Care Coordinator

Care Coordinator

Remote |Monday through Friday, 8:30 a.m. to 4:30 p.m. Central Time

A member may know they need a follow-up appointment and still have no way to get there. Another may have a prescription they haven’t been able to fill. As a Care Coordinator, you’ll find out what’s getting in the way, help the member work through it, and follow up to see whether the problem was resolved.

AlediumHR is recruiting for this role for our client supporting Medicaid, Medicare Advantage, and Dual Eligible Special Needs Plan (D-SNP) members. A nursing license isn’t required. This is a fit for someone who has helped people navigate healthcare through community health, case management, pharmacy, social work, or care coordination.

Responsibilities

• Manage a caseload and make a high volume of outbound calls and texts to members. Follow up with families, providers, pharmacies, and other partners as needed.
• Explain available programs and benefits in plain language and help members understand how to use them.
• Assess members’ health and day-to-day needs by phone or text. Work with each member to set goals and develop a care plan.
• Coordinate appointments and services with providers, health plans, pharmacies, and community organizations. Help address barriers such as transportation or access to medication.
• Share relevant member information with healthcare professionals and follow up on referrals, appointments, and other outstanding needs.
• Record contacts, actions, and next steps accurately in the care management platform. Complete member correspondence according to established procedures.

Required experience

• At least two years of experience as a care coordinator, case manager, community health worker, pharmacy technician, or social worker.
• Experience working with Medicaid or dual-eligible members.
• At least one year of remote work experience and a dedicated home office.
• Experience communicating with members, patients, or customers by phone and text.
• Experience using motivational interviewing and documenting case notes in a care management system or electronic health record.
• Strong verbal and written communication skills and the ability to build trust and solve problems with members from a wide range of backgrounds.

Bilingual fluency in Spanish and experience working on a Mac are preferred. Experience serving veterans is a plus.

Remote work location

You must live in either Alabama, Florida, Georgia, Indiana, Louisiana, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, or Texas and be able to work the Central Time schedule. Texas residents are preferred.

Benefits

• Medical, dental, and vision insurance, including a 100% employer-paid option.
• 401(k) with employer matching and a health savings plan with employer contributions.
• Paid time off, paid sick time, and paid holidays.
• 100% employer-paid short-term disability, long-term disability, and basic life insurance.
• Training and development and an employee assistance program.

How to apply

Apply for immediate consideration, and please include the state where you live.

Originally posted on Himalayas