Care Coordinator (Strong Internal) (Remote) 2026-1469

Sedgwick Government Solutions

Raleigh, NC(remote)

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JOB DETAILS

SALARY

$75,000–$95,000 Per Year

SKILLS

Affirmative Action, Background Investigation, Case Management, Claims Management, Code of Federal Regulations, Communication Skills, Community Support, Computer Skills, Customer Support/Service, Detail Oriented, Documentation, E Programming Language, Federal Government, Fiber Optic Cable, Government, Healthcare, Healthcare Administration, High School Diploma, Insurance, Internet/Online Service, Medical Billing, Medical Records, Microsoft Windows Operating System, Needs Assessment, Network Routers, Organizational Skills, Patient Assessment, Patient Care Authorizations, Presentation/Verbal Skills, Project Tracking, Registered Nurse (RN), Regulations, Regulatory Requirements, Resume Search, Risk Management, Security Clearance, Social Work, State Laws and Regulations, Telephone Skills, Time Management, United States Citizen, Work From Home

LOCATION

Raleigh, NC

POSTED

Today

Overview Are you looking to make a meaningful impact by delivering high-quality, personalized support to members of the World Trade Center Health Program (WTCHP)? Join a highly skilled, interdisciplinary clinical team dedicated to supporting individuals through a holistic and compassionate approach to care. In this role, Care Coordinators work closely with RN Case Managers and Social Workers to help members maximize their health and overall well-being. Remote Care Coordinator Responsibilities * Work remotely to support members in locating, accessing, and utilizing healthcare services, community resources, and support programs. * Assess member needs, determine acuity, and monitor progress; present cases in interdisciplinary team meetings as needed. * Serve as a central point of contact to help members navigate care, reduce barriers, and ensure access to appropriate services. * Collaborate closely with RN Case Managers, Social Workers, and other team members to coordinate care and support treatment goals. * Maintain accurate and timely documentation of member interactions and services in compliance with organizational, state, and regulatory requirements. * Deliver high-quality, member-centered service while meeting program standards and supporting overall care coordination objectives. Care Coordinator Qualifications * High School diploma required, associate's degree (or higher) in clinical or medical health administration or related field preferred * 3+ years of experience in medical record review, triage, customer service, prior authorizations, medical claims and billing, assessing patient health and/or related experience * Attention to detail, timetables, and commitment to completing tasks * Experience with Microsoft Windows and computer savvy * Must be well organized, efficient, and able to work independently and within a team * Responsible for having reliable High-Speed Cable or Fiber Optic Internet service and an Internet Router in an established home office * Must have Excellent Communication Skills via Phone, email, Text, Verbal, and Documentation Skills, and provide 24-hour follow-up to all communication * U.S. Citizenship * Must be able to successfully pass a preliminary credit and background check prior to hiring and training For a career path that is both challenging and rewarding, join Sedgwick Government Solution’s talented team. Taking care of people is at the heart of everything we do. Our clients depend on our talented colleagues to take care of their most valuable assets—their employees, and their customers. At Sedgwick Government Solutions, caring counts®. Join our team of creative and caring people of all backgrounds and help us make a difference in the lives of others. Sedgwick Government Solutions provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of a specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($75,000-$95,000). A comprehensive benefits package is offered including, but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. To be considered for this position, please submit a resume, and complete the application. The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of all duties, responsibilities, and qualifications required. Important Information Successful candidates will be required to undergo a financial and criminal background check and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of the employee upon hire. At this time, Sedgwick Government Solutions cannot transfer nor sponsor a work visa for this position. Applicants must be authorized to work directly for any employer in the United States without visa sponsorship. Search Firm Representatives Please be advised that Sedgwick Government Solutions is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, a valid written agreement and task order must be in place before any resumes are submitted to the Sedgwick Government Solutions. All resumes submitted by search firms to any employee at the Sedgwick Government Solutions without a valid written agreement and task order in place will be deemed the sole property of Sedgwick Government Solutions and no fee will be paid in the event that person is hired by Sedgwick Government Solutions. Sedgwick Government Solutions strives to make our career site accessible to all users. If you need a disability-related accommodation for completing the application process, please contact the Sedgwick Government Solutions regarding accommodations. Sedgwick Government Solutions is an Equal Opportunity and Affirmative Action Employer All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by federal state or local laws as appropriate, or upon the protected status of the person’s relatives, friends or associates. Sedgwick Government Solutions abides by the requirements of41 CFR 60-741.5(a) [http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf]. This regulation prohibits discrimination against qualified individuals based on disability and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities. Sedgwick Government Solutions abides by the requirements of41 CFR 60-300.5(a) [http://www1.eeoc.gov/employers/upload/eeoc_gina_supplement.pdf]. This regulation prohibits discrimination against qualified protected veterans and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans. About Sedgwick Government Solutions Sedgwick Government Solutions is a trusted partner for federal agencies across the U.S., helping them confidently manage risk and claims. With decades of experience and deep regulatory expertise, we keep agencies compliant while improving their workforces’ health and productivity. Backed by the most advanced technology, our tailored solutions help agencies navigate the complexities of federal risk and claims management.Sedgwick Government Solutions [https://www.sedgwickgovernment.com/]

Care Coordinator (Strong Internal) (Remote) 2026-1469

Sedgwick Government Solutions

Raleigh, NC(remote)

About the Company

Sedgwick Government Solutions

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