Care Coordinator - RN

Chronic Care Staffing LLC• US,

7d•$25 - $30•Remote

About The Position

The RN Care Coordinator helps patients manage chronic conditions through monthly calls. Calls assess patients’ current health, provide condition-specific education, answer questions, serve as a resource between patients and providers, address urgent needs, and follow up on changes in condition. The coordinator may also perform services such as Health Risk Assessments, Transitional Care Management, and Remote Patient Monitoring. The role promotes coordinated care, patient self-management, and shared decision-making while connecting patients with relevant community resources. Care coordinators must maintain expected call volume, follow organizational guidelines and applicable healthcare laws and regulations, including CMS guidelines, and represent CCS professionally. The position requires a HIPAA-compliant home office with a locked door, high-speed internet, and a CCS-approved computer with two monitors.

Requirements

Unencumbered, active compact RN license.
Active BLS certification.
Ability to plan and organize time effectively, work independently, and exercise good judgment.
Excellent problem-solving, clinical reasoning, and critical-thinking skills.
Effective verbal and written communication skills.
Knowledge of CCM regulations and CCM billing requirements.
High proficiency working within EHR systems.
Demonstrated leadership skills, including the ability to guide, motivate, and support team members.
Operational knowledge of Google Suite, Atlas, and other required software.
HIPAA-compliant home workspace in a room with a locked door and free from distractions.
High-speed internet and a CCS-approved computer with two monitors.

Responsibilities

Conduct monthly Chronic Care Management (CCM) calls or verbal enrollments.
Perform other services, including Health Risk Assessments, Transitional Care Management, and Remote Patient Monitoring.
Communicate with patients and family members about chronic conditions, medications, quality measures, barriers to care, and practice-specific requests.
Communicate effectively with providers, staff, and other healthcare professionals.
Promote adherence to care plans developed with patients, primary care providers, and family or caregivers.
Support patients in self-management, shared decision-making, and reaching established goals.
Perform medication reconciliation.
Connect patients with relevant community resources to support health and well-being, patient satisfaction, and reduced healthcare costs.
Represent CCS in a caring and professional manner to providers and other healthcare professionals.
Comply with organizational guidelines and healthcare laws and regulations, including CMS guidelines.
Maintain expected call volume in accordance with the Call Expectations Policy.
Work flexibly and collaboratively as a team player.