Coordinated Care Management Specialist (Registered Nurse/RN)
SummaryPosition 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.
- 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 oneâs 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 customersâ and own organizationâs 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 oneâs 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 patientâs 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.
- 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.
- 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.
- 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.