*This position requires occasional visit to the office a few days a week.*
The Chronic Care Coordinator performs care management for chronically ill patients with chronic diseases such as chronic kidney disease, diabetes mellitus, chronic obstructive pulmonary disease, and/or congestive heart failure. The Chronic Care Coordinator works in collaboration and continuous partnership with chronically ill patients and their family/caregiver(s), clinic providers in a team approach to increase patients’ ability for self-management and shared decision-making
Duties
- Responsible for registry of chronic care management (CCM) patients.
- Validates enrollment of CCM patients based on provider request
- Conducts minimum of one 20 minute of telephone and education per month to each CCM patient on roster.
- Complies with documentation requirements of the Chronic Care Management program by carrying out the care plan with the patient, family/caregiver(s) and providers and recording in the EHR.
- Monitors adherence to care plans, evaluates effectiveness, monitors patient progress on time, and facilitates changes as needed.
- Medication reconciliation with review for adherence
- Reinforce disease self-management education and preventive care guidelines, communicate PCP instruction and advice, and provide patient education materials
- Communicate with and assist patients in a professional and courteous manner.
-Work as part of the healthcare team to assess patient needs, plan and modify care and implement interventions. Communicate with the healthcare team to provide a proactive approach to patient care.
Competencies:
- Knowledge of medical terminology.
- Knowledge of medical office principles, standards, applications and tests.
- Knowledge of medical office safety, cleanliness and infection control policies and regulations.
- Knowledge of medical office equipment uses and maintenance.
- Decision Making – Ability to make critical decisions while following organizational policies and procedures.
- Accuracy – Ability to perform work accurately and thoroughly.
- Communication – Ability to communicate effectively verbally and in writing.
- Computer Skills – Proficient ability to use a computer and electronic medical records.
- Confidentiality – Maintain patient, team member and employer confidentiality. Comply with all HIPAA regulations.
- Customer Service Oriented – Friendly, cheerful and helpful to patients and others. Ability to meet patients and others' needs while following office policies and procedures.
- Detail Oriented – Ability to pay attention to the minute details of a project or task.
- Decision Making – Ability to make critical decisions while following organizational policies and procedures.
- Flexibility – Ability to adapt easily to changing conditions and work responsibilities.
- Positivity – Display a positive attitude and is a positive agent for change.
- Teamwork – Work as part of a team and collaborate with co-workers.
- Working Under Pressure – Ability to complete assigned tasks in stressful situations.
The position is mainly remote but occasional visit to the office may be required a few days a week.
Certification and Licensures:
- CMA or RMA certification or LSW or LPN or RN license required
Job Type: Full-time
Expected hours: 40 per week
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Job Type: Full-time
Pay: $20.00 - $23.00 per hour
Benefits:
- Paid time off
Schedule:
- Monday to Friday
- Weekends as needed
Work Location: Hybrid remote in Goodyear, AZ 85395
