A Lighthouse is needed to help guide the way; to emit a light that helps navigate turbulent times and warn against the possible dangers ahead. Lighthouse Behavioral Wellness Centers is just such a place, guided by its core values of hope, dedication and community.
As a Coverage Care Coordinator you will empower, uplift and help others heal from the many forms of mental illness, trauma or addiction. Those who have recently experienced crisis and/or hospitalization, may need additional guidance as they maneuver multiple systems, engagement with new treatment team members and adjust to changes outside of the clinical setting.
To meet the increasing needs of our communities it is imperative that all team members understand and successfully reach and maintain the expected performance standard levels. In order to achieve total and sustainable success each person must do their part. Lighthouse will do its part in providing all necessary tools and training required to help team members be successful.
DEFINITION:
Under immediate to general supervision, the Coverage Care Coordinator provides comprehensive, client-centered care coordination and targeted support services, including Healthcare enrollment, application follow-up, eligibility tracking, and navigation of additional healthcare and social service benefits. This role delivers case management, care coordination, and coverage navigation based on client needs and goals.
The Coverage Care Coordinator assists individuals in accessing, understanding, and maintaining Healthcare coverage and other available benefits, ensuring continuity of care and reducing barriers to services. Responsibilities include meeting with new clients to complete Healthcare applications, monitoring application status, managing renewal and expiration timelines, and supporting re-enrollment efforts to prevent gaps in coverage or support.
EDUCATION AND EXPERIENCE:
Bachelor or master’s degree in education, Psychology, Social Work, Sociology, Criminal Justice or similar field approved by ODMHSAS; or
A current license as a registered nurse in Oklahoma with behavioral health experience; or
A bachelor’s or master’s degree in any field with 6 months of behavioral health experience; or
60 college credit hours in any field and 12 months of behavioral health experience; or
A high school diploma or equivalent and a total of 36 months of direct, documented experience working with persons who live with mental illness and/or substance use issues.
Applicants must be able to provide documented proof from previous employers to justify behavioral health experience.
Current certification as a Behavioral Health Case Manager II as described in ODMHSAS Standards ad Criteria for Certified Behavioral Health Case Managers 450:50-3-1; and
An expectation of core competencies in relation to individuals and families, as well as individuals with co-occurring disorders, trauma-informed care and collaborative care.
Working knowledge of healthcare eligibility, application processes, renewals, and compliance requirements, as well as familiarity with other public assistance programs (e.g., SNAP, SSI/SSDI, housing supports).
High level of accuracy in completing applications, tracking documentation, and ensuring compliance with regulatory requirements.
Strong ability to manage multiple cases, track deadlines (e.g., Healthcare renewals), maintain documentation, and prioritize tasks effectively.
Understanding of integrated care models, CCBHC framework, care coordination practices, and service delivery across physical, behavioral, and community health systems.
Knowledge of person-centered planning, strengths-based approaches, trauma-informed care, and systems of care for children and families.
Ability to work effectively with diverse populations, respecting cultural values, preferences, and individual circumstances.
Skilled in working collaboratively with internal teams, external providers, and legal partners to ensure cohesive, integrated service delivery.
Strong verbal and written communication skills, with the ability to explain complex processes in a clear, supportive, and culturally responsive manner.
Understanding of ODMHSAS standards and confidentiality laws (HIPAA), and accurate recordkeeping practices.
Ability to guide clients through complex systems, troubleshoot application issues, prevent coverage gaps, and resolve barriers to accessing services.
JOB DUTIES AND RESPONSIBILITIES:
This position is responsible and held accountable for the following duties:
Meet with new clients to assess eligibility and assist with completing Healthcare applications, ensuring accuracy and completeness of all required documentation.
Guide clients through the Healthcare enrollment process by explaining requirements, timelines, and necessary follow-up steps.
Monitor and track submitted Healthcare applications, proactively following up with appropriate agencies to resolve issues and ensure timely processing.
Communicate regularly with clients regarding application status, additional documentation needs, and next steps.
Manage and maintain accurate records of healthcare eligibility and expiration dates to prevent lapses in coverage.
Notify clients of upcoming Healthcare renewals and assist with re-application or recertification processes as needed.
Collaborate with internal teams and external partners to address barriers to coverage and support continuity of care.
Ensure compliance with all Healthcare policies, procedures, and confidentiality standards.
Link and advocate for legal assistance as needed by working collaboratively with individuals, care team, and attorneys.
Track and update legal assistance referrals, including final findings and actions.
Must meet “satisfactory” expectations at any scheduled job performance evaluation, coaching and/or Performance Improvement Plans.
Assessment and appraisal of quality of work will be evaluated through training, skill, chart review or special purpose.
Must complete Lighthouse required training and resulting follow up and consultation as required at hire, annually and as directed by Supervisor.
Performs other reasonably related duties as assigned by the immediate supervisor or other management as requested.
Must perform the specific job duties as listed above to meet position expectations.
In addition, must possess skill in working cooperatively and effectively with clients, staff, management and other professional and community groups; in exercising mature judgment in dealing with people; in presenting ideas clearly and accurately; in reading and comprehending the English language; and in communicating effectively, both orally and in writing.
Benefits include: 100% employer-paid premiums for health, dental, life, and vision insurance; generous paid leave including PTO, sick, and agency holidays, employer matching 401K plan, and paid continuing education.
8-hour shift
Day shift
Monday to Friday
Ability to commute/relocate:
