CCM Manager (Chronic Care Management / Principal Care Management)

MedElite Group, LLC.•Hollywood, FL

1d•Onsite

About The Position

Since 2011, MedElite has been dedicated to improving the standard of care in skilled nursing and long-term care facilities nationwide. We implement a data-driven, "treat in place" model that enhances resident health outcomes while saving valuable time and resources for our partner organizations. By managing a network of advanced practice providers and specialty clinicians, we deliver high-quality, proactive care directly to the bedside. Our passion for positively impacting the lives of residents, administrators, and healthcare professionals drives our commitment to continuously innovate and redefine senior care across the country. MedElite is a fast-growing healthcare company with a mission to serve a vulnerable, underserved post-acute care facility population across the country. This role offers the opportunity to get involved in meaningful projects and initiatives across the business, with significant opportunity for career advancement as the company continues its year-over-year growth. As a CCM Manager, you will be responsible for overseeing the daily operations and performance of MedElite’s Chronic Care Management (CCM) and Principal Care Management (PCM) programs. Reporting to senior leadership, this role will lead a team of clinical coordinators, ensure compliance with CMS guidelines, and drive operational excellence across workflows, productivity, and quality. The ideal candidate is a strong people leader with experience in healthcare operations, performance management, and process improvement within care management programs. This is an in-office role based in our Brooklyn office, with some flexibility as needed.

Requirements

Bachelor’s degree required
3+ years of experience in healthcare operations, care management, or clinical program leadership
Strong understanding of CMS guidelines, documentation, and billing practices
Proven ability to manage performance, analyze data, and drive operational improvements
Excellent communication, leadership, and organizational skills
Highly organized with strong attention to detail and ability to manage multiple priorities

Nice To Haves

healthcare-related field preferred
Prior experience managing teams in CCM, PCM, or population health programs preferred
Experience with EMRs and systems such as ROPHE, EMSOW, or eMARS preferred

Responsibilities

Oversee daily operational performance of CCM/PCM programs, ensuring adherence to CMS requirements and organizational standards
Monitor and verify team attendance daily (via EMPEON and in-person checks)
Serve as the primary point of contact for coordinator questions, workload issues, and operational escalations
Implement and optimize workflows; drive continuous improvement in collaboration with Clinical Directors and Operations leadership
Attend and present in required meetings or ensure appropriate coverage
Supervise, coach, and provide day-to-day direction to CCM/PCM clinical coordinators
Deliver targeted coaching and support for low-performing team members
Track productivity, accuracy, and compliance metrics; manage KPIs and performance improvement plans
Execute progressive discipline in partnership with HR and leadership
Foster a positive, engaged, and accountable team culture to support retention
Conduct interviews and lead onboarding and orientation for new hires, including a structured 30–90 day training period
Train staff on CMS documentation and billing requirements, coding standards, care plan development, and internal systems (ROPHE, EMSOW, eMARS)
Develop and maintain SOPs, job aids, and training materials
Assess new hire readiness, ensuring competency in documentation, time management, and caseload ownership
Facilitate bi-weekly All-Pods Education sessions
Perform routine chart reviews, audits, and documentation checks to ensure CMS compliance and internal quality standards
Provide corrective feedback, retraining, and follow-up coaching based on findings
Identify trends and systemic issues to improve overall program quality and reduce rework
Support charting and documentation corrections during high-volume periods
Approve or deny PTO requests and resolve payroll discrepancies or missed punches
Manage employee system access across required platforms (ROPHE, EMSOW, eMARS)
Maintain and report monthly retention data, including hires, terminations, and attrition
Lead daily team huddles to align on priorities, goals, and performance expectations
Conduct weekly 1:1 check-ins and coaching sessions
Partner cross-functionally with BHI/CoCM, Population Health, Quality Assurance, and Operations teams