Care Coordinator II

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Assist in care management activities and collaborate with assigned teams to ensure provider services, continuity of care, and member satisfaction.

• Conduct outreach to members via telephone or through home visits.

• Engage with members to discuss care plans/service plans, next steps, available resources, questions, concerns, and ongoing education.

• Coordinate care activities alongside healthcare and community providers, partners, members, and caregivers.

• Address inquiries, requests, and concerns from members and providers regarding care plans/service plans.

• Communicate effectively with care managers, practitioners, and others to facilitate member services.

• Support service assessments/screenings and document member care requirements.

• Maintain accurate member records and distribute information to providers as necessary.

• Identify member needs and make appropriate referrals to Care Managers, community-based organizations, and Disease Managers.

• Provide education on benefits and accessible resources.

• Ensure compliance with policies, standards, contractual obligations, and regulatory guidelines.

• Perform additional duties as assigned.

⛳️ Requirements

• A High School diploma or GED is required.

• 1 – 2 years of relevant experience is necessary.

• Must be a resident of North Carolina.

• Ability to conduct member outreach both telephonically and via home visits.

• Capacity to coordinate care with healthcare and community providers, partners, members, and caregivers.

• Ability to assist with service assessments/screenings and document member care requirements.

• Proficiency in maintaining member records in compliance with state and regulatory standards.

• Capability to identify needs and provide referrals to Care Managers, community-based organizations, and Disease Managers.

• Knowledge of benefits and available resources adequate for member education.

• Ability to adhere to contractual obligations, regulatory guidelines, standards of practice, and company policies.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase options.

• Tuition reimbursement program.

• Paid time off along with holidays.

• Flexible work arrangements, including remote, hybrid, field, or office schedules.

• Additional incentive programs may be part of total compensation.

• Benefits may vary based on program eligibility.