Care Coach (Long-Term Services & Support)

Location: Must reside in the Central region of Virginia, including Franklin City, Southampton, Sussex, Dinwiddie, or surrounding counties. This is a field-based remote role requiring 50–75% travel to members’ homes, nursing facilities, and provider locations, with occasional onsite meetings in Glen Allen, Virginia. Work hours are Monday–Friday, 8:00am–5:00pm EST.

Salary: $53,700–$72,600 per year.

Company

hirify.global is a U.S. healthcare company providing insurance and healthcare services to Medicare and Medicaid members, families, individuals, and communities.

What you will do

• Assess members’ goals, needs, barriers, resources, and service requirements through telephonic and face-to-face interactions.
• Develop and update Individual Service Plans with members, caregivers, primary care providers, and interdisciplinary care teams.
• Coordinate long-term services, home- and community-based services, behavioral health support, housing, education, and other community resources.
• Support members in nursing facilities, including advocating for care and assessing readiness to return to the community.
• Help members maintain Medicaid eligibility and enter annual Level of Care assessments into the state portal.
• Build partnerships with providers, payer organizations, facility staff, and community agencies to improve person-centered outcomes.

Requirements

• Residence in Central Virginia is required, specifically Franklin City, Southampton, Sussex, Dinwiddie, or surrounding counties.
• Bachelor’s degree in health or human services, or an active LPN license in Virginia without disciplinary action.
• At least two years of healthcare and/or case management experience, including one year working directly with individuals with chronic medical conditions and high social needs.
• Intermediate to advanced computer skills, including Microsoft Word, Excel, Outlook, electronic medical records, and multiple information systems.
• Strong communication, interpersonal, critical-thinking, organizational, and problem-solving skills.
• Valid state driver’s license and personal vehicle liability insurance are required. The role also requires TB screening and travel to members’ homes and facilities.

Nice to have

• Nursing home diversion or long-term care case management experience.
• Experience with Medicare and Medicaid recipients, waiver programs, complex health populations, health promotion, coaching, or wellness.
• Knowledge of community health and social service agencies.
• Bilingual or multilingual ability, especially English/Spanish, Arabic, Vietnamese, Amharic, or Urdu.

Culture & Benefits

• Full-time schedule of 40 hours per week with a field-based workstyle.
• Remote work requires a dedicated workspace protecting member PHI and HIPAA information.
• Home internet must provide at least 25 Mbps download and 10 Mbps upload speeds.
• Benefits include medical, dental, and vision coverage, 401(k), paid time off, holidays, parental and caregiver leave, disability coverage, and life insurance.
• Occasional travel to hirify.global offices for training or meetings may be required.

Hiring process

• Applicants selected for the role must complete hirify.global’s TB screening requirements.
• Associates who communicate with members in languages other than English must complete an Interagency Language Rating proficiency assessment.