports, data compilation, and other duties as assigned by the Supervisor or Manager.

SUPERVISORY RESPONSIBILITIES

This position has no supervisory responsibilities.

QUALIFICATIONS AND REQUIREMENTS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

• BS/BA preferred in a health‑related field, or 2\+ years of related healthcare, care coordination, community health, case management, referral coordination, or navigation experience.
• Experience with Washington HealthPlanFinder, Qualified Health Plans, Washington Apple Health, Medicaid, or insurance navigation preferred, or ability to obtain within 30 days of start.
• Community Health Worker, peer support, or lived experience related to the patient population strongly encouraged.

Communication Skills

• Ability to read and comprehend instructions and write basic correspondence.
• Strong verbal and written communication skills.
• Data entry skills with a high degree of accuracy.
• Bilingual candidates, are encouraged to apply.

Reasoning and/or Critical Thinking Ability

• Ability to analyze situations, interpret information, prioritize tasks, and determine effective responses.
• Problem‑solving skills that are technical yet practical and well‑defined once issues are understood.

Computer Skills

• Proficiency with Microsoft Office (Word, Excel, Outlook; Visio helpful).
• Experience working within multiple databases, browsers, and electronic health or medical record systems ( EMRs/EHRs helpful).

Licenses or Certificates

• WAHPF In Person Assister / Navigator certification required or must be obtained within 30 days of hire.
• Medical terminology preferred.
• Valid Washington State Driver’s License, reliable transportation, and current auto insurance required for community‑based roles.

Physical Demands

The physical demands described here are representative of those that must be met to successfully perform the essential functions of this job. Occasional lifting up to 50 pounds required. Regular standing, walking, bending, reaching, and use of hands and vision required.

Work Environment

• Hybrid remote, in‑office, and community‑based work environment.
• Travel throughout Spokane and rural communities depending on assignment.
• Attendance at community events and required organizational activities as needed.
• Travel to Seattle\-based office events and the Seattle/King County Clinic as required (estimated 2\-4 times per year).

Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Project Access Northwest believes that each employee makes a significant contribution to our success. That contribution should not be limited by the assigned responsibilities. This position description is designed to outline primary duties, qualifications, and job scope, but not limit our employees nor the organization to just the work identified. It is our expectation that each employee will offer their services wherever and whenever necessary to ensure the success of the company.

HOW TO APPLY

Please submit a résumé and cover letter outlining why you would be a great hire for this position to hr@projectaccessnw.org with the subject line:

“YOUR NAME \+ Care Coordinator III.”

Applications without a cover letter will not be accepted.

No phone calls please.

Project Access Northwest is an equal opportunity employer. We embrace and encourage our employees’ differences in age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical ability, political affiliation, race, religion, sexual orientation, socio‑economic status, veteran status and other characteristics.

Pay: $23\.56 \- $26\.44 per hour

Benefits:

• 403(b)
• Dental insurance
• Disability insurance
• Employee assistance program
• Health insurance
• Paid time off
• Vision insurance

Education:

• High school or equivalent (Preferred)

Experience:

• related coordination, community health, or case management: 2 years (Preferred)
• premium assistance and insurance navigation: 1 year (Preferred)

License/Certification:

• WAHPF In Person Assister / Navigator certification (Preferred)

Ability to Commute:

• Spokane, WA (Required)

Work Location: Hybrid remote in Spokane, WA