Team Lead Chronic Care Management

Riceland Healthcare System; Beaumont (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

A healthcare organization is looking for an experienced Team Lead for Chronic Care Management to oversee daily operations of the CCM team. This role includes ensuring quality patient engagement, compliance with CMS guidelines, and coordinating care activities for patients with chronic conditions. Candidates should have a Bachelor's degree in Nursing or Healthcare Administration and 3–5 years of relevant experience. Strong leadership and organizational skills are essential, along with familiarity in utilizing EMR systems. Salary range is $55,000 to $75,000 annually.

Qualifications

• Minimum 3–5 years of experience in Chronic Care Management or care coordination.
• 1–2 years of supervisory or team lead experience preferred.
• Detail-oriented with strong organizational and multitasking abilities.

Responsibilities

• Supervise and support the CCM team to ensure timely patient calls and documentation.
• Oversee development and maintenance of care plans for patients.
• Ensure compliance with CMS guidelines and organizational protocols.
• Monitor team performance metrics and provide feedback.
• Conduct audits of care plans to maintain quality.
• Provide training to new CCM staff.

Skills

Understanding of CCM, RPM, and TCM guidelines

Proficiency in eClinicalWorks or similar EMR systems

Leadership

Communication skills

Problem-solving skills

Organization

Education

Bachelor's degree in Nursing, Healthcare Administration, or related field

Tools

eClinicalWorks

Job description

Riceland Healthcare System is seeking an experienced and motivated Team Lead for Chronic Care Management (CCM) to oversee and coordinate daily operations of the CCM team. The ideal candidate will ensure quality patient engagement, compliance with CMS guidelines, and smooth execution of care coordination activities that support patients with chronic conditions.
The Team Lead will serve as a liaison between the CCM team, providers, and administration to improve patient outcomes and operational efficiency.

Key Responsibilities

• Supervise and support the CCM team, ensuring all patient calls, follow-ups, and documentation are completed timely and accurately.
• Oversee the development and maintenance of care plans for patients with chronic conditions.
• Ensure compliance with CMS guidelines and organizational protocols for chronic care management.
• Monitor team performance metrics, track monthly targets, and provide feedback and coaching to staff.
• Coordinate with physicians, nurses, and clinical teams to ensure continuity of care and effective communication.
• Conduct audits of care plans and documentation to maintain quality and compliance standards.
• Identify workflow gaps and implement process improvements for efficiency.
• Provide training to new CCM staff and ensure consistent adherence to policies.
• Generate periodic reports for leadership on patient engagement, performance, and billing readiness.

Qualifications

• Education: Bachelor's degree in Nursing, Healthcare Administration, or a related field (or equivalent experience).
• Experience:
• Minimum 3–5 years of experience in Chronic Care Management, care coordination, or population health.
• 1–2 years of supervisory or team lead experience preferred.
• Skills & Knowledge:
• Strong understanding of CCM, RPM, and Transitional Care Management (TCM) guidelines.
• Proficiency in eClinicalWorks (ECW) or similar EMR systems.
• Excellent leadership, communication, and problem-solving skills.
• Detail-oriented with strong organizational and multitasking abilities.

Job Type: Full-time
Pay: $55,000.00 – $75,000.00 per year
Benefits: