Team Lead-Chronic Care Management jobs in United States
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Riceland Healthcare · 1 day ago

Team Lead-Chronic Care Management

Riceland Healthcare System is seeking an experienced and motivated Team Lead for Chronic Care Management (CCM) to oversee and coordinate daily operations of the CCM team. The ideal candidate will ensure quality patient engagement, compliance with CMS guidelines, and smooth execution of care coordination activities that support patients with chronic conditions.

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Responsibilities

Supervise and support the CCM team, ensuring all patient calls, follow-ups, and documentation are completed timely and accurately
Oversee the development and maintenance of care plans for patients with chronic conditions
Ensure compliance with CMS guidelines and organizational protocols for chronic care management
Monitor team performance metrics, track monthly targets, and provide feedback and coaching to staff
Coordinate with physicians, nurses, and clinical teams to ensure continuity of care and effective communication
Conduct audits of care plans and documentation to maintain quality and compliance standards
Identify workflow gaps and implement process improvements for efficiency
Provide training to new CCM staff and ensure consistent adherence to policies
Generate periodic reports for leadership on patient engagement, performance, and billing readiness

Qualification

Chronic Care ManagementEClinicalWorksCare coordinationPopulation healthCMS guidelinesMultitaskingLeadershipCommunicationProblem-solvingOrganizational skills

Required

Bachelor's degree in Nursing, Healthcare Administration, or a related field (or equivalent experience)
Minimum 3–5 years of experience in Chronic Care Management, care coordination, or population health
Strong understanding of CCM, RPM, and Transitional Care Management (TCM) guidelines
Proficiency in eClinicalWorks (ECW) or similar EMR systems
Excellent leadership, communication, and problem-solving skills
Detail-oriented with strong organizational and multitasking abilities

Preferred

1–2 years of supervisory or team lead experience preferred

Benefits

401(k)
Paid time off
Health Insurance
Ancillary Benefits

Company

Riceland Healthcare

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Riceland HealthCare is a network of physicians, hospital, hospice, home health and other services providing affordable patient care.

Funding

Current Stage
Late Stage

Leadership Team

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TAHIR JAVED
CEO & PRESIDENT
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Saad Javed
Chief Operating Officer
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Company data provided by crunchbase