Telehealth Chronic Care Management (CCM) Specialist

F&S Services•Evergreen Park, IL

22h•Remote

About The Position

The Telehealth Chronic Care Management (CCM) Specialist is responsible for supporting patients with chronic conditions through ongoing remote monitoring, care coordination, and engagement. This role works closely with providers, care teams, and patients to ensure adherence to care plans, improve health outcomes, and reduce hospitalizations using telehealth platforms.

Requirements

High school diploma required
Familiarity with chronic conditions such as diabetes, hypertension, COPD, and heart disease
Experience with EMR/EHR systems and telehealth platforms
Strong communication and patient engagement skills
Ability to manage a high volume of patient interactions and documentation

Nice To Haves

Associate’s or Bachelor’s degree in healthcare-related field preferred
Certification or experience in medical assisting, care coordination, or population health strongly preferred

Responsibilities

Conduct routine telephonic or virtual check-ins with patients enrolled in Chronic Care Management programs
Monitor patient health status, symptoms, and adherence to treatment plans
Document all patient interactions and time spent in accordance with CMS Chronic Care Management Program guidelines
Assist in developing and updating individualized care plans under provider supervision
Coordinate care between primary care providers, specialists, pharmacies, and other healthcare services
Identify changes in patient condition and escalate concerns to clinical staff appropriately
Educate patients on disease management, medications, lifestyle modifications, and preventive care
Ensure compliance with HIPAA and patient confidentiality standards
Track and report CCM metrics including patient engagement, time logs, and quality outcomes
Support billing documentation and audit readiness for CCM services