Chronic Care Management (CCM) Care Coordinator

Remote | Full-Time | Performance-Driven Position Overview We are seeking a Chronic Care Management (CCM) Care Coordinator to support patients with chronic conditions through ongoing outreach, education, care coordination, and accurate documentation. The ideal candidate has a strong understanding of medical terminology and clinical documentation, and can confidently communicate with patients in a structured, high-volume environment. This is a metrics-driven role with clear daily productivity and quality expectations. Candidates must be comfortable managing a high volume of patient outreach while maintaining accuracy, professionalism, and compliance.

Key Responsibilities

• Conduct outbound patient outreach
• Complete structured chronic care management assessments and patient follow-up calls
• Engage patients regarding their chronic conditions, medications, care plans, and healthcare needs
• Review and understand patient charts, including:
• Provider notes
• Laboratory results
• Medication lists
• Care plans and treatment recommendations
• Identify potential care gaps, patient concerns, or issues requiring escalation to the appropriate clinical team
• Provide approved patient education related to chronic disease management and preventive care
• Document all patient interactions, assessments, and care coordination activities accurately and timely in the EHR
• Track patient progress and follow established CCM workflows
• Maintain compliance with company policies, patient privacy requirements, and CCM documentation standards
• Meet established productivity, quality, and documentation expectations

Performance Expectations This position is ideal for someone who performs well in a structured and goal-oriented environment. Candidates should be comfortable with:

• Managing a high volume of outbound patient calls
• Maintaining accurate and timely documentation
• Consistently meeting productivity and quality benchmarks
• Demonstrating strong clinical reading comprehension and attention to detail
• Working independently while remaining accountable for daily performance

Required Qualifications

Candidates must meet the following requirements:

• Strong understanding of medical terminology
• Ability to read and understand provider documentation and patient medical records
• Ability to review laboratory results and recognize information that may require appropriate escalation
• Strong clinical reading comprehension and documentation skills
• Experience working with an Electronic Health Record (EHR/EMR) system
• Excellent verbal communication and patient engagement skills
• Strong attention to detail, organization, and time management
• Ability to work independently in a fully remote environment
• Comfortable working in a fast-paced, high-volume, performance-based role

Previous experience in a healthcare or clinical support role, such as:

• Medical Assistant (MA)
• Certified Nursing Assistant (CNA)
• Medical Scribe
• Patient Care Coordinator
• Care Coordinator
• Chronic Care Management Specialist
• Similar clinical or patient-facing healthcare role

Preferred Qualifications

• Previous Chronic Care Management (CCM) experience
• Medical Assistant experience
• Primary Care office experience
• Active LPN license preferred
• Experience conducting patient outreach or managing a high volume of outbound calls
• Experience with chronic disease education and patient engagement
• Familiarity with CCM workflows, documentation, and billing requirements

Employment Details

• Position Type: Full Time
• Location: Remote within United States
• Schedule: Full-time, 8-hour shifts
• Compensation: Based on experience and qualifications
• Paid Time Off: PTO available based on company policy

What We Are Looking For We are looking for a dependable, healthcare professional who can balance clinical comprehension, patient communication, documentation accuracy, and productivity. This role is best suited for someone who is comfortable speaking with patients throughout the day, navigating medical records efficiently, and consistently meeting performance expectations. Pay: $17.00 - $24.00 per hour Application Question(s):

• (MANDATORY) Which of the following roles have you previously held?

~ Medical Assistant (MA) ~ Certified Nursing Assistant (CNA) ~ Medical Scribe ~ Other clinical role (please specify)

• What hourly rate are you expecting for this role?
• (MANDATORY) This is a metrics-driven role with productivity targets and quality benchmarks. Are you comfortable being measured on performance metrics?
• (MANDATORY) What EHRs (or EMRs) do you have experience with?
• (MANDATORY) Have you previously worked with chronic care patients (diabetes, hypertension, COPD, CHF, etc.)? If so, what conditions do you have experience working with?

Education:

• High school or equivalent (Required)

Shift availability:

• Day Shift (Preferred)
• Night Shift (Preferred)

Work Location: Remote Apply To This Job