Care Coordinator

86Borders

8d • Remote

About The Position

As a Care Coordinator, you will provide care coordination for Medicaid, Medicare Advantage, and/or Dual Eligible Special Needs Plan (DSNP) members. You will build trusted relationships and help members access appropriate care through their health plans, providers, pharmacies, vendors, and community-based organizations. You will assess members’ medical and social needs, including Social Determinants of Health (SDOH), and support them in addressing those needs.

This is a full-time remote role with a Monday–Friday schedule of 8:30 a.m.–4:30 p.m. CST. The role requires a dedicated home office and involves frequent outreach by telephone and text, care planning, coordination with providers and other partners, and thorough documentation in a care management platform.

Requirements

• At least 2 years of experience as a care coordinator, case manager, community health worker, nurse, pharmacy technician, or social worker.
• At least 1 year of remote work experience.
• Experience working with Medicaid and/or Dual Eligible patients.
• A dedicated home office for remote work.
• Strong interpersonal, verbal and written communication, and problem-solving skills.
• Experience working with customers over the phone and by text message.
• Experience documenting case notes in a care management or electronic health record platform.
• Experience with motivational interviewing.

Nice To Haves

• Experience with Apple computers, such as a MacBook.
• Bilingual fluency in Spanish.

Responsibilities

• Conduct outreach to motivate, facilitate, and educate members about program benefits.
• Assess members’ status and develop care plans with them to address their goals, using telephone and/or text.
• Evaluate individual member care needs and communicate medical information to health care professionals.
• Manage a caseload and ensure expedient contact with each member.
• Coordinate care with providers and schedule appointments as needed.
• Motivate members to participate actively in their health and overall well-being.
• Identify and help address needs related to Social Determinants of Health.
• Coordinate and complete correspondence according to established workflows.
• Thoroughly and accurately document actions in a care management platform.
• Make a high volume of outreach contacts with members, families, providers, and other recipients as needed.
• Work effectively with diverse populations in a multicultural setting, demonstrating knowledge of and continued learning about the assigned community’s cultures and values.
• Advocate for, support, and motivate members to manage their health and healthcare.
• Maintain positive working relationships with members, their families, providers, and external partners.
• Build trust; actively listen; communicate intentionally; collaborate; problem-solve; and influence others toward positive outcomes.
• Show passion for helping people improve their lives and use setbacks or difficult interactions as opportunities for personal and professional growth.

Benefits

• Competitive compensation packages.
• 401(k) with employer matching.
• Medical, dental, and vision insurance, including a 100% employer-paid option.
• Paid time off, paid sick time off, and paid holidays.
• 100% remote work from a dedicated home office.
• Comprehensive training and development.
• 100% employer-paid short-term disability, long-term disability, and basic life insurance.
• Health Savings Plan with employer contributions.
• Employee assistance program (EAP).

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed