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Clinical Care Coordinator

Remote

Job Title: Clinical Care Coordinator (Remote) – Text-Based APCM Program

Department: Clinical Operations
Location: Remote (designated roles available in CST)
Reports To: Clinical Programs Manager / Associate Director of Clinical Services
Position Type: Full-Time

About the Role

We are seeking a compassionate, organized, and tech-savvy Clinical Care Coordinator to support patients with chronic conditions in our text-based Advanced Primary Care Management (APCM) program. This remote role focuses on delivering proactive, high-quality care through digital communication tools, driving better health outcomes for Medicare and older adult populations.

This position is ideal for healthcare professionals who thrive in a virtual care setting, value patient engagement, and are skilled in critical thinking and care coordination.

Prioritizing hires in Illinois in the initial launch. Candidates in other locations may apply; however, applications will be held until additional resources are needed outside of the initial target areas. 

 Key Responsibilities

  • Serve as the first line of communication for patients via a secure, text-based platform
  • Monitor and respond to patient messages and check-ins in a timely, compassionate, and professional manner
  • Identify, assess, and triage clinical concerns, SDOH needs, and care coordination barriers
  • Collaborate with RNs, NPs, and Social Workers to ensure timely escalation and follow-through
  • Develop and update personalized care plans for patients with chronic conditions (e.g., hypertension, diabetes, COPD)
  • Track engagement, log care time, and document all communication per HIPAA and program guidelines
  • Support monthly billing processes by ensuring all time and care plans are accurately recorded
  • Participate in daily huddles, team meetings, and ongoing training to improve patient outcomes and workflows
  • Provide warm, empathetic communication while navigating diverse patient populations and needs

Key Skills & Qualifications

  • CMA, CCMA, RMA, or LPN/LVN compact license required
  • 2+ years of experience in a clinical or care coordination role (primary care, chronic care management, home health, etc.)
  • Strong critical thinking and problem-solving skills in a fast-paced environment
  • Ability to independently manage a digital patient panel and prioritize escalations effectively
  • Excellent written communication and documentation skills
  • Comfort using EMRs (Epic specifically), care coordination platforms, and digital messaging tools
  • Demonstrates strong autonomy and rapid learning ability
  • Knowledge of Medicare CCM/APCM programs is a plus
  • Bilingual (Spanish) is a bonus, but not required
  • Must be located within the continental United States and have access to reliable internet and the ability to work in a specified time zone - either CST, EST, or PST, depending on client and candidate location
  • Access to Internet 5G

Schedule & Work Environment

  • Full-time, Monday - Friday
  • Flexible remote schedule across CST, EST, or PST time zones
  • 1-hour lunch break, daily huddles with manager/team
  • Ongoing support from a multidisciplinary care team

Why Join Us?

  • Mission-driven organization focused on health equity and innovative digital care
  • Collaborative, diverse, and growth-focused culture
  • Opportunities for professional development and internal promotion
  • Competitive compensation and benefits package
  • Be part of redefining how care is delivered—one text at a time

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