Care Coordinator

Evergreen Nephrology

. Perform telephonic outreach to enroll and engage patients identified for the clinical program .

Posted 10/26/2026full-timeRemote • United StatesMid-LevelSenior💰 $19 - $23 per hourWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in healthcare coordination and community health, with a strong focus on patient engagement, care plan development, and resource connection. Proficient in communication and advocacy to address barriers to care and enhance patient outcomes.

Highest-signal resume keywords

Healthcare CoordinationCommunity Health WorkPatient EngagementCare Plan DevelopmentStrong Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Patient AssessmentsCare Plan ImplementationGap Closure RecommendationsDocumentation of Member InteractionsKnowledge of Community Resources

Soft Skills

Exceptional PrioritizationTask-Switching AbilitySelf-Directed Problem SolvingTeaching Skills

Tools & Technologies

MS Office SuiteOutlookTeams

Industry Keywords

Telephonic OutreachTransitions of CarePatient AdvocacyHealth EquityPHI / HIPAA Compliance

About the role

Key responsibilities & impact

Perform telephonic outreach to enroll and engage patients identified for the clinical program
Establish connection as the primary point of contact for enrolled patients
Develop and implement care plans under the direction of the Nurse Care Manager
Facilitate transitions of care across care settings and dialysis centers
Update patient care plans to enhance care delivery and coordination
Conduct patient assessments to identify social, economic, and environmental factors impacting health
Recommend gap closures for inclusion in comprehensive care plans
Connect members to housing assistance, transportation, food security, and community support resources
Guide members in using health and social services and community-based organizations
Advocate for members by identifying barriers to care and addressing inequities
Communicate with patients, families, caregivers, and healthcare teams
Document member interactions, assessments, and care plans according to organizational and regulatory requirements
Provide educational resources and solutions to empower patients and families
Perform other assigned duties, including cross-coverage between markets

Requirements

What you’ll need

3 years of experience in health care coordination, community health work, or similar healthcare related field
Experience with team-based approach to care
Excellent working knowledge of community resources
Exceptional ability to prioritize and task-switch to meet needs of patients and overall care team
Self-directed and motivated to resolve issues professionally and creatively
Strong communication and teaching skills
Intermediate skills with MS Office Suite of products including Outlook and Teams
Ability to work effectively in a primarily remote environment
Minimum download speed of 25 Mbps and upload speed of 10 Mbps
Wired-to-the-house internet (Cable, Fiber, or DSL) and hardwired internet device recommended
Dedicated workspace without ongoing interruptions to protect member PHI / HIPAA information
Ability to work 8:30a - 5p PST and support patients in the Pacific Time Zone

Benefits

Comp & perks

Bonus eligibility
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
A 401(k) program where Evergreen matches up to 4% of contributions after six months of tenure
Paid parental leave
A robust training and development program that starts with onboarding and continues throughout your career with Evergreen Nephrology
Fully remote work arrangement
Evergreen will provide Remote or Hybrid Home/Office employees with telephony applications and equipment to meet the business requirements for their position/job