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Home care coordinator work from home jobs - 105 jobs

  • RN Clinical Care Coordinator - Franklin County, OH

    Unitedhealth Group 4.6company rating

    Remote job

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together The RN Clinical Care Coordinator will be the primary care manager for a panel of members with complex medical/behavioral needs. Care coordination activities will focus on supporting members' medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. This is a home-office based position with field responsibilities. You will spend approximately 50% to 75% of the time in the field within an assigned coverage area. Candidates must be in Franklin County, OH and willing to commute to surrounding counties. If you reside in Franklin County, OH or surrounding counties, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current, unrestricted independent licensure as a Registered Nurse in Ohio 2+ years of clinical experience as an RN 1+ years of experience with MS Office, including Word, Excel, and Outlook Reliable transportation and the ability to travel up to 75% within Franklin County, OH and surrounding counties in OH to meet with members and providers Reside in Franklin County, OH and surrounding counties Preferred Qualifications: BSN, Master's Degree or Higher in Clinical Field CCM certification 1+ years of community case management experience coordinating care for individuals with complex needs Experience working in team-based care Background in Managed Care *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. #UHCPJ At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $28.3-50.5 hourly 2d ago
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  • Patient Care Coordinator

    Form Health 4.3company rating

    Remote job

    Form Health is a national telemedicine weight loss clinic specialized in helping patients with obesity lose weight and lead healthier lives. Obesity impacts more than 40% of the US adult population, but only about 1% of patients receive medical treatment for their disease. The field of Obesity Medicine is entering a period of rapid growth that will see treatment rates surge. Today, Form Health can harness this growth to drive patient impact nationwide. We do this by making research-based treatment available to patients through the convenience of telehealth, including long-term care from a specialized physician and dietitian and FDA-approved medication when appropriate. We hold ourselves to the highest standards of clinical care, and to treating every individual with empathy and respect. Founded in 2019, Form Health is a venture-backed startup with an experienced clinical team. Form Health's mission is to empower patients and be the leader in obesity medicine using personalized, research-based treatment delivered through modern technology. The Patient Care Coordinator role supports physicians, dietitians and patients and is critical to our company mission of outstanding clinical care. About the role: Form Health's Patient Care Coordinators provide comprehensive support for daily clinical operations, and growth of the clinical practice and the company. We and our patients need your support to provide an outstanding experience to every single patient we serve and increase practice efficiency. Working collaboratively with the physician and dietitians in our practice, you will help us enable excellent patient care as well as clinical growth. We are passionate about helping people improve their health through weight loss, and will provide you opportunities for learning and professional growth. This role is 100% remote and can be located anywhere in the U.S. with ideal working hours of 9:00-5:00 in your local time zone. Where you'll deliver impact: We seek an experienced candidate, a team player with exceptional interpersonal and organizational skills, who is passionate about being part of a healthcare team and excited to work in a non-traditional telemedicine practice environment. Key responsibilities include: * Managing a panel of patients, where you are their primary point of contact to answer questions and troubleshoot any issues they may have. * Coordinating exceptional care for patients through supporting them with general inquiries, routing clinical questions/concerns to the clinical team, and finding resources to help answer questions about billing and coverage. * Scheduling and rescheduling new and returning patient appointments for physicians and dietitians, as well as coordinating clinician schedules/availability. Coordination of appointments requires close attention to detail, and some flexibility with work schedule can be helpful for connecting with busy patients. * Regular outgoing patient communications to ensure patients remain consistently engaged with our clinical team, which helps to optimize their success in the program. * Helping with prior authorization and other prescription-related tasks. * Providing administrative support for clinicians as required for patient care. * Providing feedback and communicating patient feedback to other company teams (i.e. Product, Engineering, Marketing) to improve operational tools and patient care. * Contributing to special projects as directed. You'll be successful in this role because you have: * An Associate's or Bachelor's degree is preferred; candidates with a Certified Medical Assistant (CMA) certification are strongly preferred also. * A strong customer service drive, a passion for helping patients, and with efficient work flows. * At least two years of experience in a fast-paced medical practice, with knowledge of medical practice operations and professionalism standards. * Candidates motivated to pursue a career in clinical medicine are also encouraged to apply. * Excellent verbal and written communication skills. * Highly organized, with strong coordination, judgment, and prioritization skills. Proven ability to manage multiple tasks and time effectively. Proficient computer skills, with proficiency in platforms such as Slack and Google Workspace, and the ability to quickly adapt to evolving, custom-built IT systems. Regular Schedule: Monday through Friday 9:00 AM - 5:00 PM EST More about FORM's benefits: * Competitive salary and equity in a high growth start-up * Comprehensive health benefits (medical, dental, vision) * 401k * Flexible work schedules and paid time off * Paid parental leave FORM Health's commitment to building a diverse, equitable, and inclusive work environment: FORM Health is committed to creating a culture and environment that celebrates diversity and inclusion, while fostering safety and belonging. This extends from our remote patient care to our corporate offices and everywhere in between. We are looking for team members who want to help us further our Diversity, Equity, and Inclusion (DEI) efforts and who share our attitudes for creating an inclusive, safe, and positive work environment.
    $36k-48k yearly est. Auto-Apply 8d ago
  • Home-Based Medicine Care Coordinator/Nurse Practitioner

    Healthpartners 4.2company rating

    Remote job

    HealthPartners is looking for a Certified Adult/Geriatric or Family Nurse Practitioner to join our Home-Based Medicine Team. Being a part of our team means you will have an impact on the care that our patients receive every day. As a Home-Based Medicine Nurse Practitioner/Care Coordinator, you will be part of the largest multi-specialty care system in the Twin Cities. This position will provide both telehealth and fieldwork with seeing patients in their homes. Local travel required. This individual will provide the primary health care for patients at home. Provide care coordination to achieve patient centered, high quality and cost-effective care across the continuum Provide nursing leadership in defining and achieving program goals in a changing healthcare environment Utilizes principals of quality of life, maintenance of optimal function and the patient's advanced directives in developing plan of care Supportive, patient-centered practice MN RN and APRN licensure required along with prescriptive authority Home Based Medicine experience (NP or RN) preferred Must be able to provide own transportation for local travel. You will be joining a team that is supportive and respectful of one another and deeply committed to the mission of HealthPartners. Here, you'll become a partner for good, helping to improve the health and well-being of our patients, members and community. Our commitment to excellence, compassion, partnership and integrity is behind everything we do. It's the type of work that makes a difference, the kind of work you can be proud of. We hope you'll join us. WORK SCHEDULE: 8am - 5:00 pm BENEFITS: HealthPartners benefit offerings (for 0.5 FTE or greater) include medical insurance, dental insurance, 401k with company contribution and match, 457(b) with company contribution, life insurance, AD&D insurance, disability insurance, malpractice insurance for work done on behalf of HealthPartners as well as a CME reimbursement account. Our clinician well-being program provides a wealth of information, tools, and resources tailored to meet the unique needs of our health care professionals, including physicians, advanced practice clinicians (APCs) and dentists. HealthPartners is a qualified non-profit employer under the federal Public Service Loan Forgiveness program. TO APPLY: For additional information, please contact Judy Brown, Sr. Physician and APC Recruiter, *********************************. For immediate consideration, please apply online.
    $42k-53k yearly est. Auto-Apply 1d ago
  • Senior Home Base Coordinator

    Prometheus Real Estate Group

    Remote job

    OUR PURPOSE We are focused on Good Living for the Greater Good. This means providing a true sense of home and belonging for our Neighbors and Prometheans and giving our time and resources to bring positive change locally and beyond. It also means supporting you in your career goals with the very best working experience, and that starts with us having fun in the work we do together. YOUR ROLE AND IMPACT Some companies call them “Property Administrators”, but at Prometheus our Home Base Coordinators do so much more. Our Senior Home Base Coordinators focus on the administration of multiple properties, and your role is a constant blend of: Financial Administration - Whether it is managing rent collections, reviewing ledgers, processing final account statements, or tracking invoices, you are on top if it all. You make every detail count and count every detail. Leasing Administration - You will provide support to the leasing team in qualifying future Neighbors - verifying applications, performing credit investigations, creating all associated documentation accompanying the rental agreements, and recertifications specifically related to Below Market Rate Housing or similar. Customer Service - You are a problem solver that makes renting easy. When Neighbors have questions about policies or deposit charges, you help them find the answers. When the office gets busy, you are the first one to jump in and answer the phones and provide support to the leasing team in qualifying future Neighbors. JOB QUALIFICATIONS Your Experience - Prometheans come from all walks of life and from all over the globe. We're also very diverse in that we hire talent with experience in other industries and who bring different skill sets and ideas to our company. You should bring a passion for working in a customer service, working knowledge of housing rental laws & ordinances, and enjoy solving problems. Your Cultural Traits - Although we're a highly dispersed organization by the nature of our business, our Prometheans are strongly united by our Purpose, Mission and our Cultural Traits. These are the defining characteristics of a Promethean: Team Oriented, Communicator, Entrepreneurial, Passionate, Self-Starter, Creative, Principled, and Brand Ambassador. Your Education - A Bachelor's degree is preferred and a High school diploma or general education degree (GED) is required. COMPENSATION & BENEFITS We offer a variety of benefits that take compensation well beyond a paycheck. This includes traditional benefits and benefits you might not expect or know about. The provided salary range is based on a number of factors, including location, job-related skills, experience and qualifications. Compensation Pay Range: $33.25 to 40.25 per hour Discretionary Semi-Annual Bonus Plan Benefits & Perks Medical; Vision; Dental:100% Company-paid plans (including eligible dependents) and affordable buy-up options Life insurance; Accidental Death & Dismemberment Insurance; Long Term Disability Behavioral Health Program Accessible 24/7 Tax-Free Flexible Spending Accounts 401(K) Retirement Plan with Employer Matching Recognition & Rewards Program (Torch) Vacation: 10 days per year with accrual increasing over time Anniversary Vacation: 40-hour Vacation Granted at Tenured Milestones Sick Leave: 9 days per year 12 paid holidays, including your birthday! Paid Volunteer Time Tenured-based Housing discounts Educational Assistance, Tuition Reimbursement Learn more about these and other perks of being a Promethean by exploring our full Benefits Guide. Prometheus is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, veteran status, or any other status protected under federal, state or local law. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. If you'd like more information about your EEO rights as an applicant under Federal Employment Laws, please check out these FMLA, EEO, and EPPA pages.
    $33.3-40.3 hourly Auto-Apply 6d ago
  • Care Coordinator, LSW

    Bluestone Physician Services 4.1company rating

    Remote job

    Bluestone Physician Services delivers great outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. Our unique, robust model of care goes beyond primary care services - our multidisciplinary care teams collaborate with patients, their families and other healthcare providers to deliver care that is preventative, proactive and tailored to their unique needs. Our care teams travel to patients who reside in Assisted Living, Memory Care and Group Home communities throughout Minnesota, Wisconsin and Florida. In addition to primary care, Bluestone has a highly developed care coordination model for more than 14,000 seniors and individuals living with disabilities in Minnesota. Bluestone Care Coordination partners with Minnesota health plans to support their members who receive medical assistance through Minnesota's Special Needs BasicCare (SNBC) & Minnesota Senior Health Options (MSHO) programs. Care Coordinators are registered nurses or licensed social workers who work directly with members to assess their physical, mental and social needs and facilitate services and communication across their care team to support their best interests and close gaps in care. Our success is only possible through the hard work of our employees who bring our core values of Dedication, Excellence, Collaboration and Caring to life every day. Bluestone has been named to the Star Tribune's Top Workplace list for the 13th year in a row! Bluestone also achieved Top Workplace USA 2021-2025! Position Overview: Join our team as a Care Coordinator where you will work with the senior population managing Department of Human Services (DHS) and Center for Medicare/Medicaid Services (CMS) required activities for Minnesota Senior Health Options (MSHO/MSC+) members living in the community and assisted living facilities. In this position, you will work from home, but regularly travel your local area to serve the needs of your members and your community. Schedule: Full time position, day shift hours, no evenings, weekends or holidays. Hours are 8am to 5pm Monday thru Thursday & 8am to 3pm on Fridays. Location: This position is a mix of work from home and field-based. Roughly 50-70% travel throughout the Becker County, including Detroit Lakes, Ogema, Osage areas, and between 30-50% work from home. Salary Range: $65,000 - $75,000 Responsibilities: As a Care Coordinator, you will manage member caseloads within your assigned geographic area. This includes: Coordinating face-to-face visits Managing the Elderly Waiver Conducting annual assessments including Personal Care Assistance (PCA) assessments for community members and customized living tools for members residing in Assisted Livings Reviewing current health needs, identifying goals, and developing individualized care plans Helping connect members with community and state resources and services Completing required documentation Collaborating with medical care teams to ensure health care quality measures are met and use utilization management tools to meet value-based goals Supporting members during transitions of care as well as collaborating with their care team to ensure a safe discharge and follow up plan Qualifications: Education/Certification/Experience Current MN Licensed Social Worker (new grads encouraged to apply) OR Current Minnesota Registered Nurse license One or more years of experience working with the geriatric population in case management/care coordination, Home Care, Nursing Home, TCU or Assisted Living settings preferred Must have a valid driver's license Knowledge/Skills/Abilities Ability to work independently Access to a private and compliant home office space Creative problem-solving skills Appreciation for working with diverse populations Proven ability to communicate effectively with strong verbal skills Excellent interpersonal and customer service skills Demonstrated compatibility with Bluestone's mission and operating philosophies Demonstrated ability to read, write, speak, and understand the English language Bluestone Benefits: Health Insurance Dental Insurance Vision Materials Insurance Company paid Life Insurance Company paid Short and Long-term Disability Health Savings Account (with employer contribution) Flexible Spending Account (FSA) Retirement plan with 4% matching contributions Eight (8) paid holidays for office closures plus two (2) floating holidays Three weeks (15 Days) Paid Time Off (PTO) Mileage reimbursement program for field employees Company sponsored cell phone, laptop and scrubs Regular business hours
    $65k-75k yearly Auto-Apply 32d ago
  • Work From Home-Online Hotel Coordinator-Entry Level

    Destination Knot

    Remote job

    Job Title: Work From Home-Online Hotel Coordinator-Entry Level About Destination Knot:Destination Knot is a travel planning company dedicated to creating unforgettable experiences for every type of traveler. From romantic getaways and family vacations to group trips and business stays, we provide personalized hotel and resort booking services with care and attention to detail. Position Overview: We're looking for a motivated and detail-oriented Online Hotel Coordinator to join our remote team. This is an entry-level role ideal for someone eager to begin a career in the travel industry. You'll help match clients with the perfect hotel accommodations, manage bookings, and provide outstanding customer support throughout the planning process. Key Responsibilities:Assist clients in researching and booking hotel and resort accommodations Respond to inquiries via email, phone, or chat in a timely, professional manner Review client preferences to recommend suitable lodging options based on budget, location, and travel dates Manage reservation details and updates using booking tools and systems Maintain accurate client records and documentation Support post-booking needs such as changes, special requests, or follow-up questions Stay informed on current travel trends, hotel promotions, and destination offerings Qualifications:No prior travel industry experience required-training provided Strong communication and customer service skills Organized, dependable, and detail-oriented Comfortable working remotely and managing tasks independently Tech-savvy with basic knowledge of online platforms (booking systems a plus) Must be 18 years or older with reliable internet access and a computer Passion for travel and helping others plan great experiences What We Offer:Remote, flexible work environment Entry-level onboarding and continuous training Supportive team and professional development opportunities Access to industry tools and hotel booking platforms Travel perks and performance-based incentives Work Environment: This is a remote position with flexible hours. It's perfect for individuals who are self-motivated, enthusiastic, and ready to start a fulfilling path in the travel and hospitality industry.$40,000 - $60,000 a year We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
    $40k-60k yearly Auto-Apply 6d ago
  • Health Home Care Coordinator Pullman, WA (Whitman County - Remote)

    Rural Resources Community Action 3.2company rating

    Remote job

    Part-time Description We're pleased to announce an opportunity for the position of Health Home Care Coordinator within the Community Based Teams Department. The Health Home Care Coordinator provides comprehensive care coordination services to eligible individuals and their families. This role involves assessing member needs, developing and monitoring individualized service plans, making appropriate referrals, and advocating on behalf of members with other service providers. Care Coordinators maintain a dedicated caseload and ensure consistent monthly engagement with assigned members across various settings. Health Home Care Coordinator's support members in identifying and accessing resources, delivering health education, and applying motivational interviewing techniques to foster goal achievement, resilience, and healthy lifestyle choices. The Care Coordinator promotes wellness through coaching and awareness of chronic health conditions, aiming to reduce emergency service usage and prevent hospital readmissions. *Prefer that the candidate resides in Whitman County, WA (or nearby) to provide in-person support as needed. Position is primarily remote but includes local travel (Whitman County) for member meetings. Benefits Information Medical and Dental insurance options for employees and families Vision and Life insurance as well as other auxiliary insurance options 403(b) retirement plan with up to 6% matching contribution Health Savings Account and Flexible Spending Account options Paid vacation earned on a pro-rated basis according to worked/paid leave hours Paid Sick leave earned on a pro-rated basis according to actual hours worked Eleven paid holidays per year on a pro-rated basis according to hours worked *Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Salary Description Offered At: $21.65 - $23.42 per/hr.
    $21.7-23.4 hourly 23d ago
  • Care Coordinator (Remote US)

    Maximus Health 4.3company rating

    Remote job

    is Remote (US/Canada) No agencies please Maximus (****************************** is a mission-driven consumer performance medicine telehealth company that provides men and women with content, community, and clinical support to optimize their health, wellness, and hormones. Maximus has achieved profitability, 8-figure ARR, and is doubling year over year - with a strong cash position. We have raised $15M from top Silicon Valley VCs such as Founders Fund and 8VC as well as leading angel investors/operators from companies like Bulletproof, Tinder, Coinbase, Daily Stoic, & Shopify. Position Summary In this role as a Care Coordinator supporting Maximus patients, you will be instrumental in delivering a seamless care experience. Your primary responsibilities include managing provider video conferencing schedules, coordinating with lab and pharmacy partners, and overseeing patient messaging queues. You will also serve as a key contributor to our patient concierge experience. The ideal candidate is driven by a passion for lifestyle, wellness, and fitness, constantly seeks innovative approaches to their work, and is eager to shape the overall patient journey. Key Responsibilities Video Conferencing & Scheduling Coordinate and maintain provider schedules for video consultations, ensuring efficient appointment booking and minimizing scheduling conflicts. Monitor upcoming telehealth appointments, confirm patient/provider availability, and troubleshoot any technical issues that may arise. Lab & Pharmacy Coordination Liaise with laboratory partners to manage test orders, track results, and ensure timely communication of lab outcomes to providers and patients. Collaborate with pharmacy partners to facilitate prescription orders, refills, and medication-related inquiries. Messaging Queue Management Oversee and triage patient messages in digital platforms, ensuring inquiries are addressed promptly and directed to the appropriate clinical team member. Escalate urgent or complex issues to the appropriate care team members, keeping patients informed of next steps. Patient Communication & Support Provide friendly and empathetic support to patients, answering questions related to appointments, lab tests, prescriptions, and follow-ups. Educate patients on the use of telehealth platforms, including troubleshooting basic technical issues and sharing best practices for virtual visits. Digital Healthcare Administration Maintain accurate and up-to-date electronic health records (EHR), ensuring data integrity and confidentiality. Identify opportunities to streamline workflows and enhance patient experiences, bringing recommendations to leadership. Quality Assurance & Compliance Ensure compliance with all relevant healthcare regulations and company policies, including HIPAA and data privacy laws. Participate in team meetings to review patient feedback, address operational challenges, and discuss quality improvement initiatives. Qualifications Experience: 1-3 years of experience in a care coordinator, healthcare administration, or telehealth support role. Education: Associate's or Bachelor's degree in Healthcare Administration, Public Health, or a related field preferred. Technical Skills: Familiarity with EHR systems, telehealth platforms, scheduling software, and basic troubleshooting of common technical issues. Communication Skills: Excellent verbal and written communication skills to effectively coordinate with patients, providers, and partners. Organizational Skills: Strong attention to detail and ability to manage multiple tasks efficiently in a fast-paced, digital environment. Interpersonal Skills: Empathetic, patient-focused approach with a commitment to delivering high-quality care and exceptional patient experiences. Compliance Knowledge: Understanding of healthcare regulations, especially HIPAA and data privacy guidelines. What We Offer (Benefits): Full Suite: Medical, Dental, Vision, Life Insurance Flexible vacation/time-off policies Fully remote work environment Maximus is an equal opportunity employer, which not only includes standard protected categories, but the additional freedom from discrimination against your free speech and beliefs, as long as they are aligned with company values. We celebrate intellectual diversity. Note: We utilize AI note-taking technology during our interview sessions to ensure we capture all answers and details accurately. Candidates are also encouraged to use AI note-takers for their own records if they wish.
    $34k-47k yearly est. Auto-Apply 13d ago
  • Care Coordinator

    Bridge Specialty Group

    Remote job

    Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. The Care Coordinator will coordinate the with the Care Team Lead and Care Team Member Services Manager to ensure the team has the resources required to satisfy member enrollment and maintenance in the IPC Copay Assistance Program. The Care Coordinator will respond accordingly to incoming and make external calls to client members to ensure appropriate processing of copay assistance. Essential Duties and Functions: Provide client support where needed Coordinate member implementation calls with Care Team Lead Provide adhoc claims review as required Identify utilizing patients, review history, determine next coverage date Assist patient with enrollment in the manufacturer's program Maintain patient database for follow-up, tracking and reporting Receive notification of new patient's prior authorization/or review daily rejected and paid claims This position will include job duties that require risk designations for access to Electronic Protected Health Information (PHI) in the course of their job responsibilities Other duties may be assigned Competencies: Planning/organizing-the individual prioritizes and plans work activities and uses time efficiently. Makes good and timely decisions that propels our company forward Interpersonal skills-the individual maintains confidentiality, remains open to others' ideas and exhibits willingness to try new things. Creates an environment where teammates feel connected and energized. Written and Oral communication-Communicate a concise message that resonates every time. The individual speaks clearly and persuasively in positive or negative situations and demonstrates group presentation skills. Problem solving-Create innovative ways for our customers and our company to be successful. The individual identifies and resolves problems in a timely manner, gathers and analyzes information skillfully and maintains confidentiality. Quality control-the individual demonstrates accuracy and thoroughness and monitors own work to ensure quality. Adaptability-the individual adapts to changes in the work environment, manages competing demands and is able to deal with frequent change, delays or unexpected vents. Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. Required Certified Pharmacy Technician (CPhT.) License or 2-5 years of experience in a retail pharmacy or pharmacy benefit management environment Excellent communication skills Proficient with MS Office Suite Professional telephone demeanor Ability to maintain a high level of confidentiality Pay Range 18.00 - 20.00 Hourly The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role. Teammate Benefits & Total Well-Being We go beyond standard benefits, focusing on the total well-being of our teammates, including: Health Benefits : Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance Financial Benefits : ESPP; 401k; Student Loan Assistance; Tuition Reimbursement Mental Health & Wellness : Free Mental Health & Enhanced Advocacy Services Beyond Benefits : Paid Time Off, Holidays, Preferred Partner Discounts and more. Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations. The Power To Be Yourself As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.
    $34k-45k yearly est. Auto-Apply 8d ago
  • Care Coordinator

    Honeydew

    Remote job

    Mission 💪 Our mission is to ensure that no one in the world has to suffer from a treatable skin disease because of an access issue ever again. 👋 Honeydew is building a platform for hundreds of millions of people globally to access expertise and science-backed skin treatments, from prescription to retail. Our tech-forward dermatology experience helps people with chronic skin conditions access licensed specialists, FDA-approved treatment, and ongoing support in record time (24 hours vs an industry average of 6 months). Honeydew is the future of skin health - digitally native, scientifically rooted, integrated end-to-end (evaluation + treatments + lab tests), and powered by AI. About the Role Start Being The Reason Someone Finally Feels Seen. As a Care Coordinator at Honeydew, you'll be the thoughtful voice during someone's treatment - the person who crafts messages that make patients feel heard, supported, and confident in their skincare journey. This isn't just customer service, it's healthcare. You know that feeling when someone actually listens to your healthcare concerns? When you're not just another ticket number or appointment slot? That's what you'll create every single day at Honeydew - one message at a time. If you join us, you'll be central to our mission as a trusted guide helping people navigate one of the most frustrating parts of modern life: getting healthcare that works. Your Day-to-Day You'll be the empathetic problem-solver behind the screen: Master the art of written communication - crafting clear, warm, professional messages via app chat that make patients feel supported (this is 99% of your patient interaction) Turn healthcare chaos into clarity through thoughtful, detailed written responses that anticipate questions before they're asked Coordinate directly with pharmacies and labs via phone to troubleshoot prescription issues, insurance hiccups, and delivery problems Connect with dermatology providers as needed to ensure care plans stay on track Keep meticulous records because details matter when it's someone's health on the line Bridge the gap between patients, providers, and insurance companies through strategic communication across channels Partner with medical teams to communicate care plans that actually fit into people's real lives Monitor patient progress through ongoing messaging, troubleshoot obstacles, and celebrate wins along their journey Important to Keep in Mind about the Schedule Honeydew is open, serving patients between 9am and 10pm Eastern every day, and Care Coordinators can choose the structure of their workday on their own. However, Care Coordinators have a responsibility to respond to patients within 4 hours on weekdays and within 6 hours on weekends. Abiding by these response times is crucial to success. As part of the initial onboarding and training process, Care Coordinators are expected to be available 7 days a week in order to ramp up to a full-time (35+ hours/week) schedule. You Might Be Our Person If… You genuinely like people, even when they're frustrated and it's coming through in ALL CAPS You're comfortable with async communication You can read tone and emotion in written messages and respond appropriately You find satisfaction in solving problems that don't have obvious solutions You like to be proactive in offering advice, rather than just following a template You believe healthcare should be accessible to everyone, not just the privileged few You find joy in doing work that matters What We're Looking For... The Non-Negotiables: High school diploma or equivalent You're an exceptional writer and speaker - clear, warm, professional across every channel You type at least 40 WPM You're comfortable with Gmail and Chrome (or similar) Rock-solid internet and a private workspace - HIPAA compliance isn't optional, and dropped connections aren't an option You have a customer service mentality but understand healthcare isn't retail - empathy and professionalism are your baseline, not your ceiling You thrive working independently - no one's looking over your shoulder, and you don't need them to You're coachable and collaborative - you take feedback as fuel, not criticism, and communicate openly with the team We're Looking For At Least Two Of These: Customer service experience - you've turned "difficult customers" into your happiest ones Healthcare or clinical support background - you speak the language and understand the stakes Remote work experience - you've already figured out how to stay focused when Netflix is two clicks away The Nice-to-Haves (But Honestly, You'll Pick These Up Fast): Comfortable with Slack and Zoom - if you're not, no stress, you'll be fluent in a week What You Get Full remote flexibility Direct impact you can measure Ability to grow within the company $100 monthly tech stipend Free Honeydew membership Direct access to new dermatology treatments 20% off Honeydew products Bi-monthly get togethers Peer-to-peer recognition through Motivosity Full-time employees also get: Health insurance & HSA match 401(k) retirement savings with employer match Unlimited time off Hourly pay: $15/hour (or the applicable state or local minimum wage, if higher) Our Process Application Skills assessment (async) - max 30 minutes Screening interview - 20-30 minutes Team Lead interview - 30 minutes CEO interview - 30 minutes Offer Candidates must be authorized to work for any employer in the US. This role is not eligible for visa sponsorship. Candidates residing in the following states will be considered for this role: AL, AZ, DC, FL, GA, ID, MD, MI, MO, NJ, NY, NC, OH, PA, TX, UT, VA, WA, WI
    $15 hourly Auto-Apply 12d ago
  • Patient Care Coordinator

    Merion Village Dental 3.8company rating

    Remote job

    Are you looking for a work "home" where you can use your communication skills to help people find the best solutions for their dental needs? Are you a professional and motivated team member who is outgoing and enjoys developing relationships? Are you professional, service-minded and willing to go above and beyond the basic responsibilities of the job to help someone? You can work flexible days and hours...early morning, evening and weekend opportunities if you'd like to supplement your current job or if you are looking for full-time hours. If this sounds like "you," send your resume today. Full-time team benefits include, but are not limited to: CE, in-house training, Paid Time Off, paid holidays, 401K, vision insurance, life insurance and the best dental insurance in town! No previous dental experience required. Job Types: Full-time, Part-time
    $25k-32k yearly est. 60d+ ago
  • Client Care Coordinator

    AWTB

    Remote job

    Become part of our passionate travel team as a Client Care Coordinator! Youll help clients create stress-free vacations while enjoying the freedom of working from home. Responsibilities: Provide high-touch client care from first inquiry to trip completion. Assist with reservations, documentation, and itinerary planning. Proactively address client needs and concerns. Build strong relationships through excellent communication. Qualifications: Exceptional customer service and communication skills. Reliable and detail-oriented. Independent worker with strong organizational skills. Enthusiastic about travel and hospitality. What We Offer: Remote flexibility and mentorship. Inclusive, team-oriented culture. Continuous learning opportunities. Travel discounts and industry incentives.
    $34k-51k yearly est. 60d+ ago
  • Enhanced Case Management Coordinator III

    Allied Benefit Systems 4.2company rating

    Remote job

    An ECM Coordinator supports department staff with administrative tasks related to a member's medical condition(s), department case work, communication with internal and external stakeholders, and manage audits. This role will engage with members to offer support and resources related to their medical condition(s) through Allied Care. ESSENTIAL FUNCTIONS Facilitate reviews, referrals, and outreach for referral-based proprietary strategies as well as engaging with members across Medical Management products Document all engagement accurately and concisely within the Microsoft Customer Relationship Management (CRM) system Manage escalated and time sensitive case management questions received from members, broker relationships, and internal and external Allied stakeholders Collaborate with strategic vendor partners to provide supportive services and support to members Lead and facilitate claims auditing in conjunction with ECM Coordinators. Complete department auditing related to daily tasks to ensure accuracy and identify escalations Identify impactful scenarios through appropriate closing summaries in timely fashion. Share impactful scenarios with the department's leadership team to deliver to internal departments, such as Sales, Operations, and Executive leadership Identifying escalations for department leadership team, as appropriate Other duties as assigned EDUCATION Bachelor's Degree or equivalent work experience, required EXPERIENCE AND SKILLS At least 3-5 years of administrative support experience required. Focus on patient-provider engagement, needs assessments, coordination of care, and or patient treatment adherence within the healthcare or social service industry preferred Understanding of intermittent medical terminology such as CPT, HCPC, and diagnostic codes Understanding of basic benefit plan design terminology such as deductible, out-of-pocket, prescription drugs, physical medicine services, etc. Strong verbal and written communication skills Strong analytical and problem-solving skills COMPETENCIES Communication Customer Focus Accountability Functional/Technical Job Skills PHYSICAL DEMANDS This is a standard desk role - long periods of sitting and working on a computer are required. WORK ENVIROMENT Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive. The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role. Protect Yourself from Hiring Scams Important Notice About Our Hiring Process To keep your experience safe and transparent, please note: All interviews are conducted via video. No job offer will ever be made without a video interview with Human Resources and/or the Hiring Manager. If someone contacts you claiming to represent us and offers a position without a video interview, it is not legitimate. We never ask for payment or personal financial information during the hiring process. For your security, please verify all job opportunities through our official careers page: Current Career Opportunities at Allied Benefit Systems Your security matters to us-thank you for helping us maintain a fair and trustworthy process!
    $48k-63k yearly est. 11d ago
  • Care Coordinator / MAT

    BHP of Central Ohio 4.9company rating

    Remote job

    Job Description Care Coordinator - MAT Duties: In this role, you will be providing care coordination services to adult clients with substance abuse and mental health issues. Implements monitoring system, determines clients' needs and ensures delivery of needed treatment. The Organization: Since 1955, Behavioral Health Care Partners (Formally known as Moundbuilders Guidance Center) has been providing integrated mental health and addiction treatment services for youth, adults and families. In addition, we offer: Exceptional pay Great benefits including health, dental, vision, life insurance 403b retirement plan with matching funds CEUs and Licensure/Certification Reimbursements, Multiple Loan Forgiveness Programs, and employee discounts Accrued paid time off including 2 weeks' vacation, 12 sick days per year, and 10 paid holidays for fulltime staff Flexible schedule and the ability to work remotely 40 hours per week (Monday-Friday) various shifts available Sign on bonus may be available Our Location: We are located at 65 Messimer Drive in Newark, Ohio, a short 30-minute scenic commute from Columbus, Zanesville, Lancaster, and Mount Vernon. Qualifications: Candidates must possess strong written and oral communication skills and the ability to collaborate with other service providers. CMA certification is required. Associates Degree preferred. CPR/BLS required. Basic computer, phone and typing skills are necessary for all positions. To Apply: Online at *************************** BHP is an EEO and ADA compliant organization.
    $36k-46k yearly est. 12d ago
  • Care Coordinator (Remote NC)

    Vaya Health 3.7company rating

    Remote job

    LOCATION: Remote - the is a home-based, virtual position that operates Monday - Friday from 8:30am-5:00pm (EST). The person in this position must live in North Carolina or within 40 miles of the NC border. GENERAL STATEMENT OF JOB The Care Coordinator is responsible for providing proactive intervention and telephonic coordination of care to eligible members to ensure that they receive appropriate screening, assessment, services, and care transitions. Responsibilities include administering screenings and assessments, developing care plans to achieve a member's health goals, and managing discharges/transitions between care settings. Care coordinators possess customer service and active listening skills needed to guide individuals of varying backgrounds towards their goals for whole person health. Care Coordinators perform telephonic outreach and engagement activities for members who are eligible for Tailored Care Management and also provide care coordination for members who qualify for supportive Social Determinants of Health services. Note: This position requires access to, and use of confidential healthcare information or protected health information (PHI) as described in laws addressing patient confidentiality, including, but not limited to, the federal HIPAA law, the Confidentiality of Alcohol and Substance Abuse Patient Records law, 42 CFR Part 2, and various state laws. As such, the individual filling this position shall be required to be trained regarding such laws and shall be required to observe those laws in his/her capacity as an employee of Vaya Health. The individual filling this position shall also sign a confidentiality statement as an employee of Vaya Health. ESSENTIAL JOB FUNCTIONS Outreach and Engagement: Telephonic outreach and engagement for members eligible for plan-based Tailored Care Management (TCM). Referring members who opt in to TCM for assignment to a care manager. Provide telephonic outreach and administration of Care Needs Screenings to all Vaya Medicaid plan members. Provide telephonic outreach and engagement to members eligible for care coordination. Conducting the above activities according to applicable rules, regulations, and contract requirements as outlined in Vaya policy and procedure Documenting above activities in designated software platforms according to Vaya policy and procedure Care Coordination and Transition of Care Management : Provide telephonic assessment and person-centered care planning for members who opt in to Care Coordination. Link members to appropriate care to meet their care plan goals, coordinate member care including locating appropriate providers and services, assisting with appointment reminders, and providing education about relevant health topics and recommended screenings and immunizations Manage transitions of care between settings ensuring that members receive appropriate discharge planning and follow up with discharge appointments Assessing eligibility for the NC Healthy Opportunities Pilot and linking eligible members to these services using the NCCARE360 software platform Conducting above activities in the designated software platform according to Vaya policy and procedure. Other duties as assigned. KNOWLEDGE, SKILLS, & ABILITIES A high level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance. Exceptional interpersonal skills, effective oral and written communication skills, and the ability to make prompt independent decisions based upon relevant facts Problem solving, negotiation, and conflict resolution skills are essential to balance the needs of both internal and external customers. The employee must be detail oriented, able to organize multiple tasks and priorities, and to effectively manage projects from start to finish. Work activities quickly change according to mandated changes and changing priorities. The employee must be able to shift focus to meet changing priorities. Knowledge of Behavioral Health/I/DD Tailored Plan (Tailored Plan) eligibility and services Working understanding of the concepts of whole-person health and health-related resource needs (formerly known as social determinants of health) Community integration (Independent living skills; transition and diversion, supportive housing, employment, etc.) Health promotion (Common physical comorbidities, self-management, use of IT, care planning, ongoing coordination) Person-centered needs assessment and care planning, etc. Serving pregnant and postpartum women with SUD or with SUD history Thorough knowledge of standard office practices, procedures, equipment, and techniques and have intermediate to advanced proficiency in Microsoft Office products (Word, Excel, Power Point, Outlook, Teams, etc.) EDUCATION & EXPERIENCE REQUIREMENTS Bachelor's Degree in Human Services and at least two (2) years of progressive experience providing similar services to the population served. OR Bachelor's Degree in a field other than Human Services and at least four (4) years of progressive experience providing similar services to the population served. To meet federal requirements for Care Coordination, the incumbent must be qualified as a Qualified Professional according to 10A NCAC 27G .0104. Preferred work experience: Call Center (inbound/outbound) experience Tailored Care Management experience Care Coordination experience SDoH experience Medical Administration or Assessment Customer Success At least four (4) years of post-degree experience in customer success management, communications, and/or administrative care) PHYSICAL REQUIREMENTS Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading. Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers. Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time. Mental concentration is required in all aspects of work. RESIDENCY REQUIREMENT: The person in this position is required to reside in North Carolina or within 40 miles of the North Carolina border. SALARY: Depending on qualifications & experience of candidate. This position is non-exempt and is eligible for overtime compensation. DEADLINE FOR APPLICATION: Open Until Filled APPLY: Vaya Health accepts online applications in our Career Center, please visit ****************************************** Vaya Health is an equal opportunity employer.
    $31k-39k yearly est. Auto-Apply 9d ago
  • Care Coordinator (Part-Time)

    Familywell

    Remote job

    Care Coordinator Are you passionate about making a meaningful impact in women's mental health care? Here's your chance to be a vital part of FamilyWell's mission to transform women's mental health across the reproductive journey, from fertility through menopause. We embed evidence-based, insurance-covered mental health care directly into women's health practices and health systems. By seamlessly integrating a virtual team of care managers, coaches, therapists, and psychiatric providers into clinical workflows, FamilyWell is improving patient outcomes and reducing medical provider workloads. Through the FamilyWell Academy, we are educating the next generation of women's mental health providers to solve the growing workforce gap. Learn more at familywellhealth.com. Role: The Care Coordinator (CC) is a core member of the collaborative care team and plays a pivotal role in supporting patients within OB/Gyn clinics. This role involves supporting patients in FamilyWell's collaborative care program and ensuring high engagement and satisfaction. Care Managers are responsible for managing the full spectrum of patient acuity levels, providing compassionate support, coordinating referrals, and tracking patient progress. This position emphasizes program engagement, communication, and care navigation, rather than direct clinical intervention. Reports To: Lead Care Manager Compensation: Based on caseload Hours: 20-25 hours/week between 9-5pm EST; W2 Hourly Location: Remote Key Responsibilities: Patient Engagement: Communicate with patients through various channels (text, phone) to facilitate program engagement, provide reminders, and follow up on care. Maintain strong engagement and satisfaction among patients through ongoing support and education Care Coordination and Documentation: Update patient records in Electronic Health Records (EHRs) and communicate care plans to referring clinic partners. Maintain a collaborative care registry to track patient follow-up and clinical outcomes. Prepare and submit routine progress reports in the EHR. Facilitate outside referrals for community-based social services as clinically indicated (e.g., housing assistance, vocational rehabilitation, mental health specialty care, substance abuse treatment). Reporting and Collaboration: Compose, prepare, and communicate timely patient and provider responses to questions. Report directly to the Lead Care Manager and provide regular updates on patient engagement and clinical outcomes. Collaborate with OB clinic staff to ensure coordinated care and support for patients. Qualifications Education: Required: Bachelor's degree in nursing, social work, psychology OR formalized training in mental health Clinical licensure not required for this role Skills: Strong understanding of women's mental health conditions, treatments, and community resources. Excellent communication, organizational, and problem-solving skills. Comfortability with managing a high volume caseload of patients across varying acuity levels. Ability to engage and educate patients in a compassionate and supportive manner. Strong ability to collaborate across departments including Care Operations and Partner Success Proficiency in using EHR systems and maintaining accurate patient records. Proficiency in using Google Suite. Key Competencies: Empathy and Compassion: Ability to understand and support the unique challenges of pregnant/ postpartum patients and patients experiencing menopause. Engagement Skills: Proficient in maintaining patient engagement and satisfaction with the program. Communication: Strong verbal and written communication skills for effective patient and provider interactions. Organizational Skills: Ability to manage patient records, track outcomes, and ensure timely follow-up. Cultural Sensitivity: Respectful of diverse backgrounds and experiences, particularly in a perinatal and menopause context. Adaptability: We're a fast growing company, constantly looking to make improvements as we go. Our team is smart, resilient, and always iterating to make our program even better for our patients. Please be aware of recruitment scams. FamilyWell will never ask candidates to pay money, request sensitive personal information early in the process, or conduct interviews over unsecured platforms. All official communication will come from an @ familywellhealth.com email address.
    $37k-50k yearly est. Auto-Apply 1d ago
  • Spanish Speaking Remote patient monitoring (RPM) Care Coordinator

    Cb 4.2company rating

    Remote job

    Benefits: 401(k) 401(k) matching Bonus based on performance Competitive salary Dental insurance Flexible schedule Health insurance Opportunity for advancement Paid time off Benefits/Perks Flexible Scheduling Competitive Compensation Careers Advancement Job SummaryWe are seeking a Spanish Speaking Care Coordinator who will be responsible for overseeing our remote patient monitoring (RPM) program. In this fully remote, flexible, role, you will work collaboratively with patients to determine their medical needs, develop the best course of action, and oversee their treatment plans, ensuring each client gets high-quality, individualized care. The ideal candidate is compassionate, patient, and knowledgeable about healthcare practices. Responsibilities Collaborate with physicians, patients, families, and healthcare staff Coordinate a variety of healthcare programs Review daily measures Oversee a monthly patient roster, ensuring comprehensive care for each individual Aiming for a patient engagement rate of 90% or higher Develop individualized care plans Educate patients on their healthcare options Create goals and monitor progress toward goals Recruit and train staff Qualifications Previous experience as a Care Coordinator or in a similar position is preferred Comprehensive knowledge of Hypertension and Diabetes Certification as a medical assistant or higher is required (licensing required in NY and NJ) Fluency in second language is a plus Strong problem-solving and organizational skills Ability to manage multiple projects or tasks and prioritize appropriately Ability to work in fast-paced situations and make sound decisions quickly Excellent interpersonal skills and high level of compassion Strong verbal and written communication skills Comfortable learning and using EHR platforms This is a remote position. Compensation: $18.00 - $23.00 per hour
    $18-23 hourly Auto-Apply 60d+ ago
  • Coordinator, Utilization Management

    Corrohealth

    Remote job

    About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. JOB SUMMARY: About this position: Title: Coordinator, Utilization Management Location: Remote within US ONLY (equipment provided, work must be done within the US only) Required Schedule: Full-time shifts from 8:00 AM to 5:00 PM EST (Sunday - Thursday or Tuesday - Saturday) some holiday coverage required. Hourly Salary: $19.00 - $20.00 ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member. About this position: Title: Coordinator, Utilization Management Location: Remote within US ONLY (equipment provided, work must be done within the US only) Required Schedule: Full-time shifts from 8:00 AM to 5:00 PM EST (Sunday - Thursday or Tuesday - Saturday) we cannot guarantee preferred shift and some holiday coverage required. Hourly Salary: $19.00 - $20.00 Responsibilities: Manage the Authorization process end to end, from initial notification, entry and submission of required information, follow up all the way to determination and discharge. Maintain detailed documentation of the record in the EMR system, in the internal CorroHealth system and in the Health Payer portals. Verify correct eligibility and benefits for patients. Act as a liaison between the hospital staff and the Health Payer to facilitate information sharing and successful process completion within allocated timeframe. Review timely filing guidelines regarding the utilization management process. Track and follow up with payers on pending authorizations to ensure timely responses. Contact payer to elicit further information regarding status, decisions and remove hurdles in the processing. Identify and escalate issues that may result in delays or denials. Manage assigned workload of accounts through timely follow up and accurate record keeping. Maintain compliance with HIPAA and other healthcare regulations. Minimum Qualifications: High School Diploma or equivalent. Associate degree in healthcare administration or equivalent preferred. 2 years of experience in hospital related billing/follow-up/healthcare setting/authorization field. Knowledge of/experience working with managed care contracts Experience working with customer support/client issue resolution management. Strong understanding of medical terminology and insurance processes. Experience working in EMR systems, Epic preferred. Excellent communication and organization skills. Strong multi-tasking skills, working in a face paced environment. Proficiency with MS Office and web systems. What we offer: Hourly pay: $19.00 - $20.00 (firm) Remote within US ONLY Equipment provided Medical/Dental/Vision Insurance 401k matching (up to 2%) PTO: 80 hours accrued, annually 9 paid annual holidays Life Insurance Short/Long term disability options Tuition reimbursement Professional growth and more! PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A is only intended as a guideline and is only part of the Team Member's function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
    $19-20 hourly Auto-Apply 2d ago
  • Patient Care Coordinator- Evernorth

    Carepathrx

    Remote job

    As a Patient Care Coordinator, you will support patients throughout their specialty therapy journey by coordinating refill activities, communicating with caregivers and healthcare providers, and ensuring timely, accurate delivery of medications. You will help create a supportive, service‑oriented experience while contributing to reliable pharmacy operations. Responsibilities * Communicate with patients, caregivers, and medical staff to coordinate medication deliveries and follow‑up needs. * Make outbound and receive inbound calls, documenting all interactions accurately. * Support pharmacy operations by evaluating product usage, documenting inventory, completing verbal assessments, and setting up medication orders under pharmacist supervision. * Update patient profiles, complete assessments, and assist with refill setup while maintaining accurate records. * Meet or exceed call productivity and quality metrics. * Provide exceptional customer service and maintain a professional, positive image. * Serve as an information conduit between pharmacy operations and patients, caregivers, or medical professionals. * Maintain compliance with organizational behaviors and competencies. * Perform additional tasks as assigned to support patient care and operational needs. Required Qualifications * High school diploma or GED. * Proficiency in Microsoft Office. Preferred Qualifications * Pharmacy technician certification. * Prior specialty healthcare experience. * Strong communication, organization, and customer service skills. * Ability to manage time effectively and work both independently and collaboratively. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $21k-38k yearly est. Auto-Apply 28d ago
  • Supervisor, Patient Care Coordinator- Evernorth

    Cigna 4.6company rating

    Remote job

    As the Supervisor of Patient Care Coordinators, you will guide a dedicated team that supports patients throughout their specialty therapy journey. You will oversee daily workflows, foster a culture of collaboration and service, and ensure high‑quality, patient‑centered communication. Your leadership will help strengthen operational performance, enhance the care experience, and support continuous improvement across the department. Responsibilities * Supervise daily operations by assigning tasks, supporting staff, monitoring workflow outcomes, and reporting key updates to leadership. * Maintain expertise across functional areas including onboarding, insurance verification, patient care coordination, patient advocacy, and support services. * Develop work schedules, implement departmental guidelines, lead staff meetings, and communicate updates on internal processes and contracts. * Lead recruitment, hiring, onboarding, training, and competency development to maintain a skilled and engaged workforce. * Evaluate employee performance, provide coaching, conduct performance reviews, and recommend corrective actions when necessary. * Ensure productivity standards, regulatory requirements, and accreditation expectations are consistently achieved. * Serve as a resource for staff, supporting problem resolution and addressing questions related to intake workflows. * Model organizational competencies and behaviors in all leadership activities. * Perform other duties as assigned to support patient care and operational efficiency. Required Qualifications * High school diploma or GED. * Strong leadership, communication, and organizational skills. * Ability to manage competing priorities and support team performance in a fast‑paced environment. Preferred Qualifications * Bachelor's degree or equivalent experience. * One year of leadership experience in a healthcare or professional environment. * Proficiency with Microsoft Office and related systems. * Strong decision‑making, time‑management, and conflict‑resolution skills. * Knowledge of medical terminology. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $29k-37k yearly est. Auto-Apply 25d ago

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