care coordinator

support coordinator

patient care coordinator

call center representative

site coordinator

Cosan-Group

I was hired as a full time, remote LPN care coordinator and working from home was honestly what interested me the most as its the best schedule for me and my family. The job itself is not bad, you make outbound calls to check in on patients who have chronic conditions and just follow up with them over the phone every few months. The problem is the expectations and numbers the company or management is trying to meet per day. Youre given a minimum progress percentage per pay period which is understandable to track production. However the problem is conflicting instructions and poor communication among management/trainers. For example, one day youre told you cant be in a patient chart for X amount of time. And so you correct the mistake, then the next day management tells you you werent in the chart long enough. A lot of contradicting instructions. 

Another thing, as a healthcare professional, looking at patient charts before seeing/following up with a patient is just common sense and good practice. However, since the position of CCM is more of a numbers game for them, they discourage you to spend time to look at patient charts before making outbound calls. As a nurse, I like to be prepared for my patient interactions before speaking or providing care to my patients as to ensure accuracy with the continuity of care. I understand working remotely comes with production tracking etc, but as other reviewers have mentioned, theyre more concerned about numbers of calls and production than quality of care. Even if it is care over the phone. 

Then theres the micromanaging…if youre hired remotely (and new), management basically tracks your screen every 10 or so minutes. So if youre away for a bit longer or God forbid, in a chart for “too long”, you’ll get reprimanded for it.  

If youre looking for a remote job as an LPN or any other healthcare professional, i’d suggest looking elsewhere. The CCM position has a high turnover rate. At least for Cosan group.  If i could give one piece of advice to the company, maybe change your expectations for the remote workers or just remove the remote position all together so its not so difficult to track your employees productivity. 

This is a great job to have. I have been here over a year and have received a promotion. You're going to find unhappy people in every single work place. This is a chronic care management job. The nature of it is repetitive from month to month if you're a coordinator, but this won't change with a different CCM company. If you cannot find a way to be OK with asking CCM questions each month, CCM is not the job for you. This is most definitely what Medicare intended it to be, which is why the company is #1 ranking in CCM in the country. They have QAs every month and strive for high quality patient care and ethical behavior from employees. I have never been faulted for running out of work at the end of the month or overloaded with work until I failed. If you need help, they send in help. If you run out of work, they try to give you more and take this into account with counting productivity. I'm not sure why people are surprised and upset by having their productivity measured. You are working from home and getting paid by these people - they have to find a way to make sure you are actually working and not watching TV. If you are not working, then you get paid and they don't, since the revenue is directly affected by how much time you spend on care planning for patients. This is a fairly new company and it's clear that they are always trying to improve their technology, procedures, and employee satisfaction. I've never been a refused a day off when requested in the appropriate time frame, I've never seen anyone "punished" because another region didn't meet expectations. This job pays more than any other CMA job I've had, so I'm personally satisfied with the pay. Plus internet stipend and full time benefits qualified for 30 hours. And quarterly bonuses if you meet standards. They send all the equipment you need for working at home. As far as the application glitching - it does occasionally lag. I have never worked in an EMR that didn't occasionally lag. This has had no real affect on my job, and I have never been asked to make up time because of a 15 min lag. I don't think you could fairly ask for more from a remote company.


I’ve been at Cosan Group almost 4 months as a care coordinator. I had my 90 day review today, actually. I really love my Job. I get to build relationships with my patients and I honestly feel like I’m making a difference. It took me a month after training to really get my flow down and contrary to the other reviews, I have not been micromanaged and in fact love my manager. I have never been reprimanded for my time management but I also stay focused. You call patient after patient. There’s no breaks between patients. This job requires you to be focused and manage your time. This is not a job you can walk away from for 5-10 minutes at a time. You get a 30min lunch and 2 paid 10 minute breaks. If you have an appointment or an emergency, they allow you to make up hours so you don’t have to waste your PTO. My days fly by so quickly. I understand where people say you ask the same things but every patient has their own struggles and needs. If you’re good at your job you’ll move up quickly. The health benefits could be better. But the bonuses are real. I have consistently gotten $60-$80 extra on each pay period FOR DOING MY JOB and Ive only been there 4 months. If your productivity is good, you can also have the opportunity to get OT. You are front loaded PTO but cannot use it for the first 90 days.  If you have a vacation or planned appointments make sure you get pre approved before hire if it’s in the first 90 days. You get 80hrs PTO per year. But accrue more per how many years you’ve been there. We have weekly meetings to decompress and chat. There’s always someone there to ask if you need help. Training was VERY thorough, I felt very prepared for my role when I was left to it. Every job has its ups and downs but I am VERY happy here. I love working from home. The amount of money I save in gas and lunch alone makes it worth it. You get a monthly stipend for internet usage and all the equipment you need besides a desk and chair is shipped to you. I am a registered medical assistant through the state of MI. 

My experience working at Cosan was mixed. On the positive side, the work-from-home setup and flexible schedule were very convenient, and I appreciated the opportunity to support patients through monthly outreach calls and care coordination.

However, the role also came with significant challenges. The interview process was minimal, and it seemed like hiring was rushed without thoroughly setting expectations. The patients I called were often confused about the program, which led to long calls that conflicted with management’s push for quick, streamlined conversations. Many patients hadn’t been properly informed by enrollment specialists about what the service entailed, so I spent much of my time clarifying or justifying Cosan’s role—often leading them to conclude they didn’t need our assistance at all.

The care plan process was repetitive and often felt unproductive, both for the patient and myself. Management sent daily performance emails, and while accountability is important, the tone often felt more like pressure than support. There was very little positive feedback or encouragement, and I frequently felt insecure about my job stability despite putting in genuine effort.

Expectations, such as completing a care plan every hour, were in my opinion unrealistic if one wanted to provide thorough and compassionate care. This mismatch between the job’s goals and the reality of patient needs made the work feel more like checking boxes than making a real impact.

I believe Cosan could improve by offering better training, setting more realistic expectations, fostering a more supportive management culture, and ensuring patients are fully informed from the start. That would make the work more meaningful for employees and more valuable for patients.

I have been doing CCM for over 8 years. I knew other companies existed, but didn't know how amazing another company could be until I found Cosan. I have been here just shy of 90 days and have earned not only an hourly wage but also bonuses every check. There is room for advancement, I was able to pick my schedule, and I finally feel that I have a sense of purpose. When a mistake is made, you're not criticized for it. They tell you what you could do next time in an encouraging manner. I came from a company who would degrade you in front of other coworkers to make an example out of you when a mistake was made, so I'm still having a hard time adjusting to the positive encouragement from the Quality and Assurance department. They even reach out when you've done a great job to tell you that you have and to tell you to keep up the good work. I really feel like I found my home here. All management are so sweet and very involved. I love that every call is recorded so their is accountability. Even though it's remote, you're part of a team and everyone helps each other. I think my favorite part though, is that I am finally able to actually HELP my patients. My other job I couldn't even so much as suggest that they drink a bit more water when sick without getting yelled at for "giving medical advice" when I'm not the doctor. Here you are given so many tools to guide your patients to a better quality of life and encouraged to get active in their care. There is literally an answer for EVERYTHING in the system, which is also impressively set up. Instead of feeling drained after work, I feel energetic and am doing housework after my shift!!! 

I’ve been with this company for about five years now, starting during the pandemic, and it has been a positive and rewarding experience. This is a remote care coordination (CCM) job, so you can work from the comfort of your home even in your PJs while still providing meaningful support to patients.

You do need to have a set schedule, but there’s flexibility when life happens. For example, I’ve been able to adjust my schedule slightly to start later so I can drop my kids off at school, or take my lunch break to pick them up. As long as your hours fall within the account’s calling window (usually between 8:00 AM and 7:30 PM) and you communicate with management ahead of time, they are very understanding and willing to work with you.

Expectations are realistic, and if you’re doing your job, there are no issues. Management is supportive and accommodating, especially during emergencies. While the PTO accrual could be better, you’re allowed to make up time if needed, and they always try to find a solution. It’s a family oriented environment where people pitch in and help one another.

There are great incentives too pixie hours (bonus PTO for hitting production) and lift pay (extra bonuses for meeting performance goals). You also get two paid breaks and an unpaid lunch. Overall, it’s a stable, flexible, and meaningful place to work if you’re self-motivated and want to grow while making a difference from home.


Where do I begin … 
At a glance this company made it seem like it’s too good to be true (100% remote work, flexible schedule, benefits etc) but it really is too good to be true. 

A few red flags to consider: 
The turnover rate of employees coming in and out is HIGH! 
Change of CEO.
Upper management “changing/focusing on new directions” by eliminating a lot of positions and employees. 
Unrealistic expectations. 

As a care coordinator, I couldn’t tell you how many times my accounts were changed and how many teams I kept getting tossed into. The job description itself is confusing. Call patients on a monthly basis and update care plan (can’t assist with medication refills itself, cannot schedule appointments without getting the okay from the office) and that’s pretty much it. Repetitive questions every single month. Upper management can’t make up their minds about the work flow. Only 20 mins at a time to complete and “move on” to the next care plan but productivity must be above 80%.. assuming these patients answer the calls of course. 
End of the month is always tough, there’s never any work left but yet we get blamed for not meeting productivity. 
Don’t count on IT or HR to get back to you in a timely manner about anything. Platform glitches often and yet we are still expected to make up time when THEIR system is down.
All managers do is micromanage and focus on things that are completely irrelevant to actually helping patients. 

Keep looking….This job is definitely not a long term career. I’ve been working at Cosan for almost a year and not happy. First, if you’re placed in the urology “pod” be prepared to be micromanaged. This program is designed for people with CHRONIC conditions however it looks like these patients are forced to join. Theres a separate team who takes care of enrolling but even if someone disagrees they will be signed up anyway. Most of the people I have assigned to me have no chronic conditions , oh and we bill their insurance now if someone has a copay or deductible the patients are responsible for it MONTHLY. As a care coordinator I have offered patients to change their frequency of calls but recently was told I could not do that. Of course greed won’t allow it. Also be prepared to sit for full 8hr shift . If you’re idle for five minutes a message is sent to management so be prepared to clock out every time you may need to get up for water or a bathroom break. Another thing, if you happen to call out or need to leave early you’re not allowed to use PTO because you did not provide two week notice lol. Also they are big on production. You must work 80% of your shift however their system is always having issues yet they love to ask or blame you for not meeting goal. Ridiculous . Overall don’t do it. 

The only thing they worry about is making sure the people get calls monthly, we were calling them every 3 weeks, and at that point the patients no longer wanted the calls. When we didn't have enough patients to call we were sent to enrollment where we were required to call 10-15 patients an hour and enroll a certain amount each hour. We had minimal training for that. There was no consistency across the board, they would take your patients away after forming a relationship with them,  give you new patients and then having to start all over again. Each care coordinator worked charts different and then would have to clean up what wasn't done. Training was never the same for the coordinators. I feel like they set you up for failure. Team leads varies, some were amazing others had no idea what they were doing. It was all about production and numbers, never about the patient or employee. I enjoyed working from home but the job is extremely repetitive and gets old for the patients with the same call each month. Definitely do not recommend this company. They require you to submit PTO 30 days prior, you can not use PTO for sick days. Things change constantly no consistency on anything. Save yourself the hassle. Management needs some reorganization. 

I was working at Cosan for 2 months. At the beginning it was very relax, probably due to the fact it was a temp job, and nothing seemed to be a problem in regards to meeting quotas. Once they switched to soley part-time, things took a turn for the worst. Enrollments were down, managers were quitting, and employees were being fired. Before accepting this job I was reassured this was not a sales job, that was a outright lie. They hype it by saying "you're helping older citizens get better care." But in reality we have to persuade people that can't even live on the money they have to fork up more for a minuscule part of healthcare. Alot of our calls go to voicemail, and that was taking a big chunk of our time to get someone who will answer. Then half of those people either aren't interested, can't spend anymore money, or are completely skeptical because our numbers come up as spam for some locations. It was not a hard decision to leave, even the management is out loud talking down on the employees. Who would work for someone who calls everyone unprofessional and threatens them with being fired? Overall, the job it's self is not bad, the company and the lack of training for employees is what will break this company to pieces.

Top Job Titles	Average Salary
Care coordinator 3 salaries reported	$19.67 per hour
Support coordinator 6 salaries reported	$21.92 per hour
Patient care coordinator 3 salaries reported	$20.17 per hour
Call center representative 3 salaries reported	$18.00 per hour
Site coordinator 4 salaries reported	$18.25 per hour

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