Care Management Coordinator

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Honest Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

🤝 B2B

💼 Consulting

Healthcare • B2B • Consulting

Honest Health is a physician-led company that partners with health systems, physician organizations, and payers to enable primary care transformation and the transition to value-based care. It focuses on helping partners build sustainable shared financial risk models (e. g. , ACO REACH, MSSP), improve care coordination for Medicare and senior populations, integrate clinical capabilities and documentation integrity into PCP-led care teams, and strengthen financial performance through risk solutions and revenue strategies. Honest Health offers partnership programs, clinical support roles (care coordinators, dietitians, behavioral health specialists, pharmacists, etc. ), and tools such as an estimator to model savings from value-based care.

📋 Description

• Support care management operations through patient engagement and clinical and administrative workflows • Monitor electronic outreach dashboards and send or respond to patient text messages • Conduct outreach to low-acuity patients and escalate responses to Nurse Care Managers • Perform wellness check-ins for patients with chronic illnesses, including CKD and CHF • Conduct new patient engagement and post-graduation maintenance outreach • Support medication adherence by confirming prescription pickup and following up on barriers • Upload summaries, notes, assessments, and other documentation into partner EMRs • Perform chart sweeps and resolve or assign triage and phone encounter tasks • Manage email referrals and assign them for outreach • Manage post-acute admissions and SNF attribution requests • Generate ADT reports and manage patient cohort assignments • Mail patient communications, including introductory letters, educational materials, and Unable to Reach letters • Complete administrative tasks and participate in centralized or specialized team models • Collaborate with clinical, operations, and external practice partners to ensure a consistent patient experience • Perform other related responsibilities as assigned

🎯 Requirements

• 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 • 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, such as Commure, CareInsights, and CRM tools • Proficiency with Microsoft Office or Google Workspace and comfort navigating multiple systems simultaneously • Experience handling inbound calls and using call center tools, such as 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 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

🏖️ Benefits

• Short-term incentives for eligible roles • Comprehensive benefits package • Reasonable accommodations for applicants with disabilities