Remote Care Manager- 258961

Medix™; New York (NY); Remote; USD 60,000 - 85,000; Full time

Job summary

Medix is seeking a patient-centered Remote Care Manager to engage Medicaid members by phone, identify social determinants of health, coordinate resources, and develop tailored care plans addressing barriers to care. In a collaborative virtual setting, you will document interactions in the EHR, monitor outcomes, and support members through referrals to community services and healthcare providers.

Strong communication, empathy, and the ability to work independently in a remote environment are

Qualifications

• Experience working with Medicaid populations, managed care organizations, or community health environments strongly preferred.
• Core Competencies: Address SDOH and navigating local social services.
• Communication Skills: Telephonic communication with motivational interviewing and culturally competent care.
• Technical Skills: Familiarity with EHR and care management software; able to work remotely.
• Attributes: Empathy, problem-solving, self-motivation, attention to detail.

Responsibilities

• Conduct outbound phone outreach to assess SDOH.
• Develop and implement member-centric care plans.
• Coordinate referrals to community-based organizations and providers.
• Follow up to ensure service connections and address barriers.
• Document interactions and outcomes in EHR in a timely manner.
• Monitor KPIs and report referral outcomes.

Skills

Medicaid populations experience

Telephonic communication

Motivational interviewing

Culturally competent communication

Empathy and organization

Tools

Electronic Health Records (EHR)

Care management software

Job description

We are seeking a patient-centered, empathetic, and highly organized Remote Care Manager. In this role, you will engage members telephonically to identify health-related social needs, navigate community resources, and build meaningful care plans that directly address social determinants of health (SDOH).

If you thrive in a collaborative virtual environment and have a passion for supporting Medicaid populations and breaking down barriers to care, this role offers an opportunity to make a direct impact.

Key Responsibilities

Member Screening & Needs Assessment

• Conduct outbound phone outreach to assess social determinants of health (e.g., housing instability, food insecurity, transportation, access to care).
• Complete comprehensive social needs assessments and identify gaps in care or unmet community resource needs.
• Build rapport with members and caregivers to understand their individual circumstances, goals, and barriers.
• Prioritize outreach and support based on member acuity, risk factors, and identified social needs.

Care Coordination & Follow-Up

• Develop and implement individualized, member-centric care plans based on assessment findings.
• Coordinate referrals to community-based organizations, healthcare providers, and social service agencies.
• Conduct proactive follow-up outreach via phone, text, or digital platforms to ensure successful service connection.
• Identify and resolve ongoing barriers to care, including transportation, financial challenges, language barriers, and access issues.

Referral Management

• Manage, track, and document referrals to confirm services are successfully received.
• Monitor referral statuses and verify completion through established care management workflows.
• Follow up with community partners, providers, and service organizations to verify outcomes and member engagement.
• Escalate unresolved referrals or service delays according to protocol.

Member Engagement & Education

• Educate members and caregivers on available healthcare options, local programs, and community resources.
• Support members in navigating healthcare systems and social service networks.
• Utilize motivational interviewing techniques and culturally competent communication to encourage self-advocacy and engagement.
• Promote ongoing adherence to care plans and recommended services.

Documentation & Data Management

• Accurately document all member interactions, assessments, referrals, and outcomes in the Electronic Health Record (EHR) or care management platform in a timely manner.
• Maintain strict compliance with HIPAA, organizational policies, and regulatory requirements.
• Track key performance indicators (KPIs), such as referral completion rates, closed care gaps, and engagement metrics.
• Generate timely reporting on referral outcomes and intervention activities.

Collaboration & Quality Improvement

• Collaborate closely with interdisciplinary teams, including nurses, social workers, healthcare providers, and community partners.
• Participate actively in case reviews, team meetings, and quality improvement initiatives.
• Identify trends and opportunities to streamline referral workflows and improve overall care coordination effectiveness.
• Drive initiatives to improve health outcomes across the member population.

Qualifications:

• Experience: Experience working with Medicaid populations, managed care organizations, or community health environments strongly preferred.
• Core Competencies: Proven experience addressing social determinants of health (SDOH) and navigating local social services.
• Communication Skills: Strong telephonic communication skills, including experience with motivational interviewing and culturally competent care.
• Technical Skills: Familiarity with Electronic Health Records (EHR) and care management software; comfortable working independently in a remote environment.
• Attributes: High degree of empathy, problem-solving ability, self-motivation, and attention to detail.