
Member Care Coordinator
Posted Jun 30

Posted Jun 30
This is a fully remote position, open to applicants in United States.
• Oversee the development of care plans tailored for pediatric patients with medical, behavioral, and social requirements.
• Engage daily with nurses, social workers, and healthcare providers to execute and evaluate care plans.
• Act as the main point of contact for families, aiding in scheduling, referrals, and follow-up activities.
• Monitor patient progress, document interventions, and ensure accurate record-keeping within the EMR and Care Management System.
• Promote effective communication between internal teams and external healthcare providers, specialists, and community resources.
• Recognize care gaps and escalate issues to clinical staff as necessary.
• Assist with transitions of care, such as hospital discharges and specialty referrals.
• Ensure adherence to care management protocols and uphold quality standards.
• Proven experience in care coordination, case management, healthcare, or a closely related field.
• Exceptional organizational, communication, and problem-solving abilities.
• Capability to juggle multiple patients and priorities in a dynamic environment.
• Comfortable working autonomously in a remote setting while fostering strong team collaboration.
• A minimum of 3 years of relevant experience in care coordination, case management, or a similar healthcare position (pediatrics is highly preferred).
• Demonstrated history of collaboration with nurses and/or social workers in a clinical or care management context.
• Solid understanding of healthcare systems, referrals, and community resources.
• Proficient in using electronic medical records (EMR) systems.
• 401(k)
• 401(k) matching
• AD&D insurance
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
Takjas
Mondosol
WBS
The Cigna Group
Get handpicked remote jobs straight to your inbox weekly.