Chronic Care Coordinator | CCM & Patient Outreach

Community Physicians Group; Oakbrook Terrace (IL); On-site; USD 42,000 - 54,000; Full time

Job summary

Community Physicians seeks a detail-oriented CCM Care Coordinator to support about 200 patients in our primary care CCM program. The role centers on monthly outreach, care coordination, medication follow-up, and precise documentation of qualifying CCM services and time.

You will document interactions in the EHR, coordinate appointments and referrals, reconcile medications, escalate concerns to clinicians when needed, and maintain compliance with CCM billing requirements.

Qualifications

• Experience in a medical office or healthcare coordination environment.
• Strong communication, organization, and documentation skills.
• Proficiency with electronic health records and basic computer apps.
• Ability to recognize concerns that require escalation to a licensed clinician.
• Understanding of patient confidentiality and HIPAA requirements.

Responsibilities

• Conduct monthly patient outreach to assess care needs and follow up on chronic conditions.
• Document patient interactions, qualifying CCM activities, and time in the EHR.
• Support medication reconciliation and adherence follow-up, escalating concerns to the clinical team.
• Coordinate appointments, referrals, and follow-up after hospital or emergency department visits.
• Identify patient needs and communicate concerns to the supervising provider.
• Maintain accurate records and follow CCM documentation, consent, and billing requirements.

Skills

Medical office experience

Care coordination

EHR documentation

Communication skills

HIPAA compliance

Education

CMA/RMA certification

CCM experience preferred

Job description

Community Physicians seeks a detail-oriented CCM Care Coordinator to support about 200 patients in our primary care CCM program. The role centers on monthly outreach, care coordination, medication follow-up, and precise documentation of qualifying CCM services and time.

You will document interactions in the EHR, coordinate appointments and referrals, reconcile medications, escalate concerns to clinicians when needed, and maintain compliance with CCM billing requirements.