Chronic Care Management Coordinator
Listed on 2026-01-27
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Healthcare
Healthcare Administration, Community Health
About Optima Medical
Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130+ medical providers, who care for more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation's top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services.
Optima is currently seeking a Care Coordinator to join our team! This individual will be expected to monitor a specific group of patient s care and support them in achieving short/long term health goals. The Care Coordinator will coordinate with providers to ensure patients needs are met. A working knowledge of the clinical field is desired for this position.
CCM stands for Chronic Care Management, which is a healthcare delivery model aimed at providing comprehensive and coordinated care to patients with chronic conditions. CCM services are designed to improve the quality of care, enhance patient outcomes, and reduce healthcare costs by addressing the complex needs of individuals living with chronic illnesses.
Care Coordinator Responsibilities- Developing personalized care plans in collaboration with patients, caregivers, and healthcare providers.
- Coordinating and facilitating communication between various healthcare team members, including physicians, specialists, nurses, and ancillary service providers.
- Monitoring patients adherence to treatment plans and medications, as well as their progress towards health goals.
- Providing ongoing education and support to patients and their families regarding disease management, lifestyle modifications, and preventive care measures.
- Utilizing electronic health records (EHR) and other healthcare technology tools to document patient encounters, track interventions, and ensure continuity of care.
- Collaborating with community resources and social services agencies to address patients social determinants of health and support their overall well-being.
- Conducting regular follow-up check-ins and care coordination activities to optimize health outcomes and quality of life for patients with chronic conditions.
- At least 1 year of clinical work experience as a Medical Assistant
- At least 1 year of EMR experience; eClinical
Works preferred - High level of professionalism
- Excellent written and verbal communication skills
- Strong customer service skills
- Medical Assistant Course Completion Diploma or CMA designation required
- Substantial growth opportunities
- Leadership and mentoring
- Resources to further career
- Fun work environment (events, holiday parties)
- Benefits (medical/vision/dental/401k/paid holidays)
- Supportive and positive work environment
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