Chronic Care Management; CCM) Coordinator

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Full Time Salary Lewisburg, WV, US

WVSOM Health is expanding our care coordination team and seeking a full-time Chronic Care Management (CCM) Coordinator.

Position

Purpose:

The Chronic Care Management (CCM) Coordinator role is responsible for managing all aspects of a patient’s healthcare maintenance and treatment and working collaboratively with the patient and other healthcare professionals to ensure seamless, organized, effective, quality care. The primary role of the CCM Coordinator is to be the patient’s advocate in all aspects of their healthcare journey and is instrumental in assisting them with obtaining appropriate resources, as needed.

This role is also responsible to assist the clinic in achieving value-based care goals through multiple insurance quality programs, the Accountable Care Organization (ACO) and the Centers for Medicaid and Medicare Services (CMS). Reviewing and closing care gaps and performing both Chronic Care Management (CCM) and Transitional Care Management (TCM) with CMS patients are important tasks to both the interest of the patient and clinic.

This role will develop processes that support these care coordination efforts. Ensure all CMS regulations are met in order to bill and receive reimbursements that support these programs for continued growth.

Position

Qualifications:

• Knowledge of the regulatory guidelines for Chronic Care Management as outlined by CMS.
• Knowledge of Patient-Centered Medical Home model/mission.
• Experience with health insurance practices and requirements.
• Knowledge and understanding of chronic disease and preventative care measures and their impact on patient health and well-being.
• Good judgement and critical thinking skills are critical.
• Ability to establish and maintain a good rapport with patients, families, medical staff, and coworkers.
• Excellent written and verbal communication skills.
• Strong attention to detail.
• Ability to prioritize and be willing to invest in a change process to improve effectiveness.
• Able to prioritize and work with little supervision.
• Proficient computer skills, including Microsoft Office, and ability to utilize electronic health record.

Experience:

• A minimum of three years’ experience in a clinical setting

Position

Purpose:

The Chronic Care Management (CCM) Coordinator role is responsible for managing all aspects of a patient’s healthcare maintenance and treatment and working collaboratively with the patient and other healthcare professionals to ensure seamless, organized, effective, quality care. The primary role of the CCM Coordinator is to be the patient’s advocate in all aspects of their healthcare journey and is instrumental in assisting them with obtaining appropriate resources, as needed.

This role is also responsible to assist the clinic in achieving value-based care goals through multiple insurance quality programs, the Accountable Care Organization (ACO) and the Centers for Medicaid and Medicare Services (CMS). Reviewing and closing care gaps and performing both Chronic Care Management (CCM) and Transitional Care Management (TCM) with CMS patients are important tasks to both the interest of the patient and clinic.

This role will develop processes that support these care coordination efforts. Ensure all CMS regulations are met in order to bill and receive reimbursements that support these programs for continued growth.

Position

Qualifications:

• Knowledge of the regulatory guidelines for Chronic Care Management as outlined by CMS.
• Knowledge of Patient-Centered Medical Home model/mission.
• Experience with health insurance practices and…