Remote RN Care Coordinator — Medicaid Care Management

AlediumHR; Houston (TX); Remote; USD 60,000 - 65,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) with employer matching

Paid time off

Short-term disability

Long-term disability

Basic life insurance

Training and development

Employee assistance program

Job summary

AlediumHR is seeking an RN Care Coordinator for a fully remote, full-time role serving Medicaid and DSNP members. You’ll manage a high-volume caseload, coordinate with providers, health plans, and community resources, and use motivational interviewing to support member goals.

The candidate must hold an active RN license with at least two years of relevant experience in care coordination, remote-work capability, and proficiency with care management systems and EHRs.

Qualifications

• Active, unrestricted RN license.
• Minimum 2 years of experience coordinating care for patients with complex needs.
• Experience with Medicaid or dual-eligible members.
• At least 1 year of remote work experience with a dedicated home office.
• Experience communicating with patients or members by phone and text and documenting in a care management system or EHR.
• Strong verbal and written communication and ability to build trust with care teams.

Responsibilities

• Manage a high-volume caseload with outbound calls and texts. Set follow-up priorities and track outstanding needs.
• Assess each member’s medical and social needs and develop a care plan with them that reflects their goals.
• Use nursing judgment to identify concerns needing a provider’s attention and communicate clearly.
• Coordinate with providers, health plans, pharmacies, and community organizations to arrange appointments, referrals, and services.
• Explain available programs and benefits using patient education and motivational interviewing.
• Help members address barriers such as transportation or access to medications and follow up on service placement.

Skills

RN license

Remote work experience

Motivational interviewing

Care coordination

Strong communication

Tools

Care management system

Electronic Health Record (EHR)

Job description

AlediumHR is seeking an RN Care Coordinator for a fully remote, full-time role serving Medicaid and DSNP members. You’ll manage a high-volume caseload, coordinate with providers, health plans, and community resources, and use motivational interviewing to support member goals.

The candidate must hold an active RN license with at least two years of relevant experience in care coordination, remote-work capability, and proficiency with care management systems and EHRs.