Care Coordinator

86Borders, LLC.; United States; Remote; USD 52,000 - 76,000; Full time

Benefits offered by this job

401(k) matching

Healthcare coverage (medical, dental,視

Paid time off

Remote work from home

Training & development

Disability & life insurance

Health Savings Plan

EAP

Job summary

86Borders, LLC. is seeking a Care Coordinator to provide remote care coordination for Medicaid, Medicare Advantage, and DSNP members. You will build trusted relationships, assess medical and social needs, and coordinate care with plans, providers, and community partners.

The role emphasizes outreach, documentation in care management platforms, and working from a dedicated home office. Remote work with occasional communications via phone/text is required.

Qualifications

• 2+ years experience as care coordinator, case manager, community health worker, nurse, pharmacy technician, or social worker.
• Dedicated home office for remote work.
• 1+ years of remote work experience.
• Experience with Medicaid and/or Dual Eligible patients.
• Experience documenting case notes in a care management platform or EHR.
• Experience with motivational interviewing.

Responsibilities

• Conduct outreach to motivate, facilitate, and educate members about program benefits.
• Develop care plans with members addressing goals via telephone or text.
• Communicate medical information to health care professionals.
• Manage caseloads to ensure timely member contact.
• Coordinate care with providers and schedule appointments as needed.
• Address Social Determinants of Health needs.
• Document actions thoroughly in the care management platform.
• Make high volumes of member outreaches as required.

Skills

Interpersonal skills

Communication

Problem-solving

Motivational interviewing

Advocacy

Multicultural communication

Tools

Care management platform

EHR system

Mac computers

Job description

As a Care Coordinator, you are responsible for providing care coordination for Medicaid, Medicare Advantage, and/or Dual Eligible Special Needs Plan (DSNP) members. You will create a positive experience for members by building trusted relationships with each member. This includes helping members access the right care at the right time with the health plan, providers, pharmacies, other vendors, and community-based organizations. You will assess and work with members to address both their medical and social needs (SDOH).

Job Requirements:

• 2+ years experience as a care coordinator, case manager, community health worker, nurse, pharmacy technician, or social worker
  
• Dedicated home office for remote work
  
• 1+ years of remote work experience
• Experience working with Medicaid and/or Dual Eligible patients
• Strong interpersonal, communication (both verbal and written), and problem-solving skills
• Experience working with customers over the phone and by text message
• Experience with Apple computers (i.e., MacBook) preferred
• Experience documenting case notes in a care management or electronic health record platform
• Experience with motivational interviewing

Preferred qualifications:

• Bilingual fluency in Spanish

Key Responsibilities

• Conduct outreach to motivate, facilitate, and educate members about the benefits of programs.
• Conduct assessments of the member’s status and develop a care plan with the member to address their goals. Assessments are conducted by telephone and/or text.
• Evaluate individual member care needs and communicate medical information to health care professionals.
• Manage a caseload of members to ensure expedient contact is made with each member.
• Facilitate coordination of care with providers and schedule appointments as needed. Motivate members to be active and engaged participants in their health and overall well-being.
• Identify and help address needs related to Social Determinants of Health.
• Coordinate and complete correspondence according to established workflows.
• Thoroughly and accurately document actions taken in a care management platform.
• Make a high volume of outreaches to members, families, providers, or other recipients as needed to successfully perform the role.

Ability To:

• Work effectively in a multi-cultural setting with a wide range of populations in a diverse community, while demonstrating knowledge and continued learning of the assigned community’s cultures and values.
• Be an advocate for, support, and motivate members to manage their health and healthcare.
• Maintain positive working relationships with members and their families, providers, and other external partners.
• Build trust, actively listen, intentionally communicate, collaborate, and problem-solve.
• Influence others toward positive outcomes.
• Show passion for helping people improve their lives.
• Move forward after setbacks or difficult interactions with members, using setbacks as learning opportunities for personal and professional growth.

Schedule:

• Full-time, Monday - Friday, 8:30am - 4:30pm CST

Work Location: Remote

Benefits:

• Competitive compensation packages
• 401(k) with employer matching
• Medical, dental, and vision insurance, including a 100% employer-paid option
• Paid time off, paid sick time off, and paid holidays
  
• 100% remote work from your dedicated home office
• Comprehensive training and development
• 100% employer-paid short-term disability, long-term disability, and basic life insurance
• Health Savings Plan with employer contributions
• Employee assistance program (EAP)