Remote Care Manager - 251660 at Medix

Responsibilities:

Care Coordination & Follow-Up

• Oversee and track referrals, transitions of care, and care plans to ensure timely completion and resolution
• Conduct proactive outreach to members via phone, text, and digital platforms to support adherence to care plans
• Identify and address barriers to care, including transportation, financial challenges, access issues, and social needs
• Coordinate services across providers, specialists, and community-based organizations

Closed-Loop Referral Management

• Monitor referral status and ensure completion of feedback loops with appropriate documentation
• Follow up with providers and service partners to confirm appointment attendance, outcomes, and next steps
• Escalate delayed or unresolved referrals in accordance with established protocols

Member Engagement & Education

• Educate members and caregivers on care plans, follow-up steps, and available resources
• Support members in navigating resources and accessing community-based services
• Utilize motivational interviewing and culturally responsive communication to improve members engagement and outcomes

Documentation & Data Management

• Accurately document all patient interactions, referrals, and outcomes within the data system or care management platform
• Ensure compliance with organizational policies, HIPAA, and regulatory requirements
• Track and report key performance metrics, including referral completion rates, follow-up timelines, and care gaps closed

Additional Details:

• Schedule: Monday - Friday 9:00am - 5:30pm EST
• MUST have Ethernet connection - Strong internet/wifi connection is a hard requirement