Medicare Care Management Program Coordinator

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TYPE OF WORK

Full Time

SALARY

8-10/hour

HOURS PER WEEK

40

DATE UPDATED

Oct 9, 2026

JOB OVERVIEW

# Medicare Care Management Program Coordinator

**Remote | Full-Time | RN or Physician Required | U.S. Healthcare Experience Required**

Willow Park Health is a growing behavioral health practice providing psychiatric and therapy services to senior living communities in New York.

We are seeking an **experienced Medicare Care Management Program Coordinator** to help us rapidly launch, manage, and scale:

* Behavioral Health Integration (BHI)
* Principal Care Management (PCM)
* Chronic Care Management (CCM)
* Transitional Care Management (TCM)
* Community Health Integration (CHI)
* Collaborative Care Model (CoCM)

## Responsibilities

* Build and implement Medicare care-management workflows
* Identify and track eligible patients
* Coordinate patient enrollment and consent
* Develop and maintain care-management registries
* Coordinate care plans and monthly follow-up
* Track required activities and billable time
* Ensure documentation meets Medicare/CMS requirements
* Coordinate with PMHNPs, nurses, therapists, PCPs, and care coordinators
* Perform pre-billing documentation and compliance reviews
* Support billing, claims, and denial resolution
* Monitor program KPIs and identify workflow gaps
* Help scale the program across multiple senior living communities

## Must-Have Requirements

**Applicants must meet the following requirements:**

* **Registered Nurse (RN) or Physician (MD)**
* **Direct experience with U.S. Medicare care-management programs**
* Hands-on experience with **CCM and/or BHI**
* Strong working knowledge of **Medicare/CMS care-management requirements**
* Experience with patient eligibility, enrollment, consent, care plans, and monthly follow-up
* Experience tracking **billable care-management activities and time**
* Understanding of relevant **CPT/HCPCS codes and billing requirements**
* Experience reviewing clinical documentation for billing and compliance
* Experience working with a **U.S.-based healthcare practice**
* Experience using an EHR/EMR or care-management platform
* Excellent written and spoken English
* Strong organization, follow-through, and attention to detail
* Ability to work independently and manage a high-volume patient registry
* Ability to work **U.S. Eastern Time business hours**
* Reliable high-speed internet and professional remote-work environment

**This is not a general VA or medical administrative position. We are specifically looking for someone with hands-on Medicare care-management expertise.**

## Preferred Experience

Strong preference will be given to candidates with experience in:

* PCM, TCM, CHI, and/or CoCM
* Psychiatry or behavioral health
* Medicare and geriatric populations
* Assisted living or senior living
* Primary care
* Medicare billing and claims
* Care-management registries and KPI tracking
* HIPAA-compliant remote healthcare operations
* SimplePractice or similar EHR systems
* Launching or scaling a CCM/BHI program

## How to Apply

Please answer the following:

1. Are you an **RN or physician**? Please specify your degree/license.
2. Which programs have you personally worked with: **BHI, PCM, CCM, TCM, CHI, and/or CoCM?**
3. How many years of U.S. Medicare care-management experience do you have?
4. What were your specific responsibilities?
5. Approximately how many care-management patients did you manage each month?
6. Did you personally handle eligibility, enrollment, consent, care plans, time tracking, documentation, billing, and/or claims?
7. Which CPT/HCPCS care-management codes have you worked with?
8. Which EHR/EMR and care-management platforms have you used?
9. Briefly explain how you would help us **launch a BHI/CCM program within your first 30 days**.
10. Please send a **1-minute video introduction** describing your relevant Medicare care-management experience.

**Please do not apply if your experience is limited to general virtual assistance, scheduling, or medical administration. Direct Medicare care-management experience is required.**

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