Care Management Coordinator

About the Role

The Care Management Coordinator (CMC) plays a critical role in supporting care management operations by engaging patients, managing clinical and administrative workflows, and ensuring timely documentation across multiple platforms. This role partners closely with Nurse Care Managers (NCMs), clinical teams, and external provider practices to support patient outreach, care coordination, and continuity of care—particularly for low-acuity and chronic condition populations.

Responsibilities

• Monitor electronic outreach dashboards to send and respond to patient text messages.
• Conduct outreach to low-acuity patients as needed and escalate responses to Nurse Care Managers appropriately.
• Perform wellness check-ins for patients with chronic illnesses such as Chronic Kidney Disease (CKD) and Chronic Heart Failure (CHF) to support early intervention and avoid hospitalizations.
• Conduct new patient engagement outreach and post-graduation maintenance outreach for defined patients.
• Support medication adherence by confirming prescription pickup and following up on barriers.
• Upload discharge summaries, consult notes, completed assessments, and other documentation into partner EMRs.
• Perform chart sweeps to identify triage or phone encounters and resolve or assign tasks accordingly.
• Manage referrals received via email and assign them for outreach.
• Manage post-acute admissions and respond to skilled nursing facility (SNF) attribution requests related to benefit enhancements.
• Generate ADT reports and manage patient cohort assignments.
• Mail patient communications including introductory letters, educational materials, and Unable to Reach letters.
• Complete additional administrative tasks as assigned to support operational efficiency.
• Participate in a centralized or specialized team model, maintaining cross-training as needed to ensure coverage and continuity.
• Collaborate closely with clinical, operations, and external practice partners to ensure a consistent patient experience.
• Perform other related responsibilities as assigned.

Qualifications

• High school diploma or equivalent required; associate's or bachelor's degree in healthcare, health administration, or a related field preferred.
• Licensed Professional Nurse (LPN) license preferred.
• 2+ years of experience in care coordination, healthcare operations, medical records, or patient outreach.
• Must be located in the Pacific or Mountain time zones.

Skills

• Familiarity with chronic conditions such as CHF, CKD, diabetes, and hypertension.
• Understanding of care management, transitions of care, and patient engagement workflows.
• Experience working in EMRs/EHRs and healthcare technology platforms (e.g., Commure, CareInsights, CRM tools).
• Proficiency with Microsoft Office or Google Workspace; comfort navigating multiple systems simultaneously.
• Experience handling inbound calls and using call center tools (e.g., RingCentral).
• Strong written and verbal communication skills, including patient-facing messaging.
• Ability to engage patients empathetically and professionally, including those with complex needs.
• Strong collaboration skills to work effectively with nurses, clinicians, and external partners.
• Ability to manage high-volume, task-based work with competing priorities.
• Comfort working in evolving, early-stage or growth-oriented healthcare environments.
• Ability to work independently while following standardized workflows.

Pay

The base pay range for this role is $25.72 - $29.14. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short-term incentives and a comprehensive benefits package.