Care Coordinator

All Care To You

. Support the care management team .

Posted 11/12/2026full-timeRemote • California • United StatesJuniorMid-Level💰 $18 - $26 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare administration and customer service, with a strong focus on managing authorization requests, maintaining HIPAA compliance, and effectively communicating with providers and members. Proficient in utilizing various software tools to support care management operations and ensure timely processing of referrals.

Highest-signal resume keywords

Healthcare Administration ExperienceCustomer Service ExperienceHIPAA ComplianceProficiency in Microsoft OfficeBilingual Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Authorization ProcessingCPT/ICD-10 Code VerificationData EntryReferral CoordinationEligibility Verification

Soft Skills

Problem-Solving AbilityStrong Communication SkillsMultitaskingOrganizational SkillsConfidentiality

Tools & Technologies

Microsoft OutlookMicrosoft TeamsZoomMicrosoft WordMicrosoft ExcelAdobe

Industry Keywords

Utilization ManagementHMOMedical GroupCare ManagementPHI

About the role

Key responsibilities & impact

Support the care management team
Work directly with Utilization Management Nurses in day-to-day operations
Assist and monitor the processing of authorization requests
Document, update, and finalize referrals daily
Verify providers, member eligibility, benefits coverage, CPT/ICD-10 codes, dates, required fields, and supporting clinical data
Process referrals within designated timeframes
Look up information in the DOFR and EOC
Follow Coordinator guidelines for authorization requests
Coordinate, identify, and route referrals requiring review to Utilization Management Nurses
Assist with data entry, updates, and corrections
Interact with UM nurses and provide timely follow-through
Take incoming departmental calls
Call providers, members, and health plans
Maintain PHI and HIPAA compliance
Proactively solve problems
Attend meetings and complete required training
Perform other duties as needed

Requirements

What you’ll need

2 years healthcare administration experience
3 years customer service experience
HMO/Medical Group experience preferred
Must be able to work 8–5 PM Pacific Standard Time
Bilingual proficiency preferred
Proficiency using Outlook, Microsoft Teams, Zoom, Microsoft Office, Word, Excel, and Adobe
Strong ability to multitask and work in a fast-paced environment
Strong problem-solving ability
Ability to work in an extremely confidential environment
Strong written and verbal communication skills
Technology savvy and highly organized

Benefits

Comp & perks

100% employer-paid medical coverage
100% employer-paid vision coverage
100% employer-paid dental coverage
100% employer-paid life coverage
Paid holidays
Paid sick time
Paid vacation time
401(k) plan
Additional employee-paid coverage options
Flexible work environment and schedules
Work-from-home options