Full Job Description
Position Overview
This clinical role is essential for supporting patients with high blood pressure and those diagnosed with conditions that require ongoing care coordination, telehealth engagement, and exceptional customer service. Key responsibilities include conducting routine outreach calls, educating patients about Remote Patient Devices (RPD) services, assisting with enrollment on behalf of providers, and helping patients navigate their care plan to improve health outcomes and reduce barriers to care.
This position plays a vital role in enhancing patient care and ensuring effective management of their health conditions. The ideal candidate is patient-focused, compassionate, meticulous, and skilled in telephonic communication and care coordination.
Key Responsibilities
Patient Outreach & Enrollment
- Contact eligible patients by phone on behalf of their provider to explain the benefits of RPD services.
- Assess patient interest, answer questions, and complete RPD enrollment following compliance guidelines.
- Verify patient demographics, consent, and coverage as needed.
- Document all outreach, communication attempts, and enrollment activity in the patient record.
Telehealth & Care Coordination
- Provide monthly telehealth check-ins with enrolled CCM patients to review health status, medications, and care plan goals.
- Identify care gaps, social determinants of health needs, and barriers to treatment.
- Coordinate with providers, specialists, and ancillary teams to support patient needs or escalate clinical concerns.
- Utilize telehealth platforms and electronic medical records (EMR) to monitor patient progress and communicate updates.
- Collaborates on planning efforts for wrap around services including but not limited to timely completion of patient care plans.
Customer Service & Patient Support
- Deliver a positive, compassionate, and supportive experience during all patient interactions.
- Provide education on preventive care, chronic disease management, and self-management techniques.
- Assist patients in understanding provider instructions, follow-up appointments, and medication routines.
- Serve as a patient advocate to ensure timely resolution of questions, concerns, or issues.
- Interacts professionally across levels with leadership, staff, and clients.
- Shares current industry knowledge on factors impacting ambulatory, community and regional healthcare market and/or industry standards which may impact business model.
Documentation & Compliance
- Maintain accurate, complete, and timely documentation of all CCM services.
- Ensure all interactions meet CMS guidelines for Chronic Care Management billing requirements.
- Follow HIPAA rules and always protect patient confidentiality.
- Participate in Participate in audits, quality reviews, claims optimization, billing cycle, and performance improvement initiatives.
- Ensures compliance with all local, state, and national reimbursement practices, including government and commercial payors.
- Maintain financial integrity on department initiatives, operational efficiency and/or any financial processes that align with regulatory requirements.
Operations Management
- Review care plans to ensure that claim objectives are met.
- Contribute to the overall success of care delivery, including training and developing other staff to ensure that qualified personnel are in place to meet objectives.
- Collaborates with D-team, IT and/or areas impacting technology on shared services and departmental initiatives.
Qualifications
Required
- Bachelor’s in healthcare administration, Business Administration, and/or related field.
- Active LPN, LVN, RN, or CMA/CNA with applicable experience (adjust as needed).
- Strong telephonic communication and customer service skills.
- Experience in chronic disease management, care coordination, or ambulatory care.
- Familiarity with EMR systems and telehealth workflows.
- Ability to work independently, prioritize tasks, and manage multiple patients.
- Compassionate, patient-centered approach and strong people skills.
Preferred
- Prior experience with CCM, RPM, case management, or population health.
- Knowledge of Medicare guidelines and value-based care programs.
- Bilingual abilities (optional—edit if needed).
- Master’s degree in healthcare administration, Business Administration, Management, or in a related field.
- A minimum of 5-7 years’ experience in healthcare space and/or academic environment.
- Advanced training or certification in healthcare administration.
- Demonstrated success in collaboration with multidisciplinary teams and fostering collaboration between providers, clinicians, researchers, and administrative staff.
- Strong background working for complex organizations.
- Knowledge of healthcare billing and reimbursement models.
- Proficiency with Microsoft Office tools.
- Proficiency with data analytics and reporting to support decision-making.
Job Type: Full-time
Pay: $70,000.00 – $87,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Professional development assistance
- Vision insurance
Application Question(s):
- How many years of experience do you have with chronic care management or remote patient monitoring?
Education:
- Bachelor’s (Required)
Experience:
- Value-based Care Programs: 4 years (Required)
- Medicare Programs: 4 years (Required)
Work Location: Hybrid remote in Downers Grove, IL 60515
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