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Job Title: Clinical Care Coordinator (Remote) – Text-Based APCM Program Department: Clinical Operations Location: Remote (designated roles available in CST) Reports To: Clinical Programs Manager / Associate Director of Clinical Services Position Type: Full-Time About the Role We are seeking a compassionate, organized, and tech-savvy Clinical Care Coordinator to support patients with chronic conditions in our text-based Advanced Primary Care Management (APCM) program. This remote role focuses on delivering proactive, high-quality care through digital communication tools, driving better health outcomes for Medicare and older adult populations. This position is ideal for healthcare professionals who thrive in a virtual care setting, value patient engagement, and are skilled in critical thinking and care coordination. Prioritizing hires in Illinois in the initial launch. Candidates in other locations may apply; however, applications will be held until additional resources are needed outside of the initial target areas. Key Responsibilities • Serve as the first line of communication for patients via a secure, text-based platform • Monitor and respond to patient messages and check-ins in a timely, compassionate, and professional manner • Identify, assess, and triage clinical concerns, SDOH needs, and care coordination barriers • Collaborate with RNs, NPs, and Social Workers to ensure timely escalation and follow-through • Develop and update personalized care plans for patients with chronic conditions (e.g., hypertension, diabetes, COPD) • Track engagement, log care time, and document all communication per HIPAA and program guidelines • Support monthly billing processes by ensuring all time and care plans are accurately recorded • Participate in daily huddles, team meetings, and ongoing training to improve patient outcomes and workflows • Provide warm, empathetic communication while navigating diverse patient populations and needs Key Skills & Qualifications • CMA, CCMA, RMA, or LPN/LVN compact license required • 2+ years of experience in a clinical or care coordination role (primary care, chronic care management, home health, etc.) • Strong critical thinking and problem-solving skills in a fast-paced environment • Ability to independently manage a digital patient panel and prioritize escalations effectively • Excellent written communication and documentation skills • Comfort using EMRs (Epic specifically), care coordination platforms, and digital messaging tools • Demonstrates strong autonomy and rapid learning ability • Knowledge of Medicare CCM/APCM programs is a plus • Bilingual (Spanish) is a bonus, but not required • Must be located within the continental United States and have access to reliable internet and the ability to work in a specified time zone - either CST, EST, or PST, depending on client and candidate location • Access to Internet 5G Schedule & Work Environment • Full-time, Monday - Friday • Flexible remote schedule across CST, EST, or PST time zones • 1-hour lunch break, daily huddles with manager/team • Ongoing support from a multidisciplinary care team Why Join Us? • Mission-driven organization focused on health equity and innovative digital care • Collaborative, diverse, and growth-focused culture • Opportunities for professional development and internal promotion • Competitive compensation and benefits package • Be part of redefining how care is delivered—one text at a time