Patient Care Coordinator

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

📋 Description

• Perform high-volume outbound calls to potential CalAIM members identified via health plan referrals, community referrals, and internal lead lists.

• Articulate WEA services, Enhanced Care Management (ECM), and Community Supports programs to eligible candidates.

• Establish rapport and engage with individuals who may be reluctant or challenging to contact.

• Assess potential participants for program eligibility and interest.

• Arrange enrollment appointments and facilitate warm transitions to Care Managers and other clinical team members.

• Accurately document outreach activities, patient interactions, and enrollment results in designated systems.

• Adhere to productivity benchmarks related to outreach volume, contact rates, and enrollment objectives.

• Follow established workflows, scripts, and compliance guidelines concerning patient communication.

• Collaborate with supervisors and program staff to enhance outreach effectiveness and patient engagement.

• Uphold confidentiality and comply with HIPAA and relevant privacy regulations.

• Participate in team meetings, training sessions, and initiatives for quality improvement.

• Achieve daily outreach targets, including outbound call volume, successful contacts, and enrollment conversion goals.

• Accurately track outreach results and disposition codes.

• Complete follow-up activities within designated turnaround times.

• Perform additional duties as assigned.

⛳️ Requirements

• High school diploma or equivalent.

• At least one (1) year of patient-centered care experience in patient services, healthcare outreach, call center operations, care coordination, or a related field.

• Exceptional verbal communication and active listening abilities.

• Strong organizational and documentation capabilities.

• Ability to work independently in a remote setting.

• Proficiency in Microsoft Office and web-based applications.

• Capacity to handle a high volume of outbound calls while maintaining professionalism and empathy.

• Preference for candidates based in California.

• Availability to work in the PST timezone.

• Must have a private, HIPAA-compliant workspace with reliable internet access.

• Ability to communicate effectively via telephone and video conferencing platforms.

• Preferred experience working with Medicaid/Medi-Cal populations.

• Preferred experience with CalAIM, Enhanced Care Management (ECM), Community Supports, or population health programs.

• Bilingual proficiency in English and Spanish is strongly preferred.

• Preferred experience using electronic health records (EHRs), CRM systems, or care management platforms.

• Knowledge of HIPAA, CalAIM, and health plan contractual documentation and privacy compliance.

🏝️ Benefits

• Opportunity to collaborate with cross-functional leaders across Behavioral Health, Medical, Street Medicine, Public Health, Rural Health, and Tribal Health initiatives.

• Occasional participation in virtual meetings and training sessions.

• Professional development opportunities through collaboration with cross-functional leaders.