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
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