Job Description

This position requires occasional visit to the office a few days a week.

We have openings in multiple locations. Goodyear/Central Phoenix/Gilbert.

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. Solid broadband internet connection required.

- 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

Pay: $20.00 - $25.00 per hour

Expected hours: 40 per week

Schedule:

8 hour shift - Flexible schedule
Job Types: Full-time, Part-time

Pay: $20.00 - $25.00 per hour

Application Question(s):

When can you start working? What is your current pay? or what rate are you looking for? Do you have previous CCM/RPM experience? Are you familiar with E-ClinicalWorks?
Work Location: Hybrid remote in Goodyear, AZ