Virtual Care Coordinator

The Virtual Care Coordinator will serve as the primary point of contact for patients managing Diabetes and Fatty Liver Disease, ensuring high-quality care coordination, education, and follow-up. This role involves working closely with physicians, nurse practitioners, dietitians, and other members of the healthcare team to improve patient outcomes through proactive communication, monitoring, and engagement.

Key Responsibilities:

• Serve as the liaison between patients and the care team to coordinate treatment plans, lab tests, follow-ups, and referrals.
• Provide education on disease management, lifestyle modifications, and medication adherence specific to Diabetes and Fatty Liver Disease.
• Conduct virtual check-ins with patients to track progress, address barriers, and escalate clinical concerns to providers when needed.
• Assist patients with appointment scheduling, lab/imaging reminders, and navigating healthcare systems.
• Monitor and document patient-reported outcomes (blood sugar logs, weight tracking, dietary changes, etc.).
• Identify high-risk patients and ensure timely interventions by coordinating with providers.
• Support patient enrollment in care programs, including chronic care management (CCM) and remote patient monitoring (RPM).
• Maintain accurate, HIPAA-compliant records in the electronic medical record (EMR).
• Educate patients on nutrition, exercise, and healthy habits to support liver health and glycemic control.
• Collaborate with insurance/billing teams to ensure program compliance and assist with care-related documentation.

Qualifications:

• Required:
• Experience in patient care coordination, nursing, medical assisting, case management, or related healthcare field.
• Strong knowledge of Diabetes management and awareness of Fatty Liver Disease (NAFLD/NASH).
• Excellent communication skills with the ability to explain medical concepts in plain language.
• Proficiency in telehealth platforms, EMR systems, and virtual communication tools.
• Strong organizational and multitasking skills.
• Preferred:
• Certification as a Medical Assistant, Licensed Practical Nurse (LPN), Registered Nurse (RN), or Certified Diabetes Care and Education Specialist (CDCES).
• Prior experience in chronic care management or remote patient monitoring.
• Bilingual language skills (depending on patient population).

Core Competencies:

• Patient-centered communication and empathy.
• Ability to engage patients virtually and build strong therapeutic relationships.
• Critical thinking and problem-solving skills.
• Strong follow-up and accountability in coordinating care.
• Cultural sensitivity and adaptability.

Performance Metrics (KPIs):

• Patient engagement and satisfaction scores.
• Reduction in missed appointments and hospital readmissions.
• Improvement in patient clinical indicators (e.g., HbA1c levels, liver function tests, BMI).
• Compliance with CCM/RPM documentation standards.

This is a full time role

100% Remote

$6/hr

US time zone