High Risk Care Coordinator

The High-Risk Care Coordinator is a clinical role supporting high-risk patients through structured outreach, medication management, and social needs support, within a new program built from the ground up.

Location: Remote (US)

Salary: $33.65—$48.08 USD per hour

Responsibilities

• Conduct regularly scheduled outbound outreach to high-risk patients to support ongoing care management, reduce avoidable utilization, and address gaps in care.
• Contribute to the development of a new high-risk patient management program by helping design, test, and refine outreach workflows, documentation practices, and care coordination processes in a growing, non–enterprise EHR environment.
• Perform medication reconciliation and adherence support by reviewing patient-reported medication use, identifying discrepancies, and escalating concerns to the RN or Provider.
• Collect, assess, and document patient-reported symptoms, condition trends, risk indicators, and barriers to adherence within LPN scope of practice.
• Provide disease-specific education, self-management reinforcement, and motivational coaching using approved materials and care pathways.
• Coordinate home health services and durable medical equipment (DME) needs under RN or Provider direction to support patient safety and stability in the home.
• Identify and address social determinants of health impacting high-risk patients, including access to medications, transportation, food, housing support, or financial resources.
• Support coordination and monitoring for patients with complex chronic conditions, including COPD, CHF, diabetes, and hypertension, using established protocols.
• Serve as a consistent point-of-contact for assigned high-risk patient panels, building trusted relationships that promote sustained engagement and accountability.
• Recognize changes in patient status, emerging risks, or non-adherence patterns and escalate promptly through defined clinical pathways.
• Provide feedback to Clinical Operations and Clinical Leadership to support continuous improvement of high-risk patient management programs.

Requirements

• You have completed an accredited practical nursing (LPN) program, with at least two years of prior nursing experience in care coordination, population health, or chronic disease support.
• Licensed as a Licensed Practical Nurse (LPN) and credentialed in good standing in the applicable state(s) of practice.
• Experience making structured, outbound calls, preferably in a call-center environment, and feel confident engaging patients proactively by phone.
• Experience supporting high-risk patients with chronic conditions, care management, or utilization reduction preferred.
• Comfortable performing medication reconciliation, structured symptom monitoring, and care coordination under RN or provider oversight.
• Experience making structured outbound call calls, preferably in a call-center environment, enjoy and feel confident engaging patients proactively by phone.
• Strong patient communication skills, including the ability to engage, motivate, and support patients using patient-centered techniques.
• Compassionate communicator with strong active listening abilities.
• Highly organized, dependable, and emotionally intelligent, with the ability to manage ongoing patient panels.
• Proficient in EHR documentation and care management or population health tracking tools.
• Able to multitask effectively in a fast-paced outreach environment with strong time management and follow-through skills.

Benefits

• Robust benefits including medical, dental, vision and generous time off plans.
• Development program that starts with onboarding and continues throughout your career.
• Inclusive, passionate and diverse team environment.

Additional Information

• At this time, we are unable to sponsor employment visas. Candidates must be authorized to work in the United States without a current or future visa sponsorship.
• This role is open to applicants currently residing in the United States.
• All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status, or disability status.