Care Management Coordinator - Cardiac (Full-Time, Hourly Contract – Remote)

About Cardiac Care Alliance (CCA) Cardiac Care Alliance is a Management Services Organization (MSO) committed to building a high-performance cardiovascular network. We partner with independent cardiologists to deliver value-based care (VBC) models that complement traditional fee-for-service delivery. Our mission is to improve patient access, clinical outcomes, and overall experience through proactive care coordination and evidence-based interventions. Position Summary CCA is hiring full-time virtual Care Coordinators to support a growing population of medically complex patients with cardiac conditions, primarily congestive heart failure (CHF). This role is integral to our population health initiatives - proactively supporting at-risk patients with data-informed outreach, continuity of care, and patient-centered engagement. This role will focus on supporting Principal Care Management (PCM), Chronic Care Management (CCM), and Transitional Care Management (TCM) services via telephonic outreach and technology-enabled documentation platforms. Care Coordinators will work collaboratively with a team of Registered Nurses and Cardiologists, escalating clinical concerns and complex care needs as appropriate. This position does not require RN licensure, but candidates must have strong clinical acumen, attention to detail, and the ability to navigate complex care environments. You’ll help reduce avoidable hospitalizations, support patient self-management, and contribute to better long-term cardiac outcomes. Key Responsibilities • Conduct structured telephonic outreach to CHF patients and other complex cardiac patients • Maintain a caseload of assigned patients, using risk stratification to prioritize care • Complete initial assessments and timely follow-ups addressing: • Current symptoms, medication regimen and adherence • Functional and psychosocial status • Assess home safety and social determinants of health (SDOH) barriers, including transportation, food insecurity, housing instability, and caregiver support; escalate resource needs where appropriate. • Advance care planning needs and specialty care follow-up • Review and act on population health dashboards to address care gaps (annual wellness visits, lack of symptom monitoring, missing labs, etc.) • Provide ongoing patient education and promote evidence-based self-management strategies for CHF • Monitor for signs of worsening conditions or gaps in care, and escalate as needed • Support transitional care follow-up within 48 hours post-discharge, focusing on medication reconciliation, red-flag symptom screening, and appointment scheduling • Document time, interventions, care plans, and patient goals in the care management platform in alignment with CMS billing standards • Maintain proactive communication with RNs, Cardiologists, PCP offices and other clinical partners to ensure timely clinical escalation, alignment with treatment plans, and coordination of services Scope of Work – Limitations • This role is non-clinical in license and does not include: - Clinical assessment or medical diagnosis - Medication prescribing or adjustments - Interpretation of diagnostic results (labs, imaging, EKGs, etc.) - Clinical triage or emergency response - Home visits or in-person patient contact - Billing or coding responsibilities beyond required documentation for time-based services All clinical decision-making, care plan authorization, and treatment recommendations are made by licensed providers and/or supervising RNs. Care Coordinators act in a supportive, administrative, and educational role, aligned with CMS care management guidelines. Qualifications Required: • Active Medical Assistant (MA) certification or equivalent clinical credential (e.g., CNA, EMT, CHW with experience) • Minimum 2 years of experience in care coordination, case management, or ambulatory care • Strong interpersonal communication skills and ability to build rapport by phone • Familiarity with CMS PCM, CCM, and/or TCM program requirements • Technologically proficient with care coordination software or EHRs • Ability to work independently and efficiently in a remote environment Preferred: • Knowledge of Chronic conditions especially targeting Heart failure and associated co-morbid conditions. • Based in or familiar with the Dallas/Fort Worth region • Bilingual (Spanish/English) Position Details • Employment Type: Full-Time, 1099 Contract • Schedule: 40 hours per week (flexible business hours, Monday–Friday) • Compensation: $26–$32/hour (based on experience and qualifications) • Work Environment: 100% remote, with potential for periodic in-person collaboration if local • While this is a contract position, there is potential for ongoing engagement or full-time employment for the right candidate. • Employees must have a dedicated, private workspace suitable for handling protected health information (PHI), including a secure internet connection and the ability to conduct confidential patient communications without risk of unauthorized disclosure. Compliance with HIPAA and patient privacy policies is required at all times. Job Types: Full-time, Contract Pay: $26.00 - $32.00 per hour Expected hours: 40 per week Experience: • Cardiac Care Management: 2 years (Preferred) Work Location: Remote Apply tot his job Apply To this Job