Member Care Coordinator

Job Description

Job Description

Description:

Position Summary
We are seeking a Member Care Coordinator to support care management services within a large pediatric practice. This role works closely with nurses, social workers, providers, and families to coordinate care, improve patient outcomes, and ensure seamless access to services across clinical and community settings. This position is primarily remote, with occasional in-person meetings or trainings as needed.

Key Responsibilities

• Coordinate care plans for pediatric patients with medical, behavioral, and social needs
• Collaborate daily with nurses, social workers, and providers to implement and monitor care plans
• Serve as a primary point of contact for families, assisting with scheduling, referrals, and follow-up
• Track patient progress, document interventions, and maintain accurate records in the EMR and Care Management System
• Facilitate communication between internal teams and external providers, specialists, and community resources
• Identify gaps in care and escalate concerns to clinical staff as appropriate
• Support transitions of care (e.g., hospital discharge, specialty referrals)
• Ensure compliance with care management protocols and quality standards

Benefits

• 401(k)
• 401(k) matching
• AD&D insurance
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Qualifications

• Experience in care coordination, case management, healthcare, or similar healthcare role
• Excellent organizational, communication, and problem-solving skills
• Ability to manage multiple patients and priorities in a fast-paced environment
• Comfortable working independently in a remote environment while maintaining strong team collaboration

Preferred Qualifications

• 3+ years of relevant experience in care coordination, case management, or a similar healthcare role (pediatrics strongly preferred)
• Demonstrated experience working alongside nurses and/or social workers in a clinical or care management setting
• Strong understanding of healthcare systems, referrals, and community resources
• Proficiency with electronic medical records (EMR) systems