RN Care Coordinator

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

RN Care Coordinator | Remote

Full-time, remote | $60,000 to $65,000 per year
Monday through Friday, 8:30 a.m. to 4:30 p.m. Central Time

When a member is seeing several providers, it’s easy for a referral, medication question, or follow-up appointment to get lost between offices. As an RN Care Coordinator, you’ll look at the full picture with the member, help determine what needs attention first, and make sure everyone involved in their care has the information they need.

AlediumHR is recruiting for this role on behalf of our client, which supportsMedicaid, Medicare Advantage, and Dual Eligible Special Needs Plan (D-SNP) members. You’ll manage your own caseload and work with members by phone and text, including people with complex medical and social needs.

Responsibilities

• Manage a high-volume caseload with outbound calls and texts. Set follow-up priorities and keep track of outstanding needs across your caseload.
• Assess each member’s medical and social needs and develop a care plan with them that reflects their goals and circumstances.
• Use your nursing judgment to identify concerns that need a provider’s attention and communicate the relevant information clearly.
• Coordinate with providers, health plans, pharmacies, and community organizations to arrange appointments, referrals, and services.
• Explain available programs and benefits. Use patient education and motivational interviewing to help members understand their options and take part in decisions about their care.
• Help members address barriers such as transportation or access to medication, and follow up to find out whether the services they needed were put in place.
• Document assessments, member contacts, care plans, and follow-up in the care management platform. Complete required correspondence.

Required experience

• Active, unrestricted Registered Nurse (RN) license.
• At least two years of relevant experience. Your background should show how you’ve worked with patients who have complex needs, coordinated across providers, educated patients or families, and managed follow-up independently.
• Experience working with Medicaid or dual-eligible members.
• At least one year of remote work experience and a dedicated home office.
• Experience communicating with patients or members by phone and text, using motivational interviewing, and documenting in a care management system or electronic health record.
• Strong verbal and written communication skills and the ability to build trust with members and work effectively with their care teams.

Bilingual fluency in Spanish and experience working on a Mac are preferred. Experience serving veterans is a plus.

Remote work location

You must live in Alabama, Florida, Georgia, Indiana, Louisiana, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, or Texas and be able to work the Central Time schedule above. Texas residents are preferred.

Benefits

• Medical, dental, and vision insurance, including a 100% employer-paid option.
• 401(k) with employer matching and a health savings plan with employer contributions.
• Paid time off, paid sick time, and paid holidays.
• 100% employer-paid short-term disability, long-term disability, and basic life insurance.
• Training and development and an employee assistance program.