Remote Care Navigator for Medicaid & Medicare

AlediumHR; Dallas (TX); Remote; USD 45,000 - 65,000; Full time

Benefits offered by this job

Health insurance

401(k)

Paid time off

Disability insurance

Training and development

Employee assistance program

Job summary

AlediumHR is recruiting a remote Care Coordinator to support Medicaid, Medicare Advantage, and D-SNP members. You will manage a caseload, conduct outreach by phone and text, and help members navigate programs and services.

The role emphasizes clear communication, problem solving, and collaboration with providers, health plans, and community organizations. A remote home office and prior remote work are required.

Qualifications

• Two years minimum experience as a care coordinator, case manager, community health worker, pharmacy technician, or social worker.
• Experience with Medicaid or dual-eligible members.
• At least one year of remote work experience and a dedicated home office.
• Experience communicating with members by phone and text.
• Experience documenting case notes in a care management system or electronic health record.
• Bilingual Spanish preferred; veteran service experience a plus.

Responsibilities

• Manage a caseload and perform high-volume outbound calls and texts to members.
• Explain programs and benefits in plain language and assist members in using them.
• Assess health and daily needs by phone or text; develop care plans with members.
• Coordinate appointments/services and address barriers like transportation or medication access.
• Share member information with healthcare professionals and follow up on referrals and outstanding needs.
• Record contacts and next steps in the care management platform per procedures.

Skills

Care coordination

Medicaid experience

Remote work experience

Communication skills

Motivational interviewing

Tools

Care management system

Job description

AlediumHR is recruiting a remote Care Coordinator to support Medicaid, Medicare Advantage, and D-SNP members. You will manage a caseload, conduct outreach by phone and text, and help members navigate programs and services.

The role emphasizes clear communication, problem solving, and collaboration with providers, health plans, and community organizations. A remote home office and prior remote work are required.