Remote Complex Care Coordinator

Job Overview

Virelia Health connects healthcare professionals with opportunities across complex care management, high-risk member support, and interdisciplinary care coordination.

We are seeking qualified Complex Care Coordinators for remote opportunities supporting health plans, accountable care organizations (ACOs), value-based care groups, and complex care programs.

A Remote Complex Care Coordinator supports high-risk, high-need members — complex care planning, interdisciplinary coordination, and intensive member support. Working alongside the member's care team, the complex care coordinator helps members with multiple chronic conditions, behavioral health needs, and social challenges navigate the healthcare system and achieve their health goals.

This is a complex care role. It's distinct from general care management — complex care focuses on high-risk, high-need members with multiple conditions and intensive support needs. It's also distinct from transitions of care — complex care supports members over time, not just during a post-discharge window. The role combines complex care assessment, interdisciplinary care planning, intensive member engagement, and coordination across clinical and social services.

This position is well-suited to an RN, LPN/LVN, or care management professional with complex care, high-risk member support, or interdisciplinary care coordination experience who enjoys supporting members with the most complex needs.

The specific complex care 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 complex care coordinator jobs, high-risk care coordinator, work-from-home complex care manager, remote intensive care coordination, or complex care management specialist roles.

What You'll Do

As a Remote Complex Care Coordinator, you may support members across the full complex care lifecycle.

• Complete comprehensive complex care assessments — clinical, functional, behavioral, and social needs.
• Develop individualized complex care plans in collaboration with members, caregivers, and the interdisciplinary care team.
• Coordinate care across multiple providers, specialists, behavioral health, and community resources.
• Support members with multiple chronic conditions — education, self-management support, and goal setting.
• Support members with behavioral health needs — coordination with behavioral health providers and support for mental health goals.
• Address social determinants of health — food, transportation, housing, and social support.
• Engage members in complex care using motivational interviewing and member-centered approaches.
• Monitor member progress toward complex care plan goals and adjust plans as needed.
• Document all member contacts accurately in the complex care platform.
• Coordinate with the interdisciplinary care team — PCP, specialists, behavioral health, pharmacists, and community resources.
• Identify members with rising risk or unmet needs and escalate to the appropriate clinical team.
• Support members in understanding their medications, conditions, and care instructions.
• Follow emergency escalation protocols for members reporting urgent clinical symptoms.
• Participate in interdisciplinary care team meetings and complex case reviews.
• Protect member privacy and maintain HIPAA compliance across all complex care activities.

Complex Care Focus

Complex care programs support members with the most complex needs — multiple chronic conditions, behavioral health needs, functional limitations, and social challenges. Complex care coordinators are the members' guide through a fragmented healthcare system, helping them achieve their health goals despite significant barriers.

Depending on the program, complex care may focus on:

The complex care coordinator's role is to assess complex member needs, develop complex care plans, coordinate across multiple providers, support member self-management, and document all interactions. Clinical decisions, medication changes, and diagnostic decisions belong to the member's treating providers; the complex care coordinator supports the member's complex care plan and coordinates with the interdisciplinary care team.

This structure keeps the role focused on complex care assessment, interdisciplinary care planning, member engagement, documentation, and appropriate escalation.

Interdisciplinary Care Coordination

Complex care success depends on strong interdisciplinary coordination — bringing together clinical, behavioral, and social services to support members with the most complex needs.

You may support interdisciplinary care coordination by:

• Coordinating with multiple providers and specialists on the member's care plan.
• Integrating behavioral health providers into the member's complex care plan.
• Connecting members with social services — food, transportation, housing, and social support.
• Coordinating with pharmacists on medication management for complex regimens.
• Supporting members through care transitions — hospitalizations, ED visits, and specialist referrals.
• Building trusting relationships with members and their caregivers.
• Using motivational interviewing to understand member goals, barriers, and readiness for change.
• Supporting members in self-management of multiple chronic conditions.
• Coordinating with health plans on coverage, authorizations, and benefits.
• Participating in interdisciplinary care team meetings and complex case reviews.

Clear communication, member empathy, and rigorous coordination are essential — complex care coordinators are the members' guide and advocate through a fragmented healthcare system.

Complex Care Coordination Workflow

A Remote Complex Care Coordinator may follow a structured workflow across each member's complex care journey.

Depending on the employer's protocols, you may:

Required Qualifications

• Active RN, LPN/LVN, or relevant clinical credential in good standing in the state(s) required by the employer, or comparable complex care experience.
• Previous experience in complex care management, high-risk member support, or interdisciplinary care coordination.
• Strong clinical assessment, care planning, and member engagement skills.
• Comfortable with complex care platforms and virtual member outreach.
• 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

Complex Care Skills

Member Engagement & Communication

Digital Health & Technology

A Typical Day

A typical day may begin by reviewing your complex care member panel — checking who is due for a scheduled check-in, who has recent changes in condition, and who has missed recent outreach.

You'll connect with members by phone or video to complete complex care assessments, check in on care plan progress, and support members with their multiple conditions, behavioral health needs, and social challenges.

Between member calls, you'll coordinate with the interdisciplinary care team — providers, specialists, behavioral health, pharmacists, and community resources — and update complex care plans.

You'll participate in interdisciplinary care team meetings, escalate members with rising risk or unmet needs, and follow up on members who haven't been reached.

The role combines complex care assessment, interdisciplinary care planning, member engagement, documentation, and appropriate escalation.

Unlike general care management, which supports members with a single or manageable set of conditions, complex care supports members with the most complex needs — you're the member's guide through a fragmented healthcare system.

Remote Work Environment

This position is designed for remote complex 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 management and clinical systems.

Licensure & State Eligibility

Remote complex care coordinator roles are currently in highest demand in states with strong value-based care adoption, health plan complex care 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.

Licensure requirements vary by employer. Most complex care coordinator roles require an active RN or LPN/LVN license in the state(s) where members reside. Some employers support multi-state licensure or compact privileges. Others accept relevant complex care experience without a clinical license. Always confirm the 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 $30–$50 per hour, based on licensure (RN vs. LPN vs. non-clinical), experience, geographic location, credentials, and assignment requirements. Remote complex care roles typically offer predictable weekday schedules with structured member outreach and interdisciplinary care team rhythms.

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 Complex Care Coordination?

Complex care is a growing area of healthcare — driven by value-based care expansion, health plan investment in high-risk member programs, and the recognition that members with the most complex needs require intensive, coordinated support.

Many coordinators find complex care roles appealing because they offer:

• Meaningful member impact — you're supporting members with the most complex needs and helping them achieve their health goals despite significant barriers.
• Predictable weekday schedule — steady member outreach and interdisciplinary care team rhythms without hospital shift work.
• Complex care career pathway — experience translates into complex care leadership, care management leadership, and value-based care roles.
• No physical demands — no bedside care, no 12-hour shifts, no overnight coverage.
• Growing employer demand — health plans, ACOs, value-based care groups, and complex care companies are all hiring remote complex care coordinators.

It may be particularly suitable for RNs, LPNs, and care management professionals who enjoy supporting members with the most complex needs in a technology-enabled environment.