TITLE: WISEWOMAN High Risk Care Coordinator (Part-Time)
REPORTS TO: WISEWOMAN Manager
SUPERVISES: No one
BASED AT: Access to Healthcare Network – Reno, NV
STATUS: Non-Exempt (Part-Time)
About Access to Healthcare Network (AHN)
Access to Healthcare Network is seeking a Health Insurance Specialist Supervisor to oversee daily operations of Eligibility Specialists with insurance responsibilities and Claims Processors. This position plays a key role in ensuring Ryan White Part B clients receive timely, accurate, and compassionate support with insurance eligibility, enrollment, and premium processing. The ideal candidate is an experienced, bilingual leader with deep knowledge of insurance programs, strong communication skills, and a passion for supporting vulnerable populations.
JOB PURPOSE
The WISEWOMAN High Risk Care Coordinator provides risk reduction counseling and care coordination to program participants at risk for or diagnosed with cardiovascular disease. This role supports patients through motivational interviewing, behavioral change strategies, educating patients on healthy lifestyle practices, and connecting them to appropriate support services to improve health outcomes.
The ideal candidate is compassionate, detail-oriented, bilingual, and comfortable working in a structured, high-performance environment while supporting a diverse population.
KEY RESPONSIBILITIES
- Provide telephonic and in‑person counseling to program participants
- Educate participants on cardiovascular disease prevention, lifestyle modification, and disease management
- Coordinate care and assist participants with healthcare system navigation
- Refer participants to appropriate medical, behavioral health, and social support services
- Track participant progress using case management standards, forms, and documentation tools
- Maintain accurate and timely data entry in the Med‑IT system
- Monitor program metrics, compliance, and outcomes
- Process claims and follow up on incomplete claims or visits requiring clarification
- Update MDEs as required
- Conduct provider education and maintain collaborative relationships with healthcare partners
- Perform administrative and program support duties as assigned
- Participate in staff meetings and regular check‑ins with management
BASIC REQUIREMENTS
- Ability to evaluate and address participant needs using critical thinking and clinical judgment
- Knowledge of healthcare systems, patient navigation, and community resources
- Strong communication, customer service, and interpersonal skills
- High attention to detail with a focus on data accuracy and documentation
- Ability to manage multiple tasks, meet deadlines, and work effectively in a routine‑based environment
- Comfort working in a setting with high performance expectations
- Ability to maintain confidentiality and comply with HIPAA regulations
- Ability to administer the WISEWOMAN program in accordance with program policies, procedures, and CDC guidelines
- Ability to guide participants through prescribed clinical treatment plans to achieve positive outcomes
- Flexibility in work assignments and ability to function as a team player
- Professional, compassionate approach when serving vulnerable populations
- Willingness to learn and maintain working knowledge of:
- WISEWOMAN & WHC services
- Access to Healthcare Network (AHN) services
- Community and social service resources
QUALIFICATIONS
- Spanish bilingual required
- High school diploma required; Associate degree preferred
- Minimum 1 year of case management or related experience preferred
- Minimum 1 year of healthcare or related experience preferred
- Certified Community Health Worker (preferred or must obtain within 90 days of hire)
- Healthy Heart Ambassador (HHA) certification (preferred or must complete within 90 days of hire)
WORK ENVIRONMENT
- The 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 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 consistency
The 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 CLAUSE
This 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.
Access to Healthcare Network is an equal-opportunity employer. We are committed to fostering a diverse and inclusive workplace and encourage all qualified individuals to apply.