Care Manager - 251660

Now Hiring: Care Coordinator (Remote | Medicaid Programs) We’re looking for a detail-oriented and compassionate Care Coordinator to support members through outreach, enrollment, and ongoing care management. This role is ideal for someone who thrives in a fast-paced, team-driven environment and is passionate about improving access to healthcare and social services. Key Responsibilities Member Outreach & Enrollment Conduct outbound outreach to assess member needs and determine eligibility for support programs Guide individuals through enrollment in Medicaid 1115 Waiver programs available at no cost Collect and document key information to connect members with appropriate clinical and community resources Care Coordination & Engagement Manage referrals, care transitions, and care plans to ensure timely and effective service delivery Perform proactive outreach via phone, text, and digital platforms to support care plan adherence Identify and help resolve barriers to care, including transportation, financial limitations, and access challenges Coordinate services across healthcare providers, specialists, and community-based organizations Educate members and caregivers on care plans, follow-ups, and available resources Support members in navigating healthcare systems and community services Apply motivational interviewing and culturally responsive communication techniques to drive engagement Referral Management & Quality Oversight Track referral progress and ensure completion with proper documentation and follow-up Communicate with providers and partners to confirm appointments, outcomes, and next steps Escalate delays or gaps in care according to established protocols Maintain accurate and timely documentation within care management systems Ensure compliance with HIPAA, regulatory requirements, and internal policies Monitor performance metrics such as referral completion rates and care gap closures Collaborate with interdisciplinary teams to deliver high-quality, coordinated care Participate in team meetings and care reviews to support continuous improvement Required Qualifications Prior experience in care management Reliable high-speed internet connection with Ethernet capability Ability to work in a quiet, distraction-free environment Strong teamwork mindset and adaptability in a changing environment Preferred Qualifications Bilingual skills Experience in remote care management Schedule Monday–Friday, 9:00 AM – 5:30 PM EST Flexibility to work occasional Saturdays as needed