CCM Coordinator - Hybrid

Avance Care•Durham, NC

8d•Hybrid

About The Position

Exciting Career Opportunity with Avance Care! Join our rapidly expanding network of 37 practice locations in the Triangle Area (Raleigh-Durham-Chapel Hill), the Charlotte Region, and Wilmington, NC. Avance Care is dedicated to elevating the standard of healthcare. As one of North Carolina's largest networks of independent primary care practices, we offer comprehensive services to support the physical, mental, and emotional health of our patients. We are seeking a Care Management Medical Coordinator to join our team. This role will support the implementation, monitoring, and evaluation of care plans to ensure high-quality and cost-effective patient care for a designated population. This is a hybrid role based at our headquarters in Durham, combining in-office and remote work for a balanced schedule. Supportive Work Environment: We provide a collaborative and encouraging atmosphere where your contributions directly enhance patient health and well-being. You'll also have opportunities for professional growth while making a meaningful impact in the lives of those we serve. Comprehensive Benefits: Our robust benefits package becomes available starting on the first of the month following 30 days of employment.

Requirements

CMA, CCMA, or RMA certification
At least two years of Medical Assistant experience in a primary care environment.

Nice To Haves

Strong verbal and written communication
Ability to maintain confidentiality and integrity
Growth mindset
Flexibility and resilience

Responsibilities

Partner with primary care providers and interdisciplinary teams to coordinate care across the continuum.
Educate patients and caregivers on care plans, barriers, and achievable health goals.
Track and update care plans monthly to ensure alignment with treatment goals.
Assess patient health using electronic medical records, claims data, and other resources.
Perform outreach to patients to confirm diagnoses, treatment plans, and identify barriers to care.
Integrate specialty services such as nutrition, behavioral health, and medication therapy management into care plans.
Identify and address risks for high utilization through coordination of referrals and supportive services.
Track hospital and ER visits, ensuring follow-up to maintain continuity of care and reduce readmissions.
Accurately document care activities in the electronic medical record system.