Chronic Care Coordination Nurse — Hybrid/Remote

Advantagecaredtc; Village of Freeport (NY); Hybrid; USD 66,300 - 80,000; Full time

Job summary

Advantagecaredtc is seeking a Registered Nurse (RN) or Licensed Practical Nurse (LPN) to support Chronic Care Management (CCM) and Advanced Primary Care Management (APCM) programs. The role involves ongoing care coordination, patient outreach, documentation, medication reconciliation, and collaboration with providers, pharmacies, and hospitals.

Responsibilities include ensuring comprehensive, coordinated care for patients with chronic conditions, maintaining program compliance, and contributing

Qualifications

• RN license or active RN license and BSN preferred.
• LPN route with GED/high school diploma and LPN program is acceptable.

Responsibilities

• Perform CCM/APCM activities and document in EMR per CMS guidelines.
• Track CCM time and identify eligibility for CCM/APCM enrollment.
• Coordinate care transitions and ensure personalized care plans.

Skills

RN license

LPN license

Communication skills

Documentation

Independent worker

Team collaboration

I/DD experience

Education

BSN degree

LPN program completion

Tools

EMR software

Job description

Advantagecaredtc is seeking a Registered Nurse (RN) or Licensed Practical Nurse (LPN) to support Chronic Care Management (CCM) and Advanced Primary Care Management (APCM) programs. The role involves ongoing care coordination, patient outreach, documentation, medication reconciliation, and collaboration with providers, pharmacies, and hospitals.

Responsibilities include ensuring comprehensive, coordinated care for patients with chronic conditions, maintaining program compliance, and contributing