Chronic Care Management Program Coordinator

Description

General Description:

The Chronic Care Management (CCM) Program Coordinator is responsible for overseeing the implementation and management of the CCM program. This role ensures compliance with Medicare regulations, trains staff, manages workflows, and monitors program metrics and patient outcomes to improve the quality of care for patients with chronic conditions

Duties and Responsibilities:

Compliance Management:

• Responsible for enrolling and coordinating patient care.
• Ensure the CCM program adheres to all Medicare rules and regulations. 
• Stay updated on changes in Medicare policies and implement necessary adjustments to the program.

Staff Training and Workflow Management: 

• Develop and conduct training programs for staff involved in the CCM program. 
• Manage and optimize workflows to ensure efficient and effective program operations. 
• Provide ongoing support and guidance to staff to maintain high standards of care. 

Program Monitoring and Evaluation:

• Monitor key program metrics and patient outcomes to assess the effectiveness of the CCM program.? 
• Analyze data to identify areas for improvement and implement strategies to enhance program performance.? 
• Prepare and present regular reports on program metrics and outcomes to the Director of Quality and Population Health. 

Reporting Relationships:

Responsible to:

• Directly supervised by Director of Quality and Population Health 

Workers supervised:

• Care Managers

Interrelationships: 

• Works in cooperation with front-office and clinical support staff, other provider organizations, and third-party payers.

This job description is not designed to cover or contain an exhaustive list of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Requirements

Requirements:

All employees of Carolina Health Centers, Inc. are expected to perform the duties of their job and behave in a manner consistent with the Corporate Philosophy which supports the values of: honesty, integrity, openness, the pursuit of individual and collective excellence, and unwavering mutual respect and appreciation. 

In addition, this position requires:

Education:

• Bachelor's degree in healthcare administration, nursing, or a related field. 

Work Experience:

• Minimum of 3 years of experience in healthcare program management, preferably in chronic care management. Strong knowledge of Medicare rules and regulations. Excellent organizational, communication, and leadership skills. Proficiency in data analysis and reporting. 

Licensure and Credentials:

•  RN preferred

Skills:

• Ability to work collaboratively with healthcare professionals and staff. 
• Strong problem-solving and critical-thinking abilities. 
• Detail-oriented with a focus on quality and compliance. 
• Proficient in using healthcare management software and tools. EPIC experience preferred.  

Physical Abilities:

• Have the hand-eye coordination and manual dexterity needed to operate a computer, telephone, copier and medical equipment 
• Required to talk and hear
• Vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus

Work Environment

• Full-time position with occasional travel to healthcare facilities. 
• Office-based with some remote work flexibility.