Care Coordinator

TalentLNX; United States; Remote; USD 55,000 - 65,000; Full time

Job summary

A leading company is seeking a dedicated Utilization Management Care Coordinator to support members in navigating healthcare services. This fully remote role involves coordinating care, addressing inquiries, and ensuring timely access to services. Ideal candidates have a background in healthcare support and strong communication skills.

Benefits

Medical insurance

Vision insurance

Qualifications

• Minimum of one year of experience in a healthcare, call center, or care coordination setting.
• Ability to work independently and meet productivity standards in a remote setting.

Responsibilities

• Respond to incoming calls and perform outbound outreach to members regarding benefits.
• Document all member interactions and updates accurately in the system.
• Collaborate with interdisciplinary care teams to ensure timely resolution of member needs.

Skills

Communication

Healthcare Support

Clinical Coordination

Education

High school diploma or GED

Associate degree in healthcare administration

Tools

Electronic Health Records (EHR)

Care Management Platforms

Digital Documentation Tools

Job description

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Location: Remote (U.S. Based)

Employment Type: Full-Time, Remote

Position Overview:

We are seeking a dedicated and detail-oriented Utilization Management (UM) Care Coordinator to support members in navigating healthcare services, coordinating care, and addressing benefit-related inquiries. This fully remote position plays an important role in ensuring timely access to services, accurate documentation, and effective communication with members and interdisciplinary care teams.

The ideal candidate brings a background in healthcare support or clinical coordination, strong communication skills, and a commitment to delivering high-quality service in a virtual environment.

Responsibilities:

• Respond to incoming calls and perform outbound outreach to members regarding benefits, service coordination, and care navigation.
• Conduct screening assessments to identify risk factors or care gaps and escalate as appropriate to care managers or clinical leads.
• Manage an assigned caseload of members requiring short-term support or follow-up.
• Document all member interactions and updates accurately in the system in accordance with regulatory standards.
• Collaborate with interdisciplinary care teams to ensure timely resolution of member needs and promote continuity of care.
• Assist with appointment scheduling, benefit verification, and coordination of services.
• Maintain compliance with HIPAA, organizational policies, and applicable utilization management protocols.
• Support additional administrative and coordination duties as assigned.

Qualifications:

• High school diploma or GED.
• Certified Nursing Assistant (CNA), Certified Medical Assistant (CMA), Registered Medical Assistant (RMA), or relevant clinical or healthcare experience.
• Minimum of one year of experience in a healthcare, call center, or care coordination setting.
• Strong verbal and written communication skills.
• Ability to use electronic health records (EHR), care management platforms, and digital documentation tools.
• Ability to work independently and meet productivity standards in a remote setting.

Preferred Qualifications:

• Associate degree in healthcare administration, public health, or a related field.
• Experience with Medicaid, Medicare, or commercial health plans.
• Prior exposure to managed care, utilization review, or health plan operations.
• Bilingual proficiency is a plus.
• Remote position, full-time (40 hours per week)
• Monday through Friday, standard business hours
• Reliable high-speed internet and a HIPAA-compliant home workspace required

Compensation:

• Annual Salary Range: $55,000 – $65,000
• Equivalent Hourly Range: Approximately $26.45 – $31.25 per hour

Compensation is based on experience, education, and applicable certifications.

Interview Process:

• Initial Screening Call with TalentLNX
• Phone Interview
• Final Video Interview (Zoom)

Equal Opportunity Employer: TalentLNX is committed to equal employment opportunity and prohibits discrimination and harassment of any kind. We are dedicated to building a diverse workforce and fostering an inclusive work environment where all employees and candidates are treated with respect and dignity. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or any other protected status under applicable law. We actively seek to recruit, develop, and retain talented individuals from diverse backgrounds, and we encourage all qualified candidates to apply for our job opportunities.

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Customer Service

• Industries

  Hospitals and Health Care

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Inferred from the description for this job

Medical insurance

Vision insurance

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