Top 5543 Chronic care management remote Jobs

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- Monday to Friday
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Patient Support Manager, Market Access (Southwest)
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Patient Support Manager, Market Access (Greater Atlanta)
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Patient Support Manager, Market Access (Northwest)
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Patient Support Manager, Market Access (NYC)
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Patient Support Manager, Market Access (Detroit)
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Medical Assistant - Remote Primary Care Coordinator (Monday–Friday 10:00am–7:00pm PST)

Pine Park Health -
Phoenix, AZ

Quick Apply

Job Details

Benefits

Paid parental leave
Paid holidays
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Cell phone reimbursement
Parental leave
Vision insurance
Paid sick time

Qualifications

Patient follow-up care
Electronic health records (EHR) management
Phone communication
Operations coordination
CMS
Regulatory compliance
HIPAA
Working with geriatric patients
Care documentation
Clinic experience
Mid-level
Working with seniors
Medical scheduling
CMS regulatory compliance
Overseeing care coordination
Quality improvement
Health information regulatory compliance
Health record tracking
Urgent care
Working with families
Medical assisting
Phone triage
Patient services management
Clinical documentation standards
Managing patient records
Care coordination
Managing patients as a clinical case manager
2 years
Communication skills
Geriatrics

Full Job Description

***** Work schedule Monday–Friday 10:00 am–7:00pm PST

Welcome to Pine Park Health!

About Us

Pine Park Health is a value-based primary care practice that is redesigning how residents of senior living communities get or stay healthy. We're on a mission to dramatically improve healthcare for seniors by building a new model of care that's designed around everyone involved — patients, families, community staff members, providers, and payers.

We've started by providing regular prevention and screening, care for chronic conditions, lab work, and diagnostic testing to patients in their apartments. We visit each community frequently to see patients and collaborate on patient health needs with staff. We also make it easier for patients to get care urgently with same-day or next-day care, helping them avoid unnecessary trips to the ER or hospital.

Over 185 communities across Arizona, California, and Nevada work with Pine Park Health today and we're growing quickly to expand our reach and impact. Investors include First Round Capital, Google's AI fund, Canvas Ventures, Foundation Capital, Y Combinator, and Susa. If you're a determined and mission-oriented person who is looking to build the future of healthcare for seniors, join us!

The Opportunity

The Clinical Care Liaison is the operational and relational backbone of our geriatric primary care team. You will own care coordination for a panel of 500–600 patients — managing real-time communication, triaging urgent clinical needs, maintaining documentation integrity, and serving as the trusted point of contact for patients, families, facility staff, and providers.

This is not a passive coordination role. You will make real-time judgment calls that directly affect patient safety outcomes. The seniors we serve are medically complex, often frightened, and counting on someone who shows up fully — every shift, every call, every task.

What You'll Do

Serve as the primary point of contact for patients, families, facility partners, and providers across your assigned patient panel
Triage and prioritize urgent care requests, STAT tasks, and time-sensitive clinical communications in real time
Maintain accurate, compliant patient documentation within our EMR system
Proactively manage appointment scheduling, follow-up care, and interdisciplinary communication
Lead new patient onboarding, ensuring each patient is contacted and scheduled within 24 hours of enrollment
Participate in after-hours on-call rotation to support continuity of care
Contribute to quality improvement initiatives and operational efficiency projects

How We Measure Success

Patient Communication & Responsiveness

95% of inbound calls answered within 60 seconds (~30 calls/day)
Average caller wait time under 30 seconds; maximum not to exceed 2 minutes
Urgent voicemails resolved within 1 hour; non-urgent within 1 business day
After-hours voicemails addressed within 2 hours of next business day open

Care Coordination & Task Management

95% of clinical messages and emails addressed within 2 hours
Routine tasks completed within 7 days; STAT tasks within 24 hours
100% of daily visit reminder calls completed (~20 calls/day)

Documentation & Quality

Minimum 6 hours of care coordination activity logged daily
Patient satisfaction scores of 8.5/10 or higher
Full compliance with HIPAA, CMS, and OIG requirements at all times

What We're Looking For

2+ years of direct patient care experience in a clinical setting (Medical Assistant, LVN/LPN, CNA, Phlebotomist, Patient Care Technician, or similar role)
Experience in healthcare coordination, patient services, or clinical operations
Geriatric, Medicare Advantage, or value-based care experience strongly preferred
Strong triage and prioritization skills in high-volume, real-time environments
Proficiency with EMR/EHR systems and healthcare technology platforms
Exceptional communication skills across diverse stakeholders (patients, families, physicians, facility leadership)
Self-directed and accountable; able to work independently in a remote setting
Available for on-call shifts: approximately 5 overnight and/or weekend shifts per rotation
Remote work setup: reliable high-speed internet and dedicated, HIPAA-compliant workspace required
Regulatory compliance: must maintain good standing with OIG, CMS, and Federal Health Care Programs (no exclusions or debarments)

What Success Looks Like

The Clinical Care Liaisons who thrive here don't wait to be told what needs attention — they already know. They've built personal systems for managing high-volume communication without dropping anything, they document with the same precision at 4:30pm as they do at 9am, and when a fragile patient calls scared, they hold that call with both urgency and calm.

By 30 days, you own your queue. You're navigating our systems independently and your patients and facility partners are starting to trust you.

By 90 days, you're consistently hitting every performance benchmark and your care team is leaning on you — not managing you.

At one year, you are the person newer team members come to when a situation is complex and they're not sure what to do next.

This role is a strong fit if you:

Thrive in high-volume, fast-moving environments where your organization directly affects patient outcomes
Hold yourself to a higher standard than your manager has to
Want meaningful daily work with a vulnerable population and can feel the weight of that responsibility without being paralyzed by it
Take pride in documentation accuracy and communication follow-through even when no one is watching

This role is not a fit if you:

Prefer a self-paced environment without measurable daily output expectations
Are uncomfortable being held to specific performance metrics
Cannot commit to a fixed shift schedule with on-call rotation
Are looking for a role with minimal patient-facing accountability

Benefits Designed For You and Yours

Paid Parental Leave
Medical, Vision, and Dental Insurance
401K Retirement Plan
Cell Phone Reimbursement
Annual Wellness Allowance
FSA and Dependent Care FSA
10 Paid Holidays
Generous Paid Time Off
Paid Sick Days

Pine Park Health is an equal opportunity employer. Employment is at-will. This is not necessarily an all-inclusive list of job-related responsibilities, duties, skills, efforts, requirements, or working conditions. While this is intended to be an accurate reflection of the current job, the Company reserves the right to revise the job or to require that other or different tasks be performed as assigned.

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***** Work schedule Monday–Friday 10:00 am–7:00pm PST

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*** Work schedule Monday–Friday 10:00 am–7:00pm PST **

***** Work schedule Monday–Friday 10:00 am–7:00pm PST