Care Coordinator

This is a fully remote position, open to applicants in United States.

📋 Description

• Assist with the enrollment and onboarding of patients in chronic care management.

• Confirm patient eligibility and finalize consent documentation.

• Foster patient engagement and address issues with inactive or unengaged patients.

• Execute weekly outreach via text and phone to enrolled CCM patients.

• Adhere to engagement-time standards set by Medicare CCM billing guidelines.

• Support provider-directed care plans and identify barriers to adherence.

• Conduct a high volume of outbound calls, texts, and follow-up outreach.

• Record patient interactions in both CCM and EHR systems.

• Monitor engagement time and keep documentation ready for audits.

• Ensure compliance with HIPAA and protect PHI.

• Assist in facilitating access to referring providers and clinical staff.

• Aid in care transitions following hospitalizations or emergency department visits.

• Organize referrals and follow-up appointments.

• Refer symptom concerns or medication issues to licensed clinical personnel.

• Oversee patient messaging workflows and collaborate with remote clinical and operational teams.

⛳️ Requirements

• Certification as a Medical Assistant.

• 1–3 years of experience in healthcare.

• Proficient clinical assessment, communication, and documentation abilities.

• Comfortable using EHR and CCM platforms concurrently.

• Capability to manage a structured, metric-driven workflow reliably.

• Intermediate skills in MS Office Suite, including Outlook and Teams.

• Ability to work primarily from home.

• Home internet connection with a minimum of 25 Mbps download and 10 Mbps upload speed.

• Dedicated workspace free from interruptions to safeguard PHI/HIPAA information.

• Experience in chronic disease or nephrology is preferred.

• Background in chronic disease management is preferred.

• Prior experience in virtual care, remote nursing, or telehealth programs is preferred.

• Bilingual in Spanish and English is preferred.

• Knowledge of CCM regulatory requirements is preferred.

• Strong skills in patient education and motivational interviewing are preferred.

• Availability to work from 8:00 am to 5:00 pm Central Time.

🏝️ Benefits

• Paid time off starting at four weeks for full-time employees.

• Twelve paid holidays each year.

• Medical, dental, vision, and life insurance, including an HSA with employer matching.

• Reimbursement for continuing medical education for eligible positions.

• 401(k) plan with Evergreen matching up to 4% of contributions after six months of employment.

• Paid parental leave.

• Comprehensive training and development program starting with onboarding and continuing throughout your career.

• Eligibility for bonuses.

• Telephony applications and equipment provided by Evergreen for remote employees.