Licensed Care Management Clinical Support Specialist

Location: Remote | U.S. Business Hours
Employment Type: Full-Time

About the Role

We are seeking a Licensed Care Management Clinical Support Specialist to support a U.S.-based clinical care management team.

This role is ideal for a licensed healthcare professional with experience in patient coordination, clinical documentation, and regulatory compliance who can confidently support care management operations in a remote setting.

Active U.S. Care Management licensure is mandatory for this role.

Key Responsibilities

Clinical & Operational Support

• Provide remote administrative and clinical support to ensure smooth daily operations

• Manage client intake and onboarding processes

• Schedule clinicians for home visits using EMR/EHR systems

• Maintain accurate, timely, and compliant medical documentation

Patient Care Coordination

• Communicate with patients, families, and caregivers via phone, email, and secure platforms

• Respond to patient inquiries within scope of practice (no diagnosing or prescribing)

• Assist in the development and documentation of care plans under licensed supervision

• Coordinate follow-ups, referrals, and continuity of care

Compliance, Billing & Documentation

• Ensure full compliance with HIPAA, company policies, and U.S. healthcare regulations

• Support insurance billing documentation and care management reporting

• Generate invoices, coordinate with vendors, and track required documentation

• Maintain strict confidentiality and patient-centered standards

Technology & AI-Supported Workflow Optimization

• Utilize EMR/EHR systems efficiently for documentation and scheduling

• Leverage approved AI and digital tools to assist with documentation structuring, workflow efficiency, and reporting (AI supports operational efficiency only — not clinical decision-making)

• Identify opportunities to improve documentation accuracy and process efficiency

Required Qualifications

• Active U.S. Care Management license (mandatory)

• Minimum 1+ year of recent healthcare or care management experience (home health or care management preferred)

• Strong working knowledge of EMR/EHR systems

• Minimum English proficiency: B2+ (professional written and verbal communication required)

• High attention to detail and strong organizational skills

• Ability to work independently in a structured remote environment

• Availability during U.S. business hours

Preferred Qualifications

• CNA, MA, RN, LPN, or Home Health Aide certification

• Experience with insurance billing or care coordination

• Experience supporting home health, hospice, or care management programs

• Familiarity with telehealth or remote patient coordination

• Experience using AI-supported documentation tools

Requirements

• High school diploma or equivalent (healthcare or medical office training preferred)

• Reliable high-speed internet and professional remote workspace

• Personal smartphone and computer

• Current immunizations and state-required health tests (if applicable)

• Ability to work flexible hours and participate in on-call rotations if required

• Strong commitment to confidentiality and regulatory compliance

Why Join Us

• 100% remote healthcare role

• Meaningful work supporting patient outcomes

• Structured, compliance-focused clinical environment

• Opportunity for long-term placement and professional growth