Care Coordinator Nurse

This is a fully remote position, open to applicants in Colorado, +9 more states.

📋 Description

• Facilitate care coordination for members enrolled in Medicaid, Medicare Advantage, and/or Dual Eligible Special Needs Plan (DSNP).

• Establish trusted relationships and foster a positive experience for members.

• Assist members in obtaining suitable care through health plans, medical providers, pharmacies, vendors, and community-based organizations.

• Evaluate members' medical and social requirements, including Social Determinants of Health.

• Conduct outreach to encourage, facilitate, and inform members about program benefits.

• Perform telephone and/or text assessments and collaborate with members to develop care plans.

• Assess individual care needs and relay medical information to healthcare professionals.

• Manage a caseload and ensure prompt communication with members.

• Coordinate care with providers and arrange appointments as necessary.

• Inspire members to take an active role in their health and overall well-being.

• Organize and complete correspondence according to established workflows.

• Accurately document actions within a care management platform.

• Conduct extensive outreach to members, families, providers, and other stakeholders.

• Advocate for, support, and motivate members in managing their health and healthcare.

• Maintain ongoing relationships with members, families, providers, and external partners.

⛳️ Requirements

• Active and unrestricted Licensed Vocational Nurse / Licensed Practical Nurse (LVN/LPN) or Registered Nurse (RN) license.

• Minimum of 2 years of experience as a care coordinator, case manager, community health worker, pharmacy technician, or social worker.

• Must reside in Texas, Louisiana, Mississippi, Arkansas, Missouri, Colorado, Oklahoma, Kansas, Utah, Nebraska, or Wyoming.

• A dedicated home office setup for remote work.

• At least 1 year of experience in a remote work environment.

• Experience with Medicaid and/or Dual Eligible patients.

• Strong interpersonal, verbal and written communication, and problem-solving abilities.

• Proven experience interacting with customers via phone and text messaging.

• Background in documenting case notes within a care management or electronic health records platform.

• Familiarity with motivational interviewing techniques.

• Preferred experience with Apple computers, such as MacBook.

• Bilingual proficiency in Spanish is preferred.

• Knowledge or experience with post-discharge follow-up is preferred.

• Knowledge or experience in chronic disease management is preferred.

• Capability to work effectively in a multicultural environment with diverse populations.

• Ability to advocate for, support, and motivate members.

• Skill in maintaining positive working relationships with members, families, providers, and external partners.

• Competence in building trust, actively listening, communicating purposefully, collaborating, and problem-solving.

• Ability to influence others towards favorable outcomes.

• A passion for assisting individuals in enhancing their lives.

🏝️ Benefits

• Competitive compensation packages.

• 401(k) plan with employer matching.

• Medical, dental, and vision insurance, including a fully employer-paid option.

• Paid time off, paid sick leave, and paid holidays.

• 100% remote work from your dedicated home office.

• Comprehensive training and development opportunities.

• Fully employer-paid short-term disability, long-term disability, and basic life insurance.

• Health Savings Plan with employer contributions.

• Employee assistance program (EAP).