Remote Care Coordination Specialist

Job Overview

Virelia Health connects healthcare professionals with opportunities across care coordination, provider coordination, and member navigation.

We are seeking qualified Care Coordination Specialists for remote opportunities supporting health plans, accountable care organizations (ACOs), value-based care groups, provider practices, and care coordination programs.

A Remote Care Coordination Specialist supports members across the care continuum — coordinating providers, tracking referrals, supporting appointment scheduling, and helping members navigate the healthcare system. Working alongside the member's care team, the care coordination specialist ensures that members get connected to the right providers, appointments, and resources in a timely way.

This is a general care coordination role. It's distinct from care management — care coordination focuses on connecting members to care rather than developing care plans. It's also distinct from transitions of care — care coordination supports members across the full care continuum rather than just the post-discharge window. The role combines provider coordination, referral tracking, appointment support, member navigation, and documentation.

This position is well-suited to a care coordination professional, medical office coordinator, or LPN/LVN with healthcare navigation, referral coordination, or provider coordination experience who enjoys connecting members to care.

The specific care coordination program, member population, technology platform, and scope of responsibilities will depend on the employer and assignment.

This opportunity may be suitable for professionals searching for remote care coordination specialist jobs, work-from-home care coordinator, remote referral coordinator, healthcare navigation specialist, or remote provider coordination specialist roles.

What You'll Do

As a Remote Care Coordination Specialist, you may support members across the full care coordination lifecycle.

• Coordinate with providers, specialists, and facilities to support member care.
• Track referrals from initiation through completion — confirming appointments and following up on outstanding referrals.
• Support members in scheduling appointments with providers and specialists.
• Support members in understanding their care plans, referrals, and next steps.
• Help members navigate the healthcare system — finding providers, understanding coverage, and accessing resources.
• Coordinate with health plans, community resources, and social services as needed.
• Confirm appointments and support members in getting to them.
• Follow up on missed appointments and help members reschedule.
• Document all coordination activities accurately in the care coordination platform.
• Coordinate with care managers, transitions coordinators, and clinical teams on member needs.
• Identify barriers to care — transportation, language, coverage — and connect members with resources.
• Support members in understanding their medications and follow-up instructions.
• Escalate clinical concerns or member safety issues to the appropriate clinical team immediately.
• Follow emergency escalation protocols for members reporting acute symptoms.
• Participate in care coordination team meetings and case reviews.
• Protect member privacy and maintain HIPAA compliance across all care coordination activities.

Care Coordination Focus

Care coordination programs support members by connecting them to the right providers, appointments, and resources — reducing fragmentation, improving access, and helping members get the care they need. Care coordination specialists are the connective tissue that keeps members moving through the healthcare system.

Depending on the program, care coordination may focus on:

The care coordination specialist's role is to connect members to care — coordinating providers, tracking referrals, supporting appointments, and documenting all activities. Clinical decisions, care plan changes, and diagnostic decisions belong to the member's treating providers; the care coordination specialist supports the logistics of care and coordinates with the care team.

This structure keeps the role focused on provider coordination, referral tracking, member navigation, documentation, and appropriate escalation.

Member Navigation & Provider Coordination

Care coordination success depends on strong member navigation and smooth provider coordination — making sure members get connected to the right care without falling through the cracks.

You may support member navigation and provider coordination by:

• Helping members understand their referrals and next steps.
• Finding in-network providers that meet member needs and preferences.
• Coordinating appointment scheduling with providers and specialists.
• Tracking referrals and following up on outstanding orders.
• Confirming appointments and supporting members in getting to them.
• Following up on missed appointments and helping members reschedule.
• Coordinating with providers' offices on scheduling, records, and authorizations.
• Identifying barriers to care — transportation, language, coverage — and connecting members with resources.
• Coordinating with health plans on coverage and authorization questions.
• Supporting members in understanding their medications and follow-up instructions.

Clear communication, member empathy, and rigorous follow-up are essential — care coordination specialists are the connective tissue that keeps members moving through the healthcare system.

Care Coordination Workflow

A Remote Care Coordination Specialist may follow a structured workflow across each coordination task.

Depending on the employer's protocols, you may:

Required Qualifications

• Previous experience in care coordination, healthcare navigation, referral coordination, or medical office coordination.
• Strong organizational, communication, and documentation skills.
• Comfortable coordinating with providers, specialists, and members by phone or virtual channels.
• Familiarity with EHR systems, referral platforms, and care coordination workflows.
• Strong documentation and time-management skills.
• Ability to recognize situations requiring clinical escalation.
• Ability to work independently in a remote environment.
• Ability to maintain confidentiality and HIPAA compliance.
• Reliable internet and a private workspace suitable for confidential member conversations.

Preferred Qualifications

Experience or certification in any of the following may be beneficial:

Skills & Competencies

Care Coordination Skills

Communication & Coordination

Digital Health & Technology

A Typical Day

A typical day may begin by reviewing your coordination queue — checking which referrals are outstanding, which appointments need confirmation, and which members need follow-up.

You'll coordinate with providers' offices to schedule appointments, track referrals, and confirm records. You'll call members to confirm appointments, support them in understanding next steps, and help them overcome barriers to care.

Between calls, you'll document each coordination activity accurately, follow up on outstanding items, and coordinate with care managers and clinical teams on member needs.

You'll escalate members with clinical concerns or safety issues to the appropriate clinical team immediately.

The role combines provider coordination, referral tracking, appointment support, member navigation, documentation, and appropriate escalation.

Unlike care management, which develops care plans, care coordination focuses on connecting members to care — you're the connective tissue that keeps members moving through the healthcare system.

Remote Work Environment

This position is designed for remote care coordination.

Depending on the employer, you may work with:

Candidates should have a stable internet connection, a private workspace suitable for confidential member conversations, and comfort with multiple care coordination and clinical systems.

Eligibility & Employer Requirements

Remote care coordination specialist roles are currently in highest demand in states with strong value-based care adoption, health plan care coordination programs, and ACO investment:

Top-demand states: California, Texas, Florida, New York, Pennsylvania, Ohio, Illinois, Michigan, Georgia, North Carolina, Arizona, Colorado.

Strong secondary markets: Alabama, Connecticut, Indiana, Kentucky, Louisiana, Maryland, Massachusetts, Minnesota, Missouri, New Jersey, Tennessee, Virginia, Washington, Wisconsin.

Credential requirements vary by employer. Some care coordination teams prefer a clinical credential (LPN, RN, MA) or care coordination certification. Others accept relevant experience in care coordination, healthcare navigation, or medical office coordination without a formal credential. A clinical license is not required for all roles. Always confirm specific requirements with the employer before applying.

Want to know which states accept remote healthcare roles? Read our remote healthcare licensure guide.

Compensation & Benefits

This position offers $22–$36 per hour, based on experience, geographic location, care coordination experience, credentials, and assignment requirements. Remote care coordination roles typically offer predictable weekday schedules with structured coordination workflows.

Benefits are assignment-specific and may vary depending on whether the opportunity is full-time, part-time, contract, or direct hire. Depending on the employer, benefits may include:

Why Consider Remote Care Coordination?

Care coordination is a growing area of healthcare — driven by value-based care expansion, health plan investment in care coordination programs, and the recognition that connecting members to care improves outcomes and reduces fragmentation.

Many coordinators find care coordination roles appealing because they offer:

• Meaningful member impact — you're connecting members to the care they need and helping them navigate the system.
• Predictable weekday schedule — structured coordination workflows without hospital shift work.
• Care coordination career pathway — experience translates into care management, transitions of care, and value-based care roles.
• No physical demands — no bedside care, no 12-hour shifts, no overnight coverage.
• Growing employer demand — health plans, ACOs, provider practices, and care coordination companies are all hiring remote care coordination specialists.

It may be particularly suitable for care coordination professionals, medical office coordinators, and LPNs who enjoy connecting members to care in a technology-enabled environment.