Care Coordinator, MA

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

📋 Description

• Assist with the enrollment and onboarding processes for CCM patients.

• Confirm patient eligibility according to Evergreen and payer program standards.

• Ensure that patient consent forms are completed before outreach begins.

• Actively engage with patients on a regular basis.

• Identify patients who are inactive or unengaged and escalate issues as needed.

• Conduct text and phone outreach to enrolled CCM patients on a weekly basis.

• Meet the required engagement time standards in line with Medicare CCM billing regulations.

• Aid in achieving the necessary engagement time for billing compliance.

• Reinforce care plans directed by providers during patient interactions.

• Identify obstacles to adherence, such as issues with medication access, transportation, or social needs.

• Accurately document patient interactions in the CCM patient management platform and EHR systems.

• Monitor engagement time in accordance with Medicare CCM billing criteria.

• Maintain documentation that is ready for audit at all times.

• Ensure compliance with HIPAA and PHI regulations.

• Facilitate patient access to their referring providers and clinical staff.

• Assist with care transitions following hospital stays or emergency department visits.

• Coordinate referrals and subsequent appointments.

• Escalate any symptoms or medication concerns to licensed clinical personnel.

• Use CCM platforms and EHR systems on a daily basis.

• Oversee patient messaging workflows.

• Collaborate with remote clinical and operational teams.

⛳️ Requirements

• Certified Medical Assistant certification is required.

• 1–3 years of experience in the healthcare field.

• Experience in chronic disease management or nephrology is preferred.

• Excellent clinical assessment, communication, and documentation abilities.

• Comfortable using two systems (EHR + CCM platform) concurrently.

• Capability to manage a structured, metrics-driven workflow with dependability.

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

• Ability to effectively work in a predominantly remote environment:

• Home internet must support a minimum download speed of 25 Mbps and upload speed of 10 Mbps, with Cable, Fiber, or DSL connections hardwired to the internet device recommended.

• Evergreen will supply remote employees with telephony applications and equipment necessary for their roles.

• Employees must operate from a dedicated space free from ongoing interruptions to safeguard member PHI / HIPAA information.

🏝️ Benefits

• Paid time off starting at 4 weeks for full-time employees.

• 12 paid holidays each year.

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

• Reimbursement for continuing medical education for eligible positions.

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

• Paid parental leave.

• A thorough training and development program that begins with onboarding and continues throughout your career at Evergreen Nephrology.