Care Coordinator

86Borders

. Provide care coordination for Medicaid, Medicare Advantage, and/or Dual Eligible Special Needs Plan (DSNP) members .

Posted 11/3/2026full-timeRemote • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care coordination for Medicaid, Medicare Advantage, and Dual Eligible Special Needs Plan members, with a strong focus on assessing medical and social needs, including Social Determinants of Health. Proficient in building relationships, advocating for member health, and utilizing care management platforms for documentation.

Highest-signal resume keywords

Care CoordinationMedicaid ExperienceMotivational InterviewingBilingual Fluency in SpanishElectronic Health Record Documentation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care CoordinationCase ManagementSocial Determinants of Health AssessmentMotivational InterviewingDocumentation in Care Management PlatformsTelephone AssessmentsText Communication with MembersHealth Plan NavigationAppointment SchedulingOutreach to Members

Soft Skills

Interpersonal CommunicationProblem-SolvingActive ListeningCollaborationCultural Competence

Tools & Technologies

Care Management PlatformsElectronic Health RecordsApple Computers

Industry Keywords

MedicaidMedicare AdvantageDual Eligible Special Needs PlanCommunity HealthRemote Work Experience

About the role

Key responsibilities & impact

Provide care coordination for Medicaid, Medicare Advantage, and/or Dual Eligible Special Needs Plan (DSNP) members
Build trusted relationships and create a positive member experience
Help members access appropriate care through health plans, providers, pharmacies, vendors, and community-based organizations
Assess members’ medical and social needs, including Social Determinants of Health
Conduct outreach to motivate, facilitate, and educate members about program benefits
Conduct telephone and/or text assessments and develop care plans with members
Evaluate member care needs and communicate medical information to healthcare professionals
Manage a caseload and ensure timely contact with each member
Coordinate care with providers and schedule appointments as needed
Motivate members to participate actively in their health and overall well-being
Identify and help address Social Determinants of Health needs
Coordinate and complete correspondence according to established workflows
Accurately document actions in a care management platform
Make a high volume of outreaches to members, families, providers, and other recipients
Work effectively with diverse populations and demonstrate cultural knowledge and continued learning
Advocate for, support, and motivate members to manage their health and healthcare
Maintain positive working relationships with members, families, providers, and external partners
Build trust, actively listen, communicate intentionally, collaborate, and problem-solve
Influence others toward positive outcomes

Requirements

What you’ll need

2+ years experience as a care coordinator, case manager, community health worker, nurse, pharmacy technician, or social worker
Dedicated home office for remote work
1+ years of remote work experience
Experience working with Medicaid and/or Dual Eligible patients
Strong interpersonal, communication (both verbal and written), and problem-solving skills
Experience working with customers over the phone and by text message
Experience with Apple computers (i.e., MacBook) preferred
Experience documenting case notes in a care management or electronic health record platform
Experience with motivational interviewing
Bilingual fluency in Spanish preferred
Full-time availability Monday–Friday, 8:30am–4:30pm CST

Benefits

Comp & perks

Competitive compensation packages
401(k) with employer matching
Medical, dental, and vision insurance, including a 100% employer-paid option
Paid time off, paid sick time off, and paid holidays
100% remote work from your dedicated home office
Comprehensive training and development
100% employer-paid short-term disability, long-term disability, and basic life insurance
Health Savings Plan with employer contributions
Employee assistance program (EAP)