Chronic Care Management (CCM) Case Coordinator
Employment Type: Full-time / Part-time
About the Role
MEDOCSCare Management Services is looking for a dedicated CCM Case Coordinator to support our Chronic Care Management program. In this role you will serve as the primary point of contact for enrolled patients, coordinating their care between visits, monitoring chronic conditions, and ensuring patients receive the minimum required care management minutes each month in compliance with CMS guidelines. You will work closely with our RN care managers and physician partners to keep patients engaged, informed, and on track with their care plans.
What You Will Do
- Conduct monthly outreach calls to enrolled patients to review their chronic conditions, medications, and care plan progress
- Document all patient interactions accurately and in real time within the EHR, meeting the required CCM time thresholds each month
- Coordinate with primary care providers, specialists, and pharmacies on behalf of patients to close care gaps
- Schedule and confirm upcoming appointments, referrals, and lab work
- Identify patients who are non-responsive or at risk of falling out of the program and escalate to the RN or physician as needed
- Educate patients on their chronic conditions, medications, and self-management strategies
- Maintain accurate patient rosters and monthly billing documentation to support CCM claims
- Flag any urgent clinical concerns to the supervising RN or provider immediately
- Support enrollment calls for new patients being onboarded into the CCM program
Required Qualifications
- Certified Medical Assistant (MA) or Certified Nursing Assistant (CNA) credential required
- Minimum 1-2 years of experience in a medical office, clinic, or care coordination setting
- Working knowledge of common chronic conditions such as diabetes, hypertension, COPD, and CHF
- High school diploma or equivalent required; associate degree in health administration or related field a plus
- Comfortable working within an EHR system and learning new software tools quickly
- Strong phone communication skills and comfort speaking with elderly or medically complex patients
- Excellent documentation habits and attention to detail, since CCM billing depends on accurate time tracking
Nice to Have
- LPN or RN license
- Experience working specifically with CMS Chronic Care Management billing codes (99490, 99439, 99487, etc.)
- Bilingual candidates (Spanish/English)
- Background in a remote or distributed healthcare team
Compensation & Schedule
Compensation will be discussed based on experience level. This is a remote position with flexible scheduling, though availability during standard US business hours is preferred to align with patient outreach windows.
If you are organized, empathetic, and enjoy helping patients stay on top of their health between doctor visits, we would love to hear from you.
Pay: $20.00 - $30.00 per hour
Work Location: Hybrid remote in Naperville, IL 60563
