Care Coordinator, Chronic Disease Management (In-Office)

Optima Medical Ltd; United States; On-site; USD 52,000 - 70,000; Full time

Benefits offered by this job

Growth opportunities

Mentorship

Career development resources

Fun work environment

Benefits package

Supportive team

Job summary

Optima Medical invites applications for a Care Coordinator to join our Arizona-based CCM team. This in-office, EMR-driven role supports patients with chronic conditions by coordinating care plans, outreach, and follow-ups with physicians, nurses, and care teams.

Ideal candidates have at least 1 year of Medical Assistant clinical experience, EMR familiarity (eClinicalWorks preferred), strong communication, and bilingual English/Spanish abilities.

Qualifications

• HS diploma or GED or equivalent is required.
• Medical Assistant CMA or diploma is required.
• 1+ year of clinical work as Medical Assistant and EMR experience.
• English/Spanish bilingualism is a plus.

Responsibilities

• Develop personalized care plans in collaboration with patients and providers.
• Coordinate and facilitate communication among physicians, nurses and care team.
• Monitor adherence to treatment plans and progress towards health goals.
• Provide education and support on disease management and preventive care.
• Document encounters in EHR and ensure continuity of care.
• Collaborate with social services to address social determinants of health.
• Conduct regular follow-up calls and care coordination activities to improve outcomes.

Skills

Medical Assistant experience

Excellent communication

Customer service

Bilingual English/Spanish

Professionalism

Education

HS diploma or GED

Medical Assistant Diploma / CMA

Tools

eClinicalWorks

Job description

Optima Medical invites applications for a Care Coordinator to join our Arizona-based CCM team. This in-office, EMR-driven role supports patients with chronic conditions by coordinating care plans, outreach, and follow-ups with physicians, nurses, and care teams.

Ideal candidates have at least 1 year of Medical Assistant clinical experience, EMR familiarity (eClinicalWorks preferred), strong communication, and bilingual English/Spanish abilities.