Chronic Care Manager - CCM Program Lead

Whole Family Health Center Inc; Town of Florida (NY); On-site; USD 45,000 - 65,000; Full time

Job summary

Whole Family Health Center Inc in Fort Pierce, Florida is seeking a Patient Care Coordinator to oversee chronic care management for up to 250 patients monthly. You will work under the Manager of Social Services and coordinate care with the care team outside face-to-face visits.

Responsibilities include eligibility determination, care plans, documentation, and collaboration with Billing, Pharmacy, and other teams to ensure quality outcomes.

Qualifications

• CMS guidelines govern CCM services.
• Experience with care coordination workflows.
• Strong documentation and data entry skills.

Responsibilities

• Coordinate CCM services per CMS guidelines.
• Verify CCM eligibility and document plans.
• Schedule patients with providers and maintain contact.
• Document health information and care plans.
• Coordinate with Billing, Pharmacy, and care teams.
• Attend monthly meetings and ensure compliance.

Skills

CMS guidelines

Microsoft Office

Communication

Medical assisting

Education

High School Diploma

Business Associate’s degree

Tools

Sage accounting software

Microsoft Applications

Job description

Whole Family Health Center Inc in Fort Pierce, Florida is seeking a Patient Care Coordinator to oversee chronic care management for up to 250 patients monthly. You will work under the Manager of Social Services and coordinate care with the care team outside face-to-face visits.

Responsibilities include eligibility determination, care plans, documentation, and collaboration with Billing, Pharmacy, and other teams to ensure quality outcomes.