Care Coordinator III

Summary

Randstad Digital Americas is a staffing and workforce solutions company seeking a Care Coordinator III for a remote healthcare documentation review role. The position reviews LTSS care management records against HEDIS criteria, validates supporting documentation, tracks findings and gaps, and coordinates with internal quality and care management teams.

Responsibilities

• Experience reviewing healthcare, care management, medical, or clinical documentation
• Attention to detail and ability to apply written criteria consistently
• Ability to manage a high-volume workload, meet deadlines, and maintain accurate tracking
• Proficiency with Microsoft Excel, Outlook, Teams, and electronic record systems
• Ability to protect confidential member information and follow HIPAA/privacy requirements

Skills

• Experience reviewing healthcare, care management, medical, or clinical documentation
• Attention to detail and ability to apply written criteria consistently
• Ability to manage a high-volume workload, meet deadlines, and maintain accurate tracking
• Proficiency with Microsoft Excel, Outlook, Teams, and electronic record systems
• Ability to protect confidential member information and follow HIPAA/privacy requirements
• Experience reviewing healthcare, care management, medical, or clinical documentation
• Attention to detail and ability to apply written criteria consistently
• Ability to manage a high-volume workload, meet deadlines, and maintain accurate tracking
• Proficiency with Microsoft Excel, Outlook, Teams, and electronic record systems
• Ability to protect confidential member information and follow HIPAA/privacy requirements
• LTSS, Medicaid, HCBS waiver, utilization management, quality, audit, or HEDIS experience
• Experience with chart chase, medical record abstraction, or compliance reviews
• Familiarity with care plans, assessments, and care management documentation
• Demonstrated experience interpreting documentation and applying defined criteria consistently
• Attention to detail, organized follow-up, and proficiency with Excel or similar tracking tools
• Years of experience: 0 years
• Experience level: Experienced
• Preference for experience with LTSS care management files, Medicaid/HCBS records, HEDIS chart chase, or clinical abstraction

Qualifications

Must Haves

• Experience reviewing healthcare, care management, medical, or clinical documentation
• attention to detail and ability to apply written criteria consistently
• Ability to manage a high-volume workload, meet deadlines, and maintain accurate tracking
• Proficiency with Microsoft Excel, Outlook, Teams, and electronic record systems
• Ability to protect confidential member information and follow HIPAA/privacy requirements
• Experience reviewing healthcare, care management, medical, or clinical documentation
• attention to detail and ability to apply written criteria consistently
• Ability to manage a high-volume workload, meet deadlines, and maintain accurate tracking
• Proficiency with Microsoft Excel, Outlook, Teams, and electronic record systems
• Ability to protect confidential member information and follow HIPAA/privacy requirements
• LTSS, Medicaid, HCBS waiver, utilization management, quality, audit, or HEDIS experience
• Experience with chart chase, medical record abstraction, or compliance reviews
• Familiarity with care plans, assessments, and care management documentation
• demonstrated experience interpreting documentation and applying defined criteria consistently
• attention to detail, organized follow-up, and proficiency with Excel or similar tracking tools
• Years of experience: 0 years
• Experience level: Experienced

Nice to Haves

• preference for experience with LTSS care management files, Medicaid/HCBS records, HEDIS chart chase, or clinical abstraction

Benefits

• Medical insurance offerings (all benefits are based on eligibility)
• Prescription insurance offerings (all benefits are based on eligibility)
• Dental insurance offerings (all benefits are based on eligibility)
• Vision insurance offerings (all benefits are based on eligibility)
• AD&D insurance offerings (all benefits are based on eligibility)
• Life insurance offerings (all benefits are based on eligibility)
• Short-term disability (all benefits are based on eligibility)
• A 401K plan (all benefits are based on eligibility)
• Remote, non-member-facing role with regular virtual team communication and independent production work.