Care Coordinator

Evergreen Nephrology

. Support chronic care management patient enrollment and onboarding .

Posted 10/8/2026full-timeRemote • United StatesJunior💰 $45,000 - $52,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in chronic care management, patient engagement, and compliance with HIPAA regulations. Proficient in EHR systems and capable of managing structured workflows in a remote healthcare environment.

Highest-signal resume keywords

Certified Medical AssistantChronic Disease Management ExperienceEHR System ProficiencyStrong Clinical Assessment SkillsBilingual Spanish/English

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Patient EnrollmentPatient Eligibility VerificationDocumentation SkillsHigh-Volume Outbound CallingEngagement Time TrackingMotivational InterviewingCCM Regulatory RequirementsStructured Workflow ManagementTelehealth ExperienceReferral Coordination

Soft Skills

Communication SkillsPatient EducationCollaborationReliabilityProblem-Solving

Tools & Technologies

CCM PlatformEHR SystemsMS Office SuiteOutlookTeams

Certifications & Qualifications

Certified Medical Assistant

Industry Keywords

Chronic Care ManagementHIPAA CompliancePHI ProtectionNephrology ExperienceVirtual Care

About the role

Key responsibilities & impact

Support chronic care management patient enrollment and onboarding
Verify patient eligibility and complete consent documentation
Maintain patient engagement and escalate inactive or non-engaged patients
Conduct weekly text and telephone outreach to enrolled CCM patients
Meet engagement-time standards aligned with Medicare CCM billing requirements
Reinforce provider-directed care plans and identify adherence barriers
Perform high-volume outbound calling, texting, and follow-up outreach
Document patient interactions in CCM and EHR systems
Track engagement time and maintain audit-ready documentation
Ensure HIPAA and PHI compliance
Facilitate access to referring providers and clinical staff
Support care transitions after hospitalizations or ED visits
Coordinate referrals and follow-up appointments
Escalate symptom concerns or medication issues to licensed clinical staff
Manage patient messaging workflows and collaborate with remote clinical and operational teams

Requirements

What you’ll need

Certified Medical Assistant
1–3 years healthcare experience
Strong clinical assessment, communication, and documentation skills
Comfortable working in an EHR and CCM platform simultaneously
Ability to manage a structured, metric-driven workflow with reliability
Intermediate MS Office Suite skills, including Outlook and Teams
Ability to work primarily remotely
Home internet supporting at least 25 Mbps download and 10 Mbps upload
Dedicated workspace without ongoing interruptions to protect PHI/HIPAA information
Chronic disease or nephrology experience preferred
Experience in chronic disease management preferred
Prior work in virtual care, remote nursing, or telehealth programs preferred
Bilingual Spanish/English preferred
Familiarity with CCM regulatory requirements preferred
Strong patient education and motivational interviewing skills preferred
Must be able to work 8:00am–5:00pm Central Time

Benefits

Comp & perks

Paid time off starting at 4 weeks for full-time employees
12 paid holidays per year
Medical, dental, vision and life insurance, including an HSA with employer match
Reimbursement for continuing medical education for eligible roles
401(k) program with Evergreen matching up to 4% of contributions after six months of tenure
Paid parental leave
Robust training and development program beginning with onboarding and continuing throughout your career
Bonus eligibility
Evergreen-provided telephony applications and equipment for remote employees