Care Coordinator

Job Description

Job Description

Overview

The CCM & TCM Care Coordinator is responsible for providing non–face-to-face care coordination services to patients enrolled in Chronic Care Management (CCM) and Transitional Care Management (TCM) programs. This role supports patients with multiple chronic conditions and those transitioning from inpatient or emergency care, ensuring continuity of care, medication reconciliation, care plan updates, and compliance with CMS documentation and billing requirements.

This position works under general supervision of the billing provider and plays a critical role in quality outcomes, patient satisfaction, and program compliance.

Key Responsibilities :

Chronic Care Management (CCM) :

• Identify and support patients eligible for CCM services
• Conduct monthly non–face-to-face care coordination activities (minimum 20 minutes per month)
• Maintain and update comprehensive electronic care plans
• Perform medication reviews and reconciliation
• Communicate with patients, caregivers, specialists, pharmacies, and community resources
• Track and document CCM time accurately in the EMR
• Ensure CCM consent is obtained and documented
• Prepare monthly CCM documentation for provider review and attestation

Transitional Care Management (TCM) :

Documentation & Compliance :

Qualifications & Skills :

Benefits :

Join us in making a difference in our patients' lives by providing exceptional care coordination!

Job Types : Full-time

Pay : $18.00 - $24.00 per hour

Expected hours : No less than 40 per week

Schedule : Monday to Friday

Work Location : In person

This description indicates, in general terms, the type and level of work performed and responsibilities held by the team member(s).  Duties described are not to be interpreted as being all-inclusive or specific to any individual team member.

No Third Party Agencies or Submissions Will Be Accepted.

Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP

Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein.

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