Job Details

The Role

As a Care Coordinator, you are responsible for providing care coordination for Medicaid, Medicare Advantage, and/or Dual Eligible Special Needs Plan (DSNP) members. You will create a positive experience for members by building trusted relationships with each member. This includeshelping members access the right care at the right time with the health plan, providers, pharmacies, other vendors, and community-based organizations. You will assess and work with members to address both their medical and social needs (SDOH).

About 86Borders

86Borders helps peoplenavigate their healthcare by working with insurance providers to ensure they get the support they need. We focus on individuals who may struggle to access care due to age, financial challenges, or other barriers. Using a combination of real human connection and smart technology, we remind people of important healthcare tasks and assist with issues like transportation or understanding benefits. Our Care Coordinators personally connect with individuals, offering guidance instead of just automated messages. We also use data to track and improve their support, making sure everyone gets the right help at the right time. Simply put, 86Borders makes healthcare easier and less stressful for those who need it most.

Our Team Culture

86Borders is the perfect place for people who want to make a real impact while working with a supportive, mission-driven team. We are committed to breaking down barriers so people can get the care they need. By combining cutting-edge technology with compassionate human connection, we help individuals feel supported, informed, and empowered in their healthcare journey. Our team thrives on innovation, using data to drive real change while fostering a culture of collaboration and inclusivity. As a fast-growing company, we offer exciting opportunities for career growth, where every role makes a difference from day one.

What you'll be doing

• Conduct outreach to motivate, facilitate, and educate members about the benefits of programs.
• Conduct assessments of the member's status and develop a care plan with the member to address their goals. Assessments are conducted by telephone and/or text.
• Evaluate individual member care needs and communicate medical information to health care professionals.
• Manage a caseload of members to ensure expedient contact is made with each member.
• Facilitate coordination of care with providers and schedule appointments as needed. Motivate members to be active and engaged participants in their health and overall well-being.
• Identify and help address needs related to Social Determinants of Health.
• Coordinate and complete correspondence according to established workflows.
• Thoroughly and accurately document actions taken in a care management platform.
• Make a high volume of outreaches to members, families, providers, or other recipients as needed to successfully perform the role.

Ability To:

• • Work effectively in a multi-cultural setting with a wide range of populations in a diverse community, while demonstrating knowledge and continued learning of the assigned community's cultures and values.
  • Be an advocate for, support, and motivate members to manage their health and healthcare.
  • Maintain positive working relationships with members and their families, providers, and other external partners.
  • Build trust, actively listen, intentionally communicate, collaborate, and problem-solve.
  • Influence others toward positive outcomes.
  • Show passion for helping people improve their lives.
  • Move forward after setbacks or difficult interactions with members, using setbacks as learning opportunities for personal and professional growth.

What we are looking for

• Remote, but must be located in TX.
• 2+ years of experience as a care coordinator, case manager, community health worker, pharmacy technician, or social worker.
• Remote work experience preferred.
• Experience working with Medicaid and/or Dual Eligible patients.
• Strong interpersonal, communication (both verbal and written), and problem-solving skills.
• Experience working with customers over the phone and by text message.
• Experience documenting case notes in a care management or electronic health record platform.
• Experience with motivational interviewing.
• Dedicated home office for remote work.

Schedule:

• • 8-hour shift during normal business hours, according to the assigned contract.
    Five days per week, Monday - Friday.

What we offer

• Competitive compensation packages.
• 401(k) with employer matching.
• Medical, dental, and vision insurance, including a 100% employer-paid option
• Paid time off, paid sick time off, and paid holidays.
• Remote work.
• Comprehensive training and development.
• 100% employer-paid short-term disability, long-term disability, and basic life insurance.
• Health Savings Plan with employer contributions.
• Employee assistance program (EAP).

If you're passionate about helping others, embracing new challenges, and being part of something bigger than yourself, 86Borders is the perfect place for you. Join us and be part of a team that's changing healthcare for the better-one person at a time!