Chronic Care Coordinator

Job Description

Job Description

Position Summary : The CCM Specialist works with Primary Care Providers (PCP), care

center staff, and Nurse Care Managers to provide telephonic management of patients with

multiple chronic conditions and increased risk factors to ensure excellent care is provided

outside of office visits. Responsible for facilitating quality care in accordance with established

clinical practice guidelines and protocol and PCP direction. Fosters patient engagement and

adherence to plan of care to achieve evidence based clinical objectives and goals specific to

chronic conditions and preventive health measures