Care Coordinator - Chronic Management

Optima Medical Ltd; Glendale (AZ); On-site; USD 48,000 - 64,000; Full time

Benefits offered by this job

Growth opportunities

Mentoring

Medical/vision/dental/401k/paid holid

Job summary

Optima Medical is seeking a Care Coordinator to join our in-office CCM program. This role focuses on coordinating care for patients with chronic conditions, using phone outreach and EMR-based documentation to keep patients on track with their care plans.

As a Medical Assistant with EMR experience, you will collaborate with providers to monitor progress, educate patients and families, and support their health goals within a supportive team environment.

Qualifications

• At least 1 year of clinical work experience as a Medical Assistant.
• At least 1 year of EMR experience; eClinicalWorks preferred.
• HS diploma or GED equivalent. CMA designation or Medical Assistant certificate preferred.

Responsibilities

• Develop personalized care plans in collaboration with patients, caregivers, and healthcare providers.
• Coordinate and facilitate communication among physicians, nurses, and other care team members.
• Monitor adherence to treatment plans and progress toward health goals.
• Provide education and support on disease management, lifestyle changes, and preventive care.
• Document patient encounters and interventions using EHR systems to ensure continuity of care.
• Collaborate with community resources to address social determinants of health.
• Conduct regular follow-up checks and care coordination activities for patients with chronic conditions.

Skills

Professionalism

Communication skills

Customer service

Education

HS diploma or GED

Medical Assistant Certification or CMA

Tools

EMR - eClinicalWorks

Job description

About Optima Medical:

Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130+ medical providers, who care for more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation's top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard. Optima is currently seeking a Care Coordinator to join our team! This individual will be expected to monitor a specific group of patient's care and support them in achieving short/long term health goals. The Care Coordinator will coordinate with providers to ensure patients' needs are met. A working knowledge of the clinical field is desired for this position.

About the Role:

This is an in office phone and EMR-based coordination role - not a traditional clinical floor position. As a Care Coordinator in our growing CCM program, you'll work directly with patients living with chronic conditions (such as diabetes, hypertension, COPD, and heart disease), helping them stay on track with their care plans and health goals through regular outreach and follow-up. This is a fantastic opportunity for Medical Assistants looking to take the next step in their career while still using their clinical knowledge every day.

Care Coordinator Responsibilities:

• Developing personalized care plans in collaboration with patients, caregivers, and healthcare providers.
• Coordinating and facilitating communication between various healthcare team members, including physicians, specialists, nurses, and ancillary service providers.
• Monitoring patients' adherence to treatment plans and medications, as well as their progress towards health goals.
• Providing ongoing education and support to patients and their families regarding disease management, lifestyle modifications, and preventive care measures.
• Utilizing electronic health records (EHR) and other healthcare technology tools to document patient encounters, track interventions, and ensure continuity of care.
• Collaborating with community resources and social services agencies to address patients' social determinants of health and support their overall well-being.
• Conducting regular follow-up check ins and care coordination activities to optimize health outcomes and quality of life for patients with chronic conditions.

Care Coordinator Qualifications:

• At least 1 year of clinical work experience as a Medical Assistant
• At least 1 year of EMR experience; eClinicalWorks preferred
• High level of professionalism
• Excellent written and verbal communication skills
• Strong customer service skills
• Medical Assistant Course Completion Diploma or CMA designation required
• Bilingual (English/Spanish) is a plus
• Must have HS diploma or GED equivalent

Why Join Our Team?

• Substantial growth opportunities
• Leadership and mentoring
• Resources to further your career
• Fun work environment (events, holiday parties)
• Benefits (medical/vision/dental/401k/paid holidays)
• Supportive and positive work environment