Care Coordinator (Remote – Wisconsin)
Location: Remote (Wisconsin ONLY)
Schedule: Monday–Friday, 8:00 AM – 4:30 PM CST
Duration: Initial 6-month assignment with potential for extension and/or conversion to a full-time position.
Position Summary
The Care Coordinator is responsible for conducting telephonic outreach, completing health risk assessments, supporting care transitions, and assisting members with benefits navigation. This role focuses on engaging Medicare and Medicaid members, developing care plans, and collaborating with internal care management teams to ensure members receive appropriate support and services.
Key Responsibilities
- Complete 15+ welcome calls and health risk assessments (HRAs) weekly.
- Conduct telephonic outreach to engage members and complete annual assessments.
- Perform emergency department follow-up and care transition coordination.
- Develop and document member care plans.
- Coordinate with care management and interdisciplinary team members to support member needs.
- Make a minimum of three outreach attempts per member when scheduling or completing assessments.
- Identify member concerns and appropriately escalate issues when necessary.
- Assist members with understanding Medicare benefits and supplemental benefit programs.
- Navigate provider directories to help members identify in-network providers.
- Provide information regarding supplemental benefit vendors and available member resources.
- Maintain accurate, timely, and detailed documentation in designated systems.
Member Population
- Medicare and Medicaid beneficiaries.
Systems & Tools
- Documentation and note-taking within care management platforms.
- Access to electronic medical record (EMR) systems and health information exchange resources as needed.
- Reliable high-speed internet required.
Required Qualifications
- Bachelor’s degree in Human Services, Social Services, or a related field.
- Strong documentation and communication skills.
- Experience engaging members telephonically and building rapport.
- Ability to identify, address, and escalate member concerns appropriately.
- Knowledge of Medicare benefits and supplemental benefit programs.
- Ability to navigate online provider directories and member resources.
- Strong organizational and coordination skills.
Preferred Qualifications
- Experience in care coordination, case management, health plan operations, or member services.
- Familiarity with healthcare systems, care transition processes, and community-based resources.
Additional Information
- Fully remote position.
- Must have reliable internet access.
- No licensure required.
- Standard equipment will be provided; additional equipment requirements, if any, will be communicated during onboarding.