Remote Care Manager - 251660

Responsibilities:Care Coordination & Follow-Up Oversee and track referrals, transitions of care, and care plans to ensure timely completion and resolution Conduct proactive outreach to members via phone, text, and digital platforms to support adherence to care plans Identify and address barriers to care, including transportation, financial challenges, access issues, and social needs Coordinate services across providers, specialists, and community-based organizations Closed-Loop Referral Management Monitor referral status and ensure completion of feedback loops with appropriate documentation Follow up with providers and service partners to confirm appointment attendance, outcomes, and next steps Escalate delayed or unresolved referrals in accordance with established protocols Member Engagement & Education Educate members and caregivers on care plans, follow-up steps, and available resources Support members in navigating resources and accessing community-based services Utilize motivational interviewing and culturally responsive communication to improve members engagement and outcomes Documentation & Data Management Accurately document all patient interactions, referrals, and outcomes within the data system or care management platform Ensure compliance with organizational policies, HIPAA, and regulatory requirements Track and report key performance metrics, including referral completion rates, follow-up timelines, and care gaps closedAdditional Details: Schedule: Monday - Friday 9:00am - 5:30pm EST MUST have Ethernet connection - Strong internet/wifi connection is a hard requirement