Care Coordinator - Remote
Sundayy · United States
- Hybrid
- Full-time
- $75,000 / year
- United States
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Job highlights
- Manage patient health for CCM/RPM programs remotely.
- Develop personalized care plans and health goals.
- Use motivational interviewing and health coaching.
- Liaise between patients and healthcare teams.
- Monitor progress via RPM data and interactions.
About the role
About The Company
Vitasora Health is at the forefront of transforming chronic care delivery across America. Our innovative platform integrates remote patient monitoring (RPM), chronic care management (CCM), and telehealth solutions to facilitate proactive, continuous care that extends beyond traditional clinical settings. By connecting patients, providers, and payers through cutting-edge technology, we aim to improve health outcomes, reduce hospitalizations, and enhance patient engagement. Our mission-driven team is dedicated to building a future where accessible, personalized healthcare is a standard, not an exception.
About The Role
The Care Coordinator plays a vital role within Vitasora Health’s remote care team, serving as a clinical anchor responsible for managing the ongoing health needs of patients enrolled in CCM and RPM programs. This position requires a blend of clinical expertise and exceptional patient engagement skills, including motivational interviewing and health coaching, to foster trust and motivate behavior change. The Care Coordinator will develop personalized care plans, support self-management, and collaborate with multidisciplinary teams to optimize patient outcomes. Rooted in our core values of respect, accountability, innovation, and unity, this role extends clinical care into the community, ensuring that patients receive comprehensive support tailored to their unique circumstances.
Qualifications
- Certified Medical Assistant (CMA), Registered Medical Assistant (RMA), Certified Clinical Medical Assistant (CCMA), National Certified Medical Assistant (NCMA), or hold an active and unrestricted Licensed Practical Nurse (LPN) or Registered Nurse (RN) license.
- Minimum of 2 years of clinical experience in chronic care management, telehealth, primary care, or related settings; 5+ years preferred.
- Proven experience applying motivational interviewing (MI) and/or health coaching techniques in clinical or patient engagement contexts.
- Proficiency with EHR systems, telehealth platforms, and remote patient monitoring tools.
- Excellent verbal and written communication skills with the ability to engage empathetically, address objections, and promote behavior change.
- Knowledge of CMS CCM guidelines, HIPAA regulations, NCQA standards, and EOC requirements.
Responsibilities
- Lead monthly outreach calls with patients, utilizing motivational interviewing to encourage behavior change and support health goals.
- Assist patients in setting personalized health objectives, developing care plans, and maintaining accountability through evidence-based coaching techniques.
- Provide culturally responsive health education and self-management strategies tailored to individual needs and health literacy levels.
- Address social determinants of health and collaborate with community resources to eliminate barriers to care, especially for underserved and rural populations.
- Act as the primary liaison between patients and their healthcare teams, ensuring seamless communication among physicians, nurses, social workers, and specialists.
- Monitor patient progress through RPM data and regular interactions; escalate clinical concerns following established protocols.
- Participate in team huddles and case reviews to align care strategies and improve patient outcomes.
- Maintain accurate, HIPAA-compliant documentation of all patient interactions and care plans within the EHR system.
- Ensure compliance with CMS, NCQA, and Joint Commission standards related to CCM and RPM programs.
- Track engagement metrics and contribute insights for program performance evaluations.
- Advocate for patients by connecting them with community resources and ensuring their preferences are prioritized in care planning.
Benefits
- Competitive compensation package aligned with industry standards.
- Comprehensive medical, vision, and dental insurance coverage.
- 401(k) retirement plan with company match.
- Paid time off and holiday leave.
- Opportunities for professional development and career growth.
- Collaborative and innovative work environment supporting work-life balance.
Equal Opportunity
Vitasora Health is an Equal Opportunity Employer (EOE). We are committed to fostering a diverse and inclusive workplace and do not discriminate based on race, color, religion, gender, sexual orientation, national origin, disability, or veteran status. We believe that diversity enriches our team and enhances our ability to serve our communities effectively.
Key skills/competency
- Remote Care Coordinator
- Chronic Care Management
- Remote Patient Monitoring
- Telehealth
- Motivational Interviewing
- Health Coaching
- Patient Engagement
- EHR Systems
- HIPAA Compliance
- Care Planning
Skills & topics
- Care Coordinator
- Remote
- Chronic Care Management
- Remote Patient Monitoring
- Telehealth
- Health Coaching
- Patient Engagement
- EHR
- HIPAA
- LPN
- RN
- CMA
- RMA
- CCMA
- NCMA
- Healthcare
- Clinical
- Medical Assistant
- Nurse
- Patient Care
How to get hired
- Tailor your resume: Highlight clinical experience, chronic care management, and patient engagement skills relevant to a Remote Care Coordinator role.
- Showcase technical skills: Emphasize proficiency in EHR systems, telehealth platforms, and remote patient monitoring tools in your application.
- Demonstrate MI/coaching experience: Provide specific examples of using motivational interviewing or health coaching to drive patient behavior change.
- Understand the company: Research Vitasora Health's mission, values, and commitment to transforming chronic care delivery.
- Prepare for interviews: Be ready to discuss your approach to patient advocacy, care planning, and collaboration with multidisciplinary teams.
Technical preparation
Behavioral questions
Frequently asked questions
- What are the primary responsibilities of a Remote Care Coordinator at Vitasora Health?
- As a Remote Care Coordinator at Vitasora Health, you will manage patients in CCM and RPM programs, develop care plans, conduct monthly outreach calls using motivational interviewing, and act as a liaison between patients and their healthcare teams, all remotely.
- What qualifications are essential for the Remote Care Coordinator position?
- Essential qualifications include a CMA, RMA, CCMA, NCMA, LPN, or RN license, with at least 2 years of clinical experience in chronic care, telehealth, or primary care. Proven experience in motivational interviewing and proficiency with EHR and RPM tools are also crucial.
- Does Vitasora Health offer opportunities for professional growth for a Remote Care Coordinator?
- Yes, Vitasora Health emphasizes opportunities for professional development and career growth within a collaborative and innovative work environment.
- How does Vitasora Health support work-life balance for its Remote Care Coordinators?
- Vitasora Health fosters a collaborative and innovative work environment that actively supports work-life balance for its employees, including remote positions like the Care Coordinator role.
- What is the role of motivational interviewing in this Remote Care Coordinator position?
- Motivational interviewing is a key technique for the Remote Care Coordinator to use during monthly patient outreach calls to encourage behavior change, support health goals, and foster trust.
- How are social determinants of health addressed by the Remote Care Coordinator?
- The Remote Care Coordinator addresses social determinants of health by collaborating with community resources to eliminate barriers to care, particularly for underserved and rural populations, ensuring patients receive comprehensive support.
- What technology is involved in the Remote Care Coordinator role?
- The role requires proficiency with Electronic Health Record (EHR) systems, telehealth platforms, and remote patient monitoring (RPM) tools to manage patient care and track progress.
- What kind of documentation is required for a Remote Care Coordinator at Vitasora Health?
- Remote Care Coordinators must maintain accurate, HIPAA-compliant documentation of all patient interactions and care plans within the EHR system.