Position Summary The Clinical Care Coordinator plays a vital role in supporting patients along their healthcare journey by delivering compassionate, proactive, and evidence‑based care coordination in a fully virtual environment. Leveraging clinical expertise, motivational coaching, and strong communication skills, this role engages patients by phone and digital communication to assess their needs, update and monitor personalized care plans, and guide them toward achieving their physical, mental, and preventive health goals. The Clinical Care Coordinator documents all encounters in electronic health record (EHR) systems, identifies and recommends appropriate services or preventive screenings, and helps manage key administrative tasks such as medical record retrieval, appointment coordination, and insurance‑related follow‑ups. By combining clinical knowledge with patient‑centered coaching, the Clinical Care Coordinator empowers patients to understand and follow their treatment plans, overcome barriers to care, and stay actively engaged in improving their long‑term health outcomes.
Essential Functions Manage and support patients’ healthcare needs via phone and digital conversations.
Conduct telephonic patient encounters and document care plans and care‑plan updates leveraging technology platforms and EHRs.
Assign and contribute to care plans that address patients’ physical, mental, and preventative health needs.
Virtually coach patients to reach their care goals by following medical treatment plans that include healthy eating, physical activity, stress reduction, etc.
Coordinate some administrative aspects of medical record recovery, appointment management, and insurance claims.
Proactively suggest services or preventive screenings relevant to each patient.
Required Education and Experience Must have a Practical/Vocational Nursing License that is clear and active (LPN/LVN).
Must be licensed in the state of residence.
Compact license is required if available.
Must reside and work in the continental US.
Must have a minimum of two years of clinical experience.
Experience in care coordination or care management, health coaching, and motivational interviewing a plus.
Hands‑on experience and comfort with Electronic Medical Records.
Experience using Microsoft Office products such as Teams, Outlook, and Excel.
Competencies and Preferred Qualifications Comfort with technology and software while demonstrating proficient computer skills.
The ability to stay flexible and quickly adapt to new processes, software changes, and priorities.
Understanding healthcare goals provided by the practice while monitoring and recording patient progress against a care plan.
Successfully execute motivational coaching to prevent and intervene in multiple diseases.
Exercise initiative, judgment, organization, problem‑solving, and decision‑making.
The ability to be productive in a virtual work environment.
Collaborate well with medical staff, partners, and organizations.
Facilitate patient access to community resources.
Excellent verbal and written communication skills are required.
Perform care management and patient assessments.
Awareness of resource, utilization, and care management best practices.
A true passion for caring for patients and guiding them in their health journeys.
Position Type and Expected Hours of Work Full‑time, 8 hours daily, Monday – Friday, unless authorized by management. The hours may be worked between 8am – 6pm in the patient’s time zone.
Physical Requirements This is a virtual position that requires you to sit or stand at a computer for approximately 40 hours weekly and be able to make phone calls. Some computer setup is required.
Work Environment This opportunity allows you to care for patients virtually from the comfort of your home. We will provide you with the equipment and software needed, such as a computer and headset for internet‑based calls. Since we’re dedicated to offering our patients the best care experience possible, a hard‑wired, high‑speed internet connection and a private space free from outside noise and distraction, including noise and distractions from pets or children, and that complies with HIPAA privacy laws, is required.
Pay Structure The pay for this position is $22/ hour plus monthly bonus opportunities.

#J-18808-Ljbffr

","

Position Summary The Clinical Care Coordinator plays a vital role in supporting patients along their healthcare journey by delivering compassion...","Remote LPN/ LVN Clinical Care Coordinator","Full Time",[107],["B","3522325703"],"Work at Wellbox Virtual Care Solutions","4 days ago","/jobs/3522325703-remote-lpn-lvn-clinical-care-coordinator","Jacksonville, FL, United States","/jobs?keyword=Wellbox+Virtual+Care+Solutions","/jobs?location=Jacksonville%2C+FL%2C+United+States","/jobs?keyword=Remote+LPN%2F+LVN+Clinical+Care+Coordinator",{"_64":65,"_66":108,"_68":109,"_70":110,"_72":111},"Jacksonville","Jacksonville, FL, United States, 32290","FL","32290",["D",1777377600000],"The Christ Hospital Health Network in Cincinnati, Ohio is seeking a dedicated clerical support staff member to assist the clinical team in daily patient care tasks. Key responsibilities include managing patient data, maintaining medical records, and supporting an effective patient care environment. Applicants should have a high school diploma or GED and possess excellent communication skills. This role is crucial for maintaining quality interactions among patients, staff, and other departments.
#J-18808-Ljbffr
","The Christ Hospital Health Network in Cincinnati, Ohio is seeking a dedicated clerical support staff member to assist the clinical team in daily pa...","SICU Health Unit Coordinator - Patient Care & Admin",[120],["B","3522635496"],"/jobs/3522635496-sicu-health-unit-coordinator-patient-care-admin","/jobs?keyword=SICU+Health+Unit+Coordinator+-+Patient+Care+%26+Admin",{"_64":65,"_66":88,"_68":89,"_70":90,"_72":91},["D",1777377600000],"BlueCross BlueShield of South Carolina","Internal Reference Number
R1049538

Position Purpose
Care management interventions focus on improving care coordination and reducing the fragmentation of the services the recipients of care often experience, especially when multiple health care providers and different care settings are involved. Taken collectively, care management interventions are intended to enhance client safety, well‑being, and quality of life. These interventions carefully consider health care costs through the professional care manager's recommendations of cost‑effective and efficient alternatives for care. Thus, effective care management directly and positively impacts the health care delivery system, especially in realizing the goals of the Triple Aim, which include improving the health outcomes of individuals and populations, enhancing the experience of health care, and reducing the cost of care. The professional care manager performs the primary functions of assessment, planning, facilitation, coordination, monitoring, evaluation, and advocacy. Integral to these functions is collaboration and ongoing communication with the client, client’s family or family caregiver, and other health care professionals involved in the client’s care.

Location
This is a remote position, from 8:30am to 5pm Monday through Friday.

What You’ll Do

Provides active care management, assesses service needs, develops and coordinates action plans in cooperation with members, monitors services and implements plans, to include member goals. Evaluates outcomes of plans, eligibility, level of benefits, place of service, length of stay, and medical necessity regarding requested services and benefit exceptions. Ensures accurate documentation of clinical information to support and determine medical necessity criteria and contract benefits. Provides telephonic support for members with chronic conditions, high‑risk pregnancy or other at‑risk conditions that consist of: intensive assessment/evaluation of condition, at‑risk education based on members' identified needs, provides member‑centered coaching utilizing motivational interviewing techniques in combination with reflective listening and readiness to change assessment to elicit behavior change and increase member program engagement.

Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. May identify, initiate, and participate in on‑site reviews. Serves as member advocate through continued communication and education. Promotes enrollment in care management programs and/or health and disease management programs.

Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members.

Performs medical or behavioral review/authorization process. Ensures coverage for appropriate services within benefit and medical necessity guidelines. Utilizes allocated resources to back up review determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates in data collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation and guidelines for all regulatory bodies, which may include but is not limited to ERISA, NCQA, URAC, DOI (State), and DOL (Federal).

Maintains current knowledge of contracts and network status of all service providers and applies appropriately. Assists with claims information, discussion, and/or resolution and refers to appropriate internal support areas to ensure proper processing of authorized or unauthorized services.

Qualifications

Required Education:

Associate's in a job related field.

Degree Equivalency:

2 years job related work experience.

Required Experience:

4 years recent clinical in defined specialty area. Specialty areas include: oncology, cardiology, neonatology, maternity, rehabilitation services, mental health/chemical dependency, orthopedic, general medicine/surgery. Or, 4 years utilization review/case management/clinical or combination; 2 of the 4 years must be clinical.

Required Skills and Abilities:

Working knowledge of word processing software. Knowledge of quality improvement processes and demonstrated ability with these activities. Knowledge of contract language and application. Ability to work independently, prioritize effectively, and make sound decisions. Good judgment skills. Demonstrated customer service, organizational, and presentation skills. Demonstrated proficiency in spelling, punctuation, and grammar skills. Demonstrated oral and written communication skills. Ability to persuade, negotiate, or influence others. Analytical or critical thinking skills. Ability to handle confidential or sensitive information with discretion.

Required Software and Tools:

Microsoft Office.

Required License/Certificate:

An active, unrestricted RN license from the United States and in the state of hire OR, active compact multi‑state unrestricted RN license as defined by the Nurse Licensure Compact (NLC) OR, active, unrestricted licensure as social worker from the United States and in the state of hire (in Div. 6B) OR, active, unrestricted licensure as counselor, or psychologist from the United States and in the state of hire (in Div. 75 only). For Div. 75 and Div. 6B, except for CC 426: URAC recognized Case Management Certification must be obtained within 4 years of hire as a Case Manager.

Preferred Qualifications

Preferred Work Experience:

7 years‑healthcare program management. 4+ years of Renal/ Nephrology experience.

Preferred Skills and Abilities:

Working knowledge of spreadsheet, database software. Thorough knowledge/understanding of claims/coding analysis, requirements, and processes.

Preferred Licenses and Certificates:

Case Manager certification, clinical certification in specialty area.

Benefits

Subsidized health plans, dental and vision coverage

401(k) retirement savings plan with company match

Life Insurance

Paid Time Off (PTO)

On‑site cafeterias and fitness centers in major locations

Education Assistance

Service Recognition

National discounts to movies, theaters, zoos, theme parks and more

Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy‑related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. We participate in E‑Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

#J-18808-Ljbffr
","Internal Reference Number
R1049538

Position Purpose
Care management interventions focus on improving care coordination and reducin...","Coordinator, Managed Care - Nephrology/Renal Focus",[134],["B","3522804429"],"Work at BlueCross BlueShield of South Carolina","/jobs/3522804429-coordinator-managed-care-nephrology-renal-focus","Columbia, SC, United States","/jobs?keyword=BlueCross+BlueShield+of+South+Carolina","/jobs?location=Columbia%2C+SC%2C+United+States","/jobs?keyword=Coordinator%2C+Managed+Care+-+Nephrology%2FRenal+Focus",{"_64":65,"_66":135,"_68":136,"_70":137,"_72":138},"Columbia","Columbia, SC, United States, 29228","SC","29228",8752,"name","Newsday Media Group","agency","logo","https://production-rails-default.s3.us-east-2.amazonaws.com/public/legacy-logos/351727.GIF","slug","newsday-media-group","

Newsday Media Group is a locally owned, independent media company grounded in journalistic excellence, integrity, and commitment to the communities it serves. With 19 Pulitzer Prizes and dozens of Emmy Awards, it's one of the most decorated news organizations in the country.

The company is in the middle of a significant transformation, expanding from its newspaper roots into a multimedia operation spanning digital, video, podcasts, live events, and data-driven civic engagement. NMG properties include the flagship Newsday and Newsday.com, NewsdayTV, the Newsday Live events series, and nextLI, a civic research and community forum platform funded by The Rauch Foundation.

A new 130,000-square-foot headquarters in Melville features a broadcast-quality TV studio and multimedia production space. Newsday Live produces a growing calendar of food and wine tastings, author talks, sports Q&As, concerts, and community events. Feed Me, the company's food and dining vertical, includes a web series, quarterly print magazine, and restaurant coverage. Brand 360, the in-house content studio, partners with advertisers across healthcare, education, energy, tourism, and retail.

Newsday's investigative unit has driven real-world change, from prompting schools to replace unsafe football helmets to contributing reporting that led to federal corruption convictions. Community programs include the Newsday Marching Band Festival, CheerFest, Scholar-Artist honors, and partnerships with local nonprofits focused on hunger, housing, youth education, and child welfare.

For people who care about local journalism, multimedia storytelling, and community impact, Newsday is doing the work at scale.

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