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Position Summary
The Coordinated Care Management (CCM) Specialist plays a critical role in supporting patients with chronic conditions by providing education, care coordination, and ongoing case management. This position helps bridge the gap between clinical care and patient self-management by developing personalized care plans, conducting regular follow-ups, and assisting patients in navigating the healthcare system. Working collaboratively with providers and care teams, the CCM Specialist promotes improved health outcomes, medication adherence, and patient engagement.
Develops and updates individualized care plans tailored to patient needs and disease acuity.
Conducts health education focused on prevention, chronic disease management, and lifestyle modification.
Collaborates with providers and clinical teams for care coordination.
Assists patients with appointment scheduling and navigating healthcare services.
Maintains timely and accurate documentation in EHRs and other required platforms.
Promotes medication adherence, risk reduction, and patient engagement.
Ensures compliance with all applicable local, state, and federal care delivery regulations.
Demonstrates proficiency in utilizing the CCIQ platform to manage and coordinate patient care, ensuring accurate documentation, follow-up, and communication across the care team.
Summary
Position Summary
The Coordinated Care Management (CCM) Specialist plays a critical role in supporting patients with chronic conditions by providing education, care coordination, and ongoing case management. This position helps bridge the gap between clinical care and patient self-management by developing personalized care plans, conducting regular follow-ups, and assisting patients in navigating the healthcare system. Working collaboratively with providers and care teams, the CCM Specialist promotes improved health outcomes, medication adherence, and patient engagement.
Essential Duties
Develops and updates individualized care plans tailored to patient needs and disease acuity.
Conducts health education focused on prevention, chronic disease management, and lifestyle modification.
Conducts regular patient follow-ups via phone using CCIQ platform.
Collaborates with providers and clinical teams for care coordination.
Assists patients with appointment scheduling and navigating healthcare services.
Maintains timely and accurate documentation in EHRs and other required platforms.
Promotes medication adherence, risk reduction, and patient engagement.
Ensures compliance with all applicable local, state, and federal care delivery regulations.
Demonstrates proficiency in utilizing the CCIQ platform to manage and coordinate patient care, ensuring accurate documentation, follow-up, and communication across the care team.
Other Duties
Other duties as assigned
Competencies
Accountability: Accepts full responsibility for self and contribution as a team member; displays honesty and truthfulness; confronts problems quickly; displays a strong commitment to organizational success and inspires others to commit to goals; demonstrates a commitment to National Jewish Health.
Attention to Detail: Accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time. Setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self-imposing standards of excellence rather than having standards imposed.Building Trust: Interacting with others in a way that gives them confidence in ones intentions and those of the organization.
Collaboration/Teamwork: Cooperates with others to accomplish common goals; works with employees within and across his/her department to achieve shared goals; treats others with dignity and respect and maintains a friendly demeanor; values the contributions of others.
Customer Focus: Ensuring that the customer perspective is a driving force behind business decisions and activities; crafting and implementing service practices that meet customers and own organizations needs.
Energy: Consistently maintaining high levels of activity or productivity; operating with vigor, effectiveness, and determination over extended periods of time.
Informing and Communicating: Clearly conveying information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message.
Initiative: Taking prompt action to accomplish objectives; taking action to achieve goals beyond what is required; being proactive.
Managing Work and Time/Project Management: Effectively managing ones time and resources to ensure that work is completed efficiently. Effectively manages project(s) by appropriately focusing attention on the critical few priorities; effectively creates and executes against project timelines based on priorities, resource availability, and other project requirements (i.e., budget); effectively evaluates planned approaches, determines feasibility, and makes adjustments when needed.
Patient Relations: Meeting patient and patient family needs; taking responsibility for a patients safety, satisfaction, and clinical outcomes; using appropriate interpersonal techniques to resolve difficult patient situations and regain patient confidence.
Problem Solving: Uses issue identification, data relation and comparison, pattern recognition and information gathering to create analyses and make recommendations.
Supervisory or Managerial Responsibility
None
Travel
None
Core Values
Be available to work as scheduled and report to work on time.
Be willing to accept supervision and work well with others.
Be well groomed, appropriately for your role and wear ID Badge visibly.
Be in compliance with all departmental and institutional policies, the Employee Handbook, Code of Conduct and completes NetLearning by due date annually.
Fosters an inclusive workplace where diversity and individual differences are valued and leveraged to achieve the vision and mission of the institution.
Adheres to safe working practices and at all times follows all institutional and departmental safety policies and procedures.
Wears appropriate PPE as outlined by the infection control policies and procedures.
Demonstrates compliance with all state, federal and all other regulatory agency requirements.
Minimum Qualifications
Education: Graduation from an Accredited School of Nursing required, BSN preferred.
Work Experience: Minimum 1 year of experience required. Background in case management or chronic disease care preferred.
Special Training, Certification or Licensure: Current Colorado Registered Nurse (RN) License and current CPR/BLS certification required upon hire for all areas.
Salary Range: $36.66 - $48.48
Benefits
At National Jewish Health, we recognize that our outstanding faculty and staff are the essence of our organization. For every aspect of health care, our employees are our greatest asset. With that in mind, we have designed a valuable, comprehensive benefits package to meet the needs of our employees and their families.
Comprehensive Medical Coverage: Multiple Cigna health plans for Colorado, regional office and remote employees. Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) available to pair with some plans.
Paid Time Off: Generous PTO accruals to use for vacation and sick days, and six paid holidays, all compliant with Colorado state sick leave regulations.
Dental & Vision Plans: Coverage effective the first of the month after hire.
Retirement Savings: 403(b) plan with employer contributions after two years.
Wellness Incentives: Earn up to $200 annually for preventive health activities.
Tuition Reimbursement: Up to $5,250 annually for full-time and part-time employees.
Child Care Assistance: Childcare Flex Spending Account (FSA) with annual employer contribution.
Loan Forgiveness: Public Service Loan Forgiveness (PSLF) eligible employer.
Disability & Life Insurance: Employer-paid plans and optional buy-up choices.
Voluntary Benefits: Full suite of coverage options such as Accident, Hospital Indemnity and Legal Plan
Exclusive Discounts: Savings on local services, insurance, and RTD bus passes.
#ind123 Seniority level Seniority level Entry level
Employment type Employment type Part-time
Job function Job function Health Care Provider
Industries Hospitals and Health Care
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