CCM Coordinator / Manager



Wilmington, DE, USA
Posted on Sunday, March 26, 2023
Location: Stoney Batter Family Medicine
Position: CCM Coordinator / Manager
Schedule: 8-hour shift; Monday to Friday; Flex time available
Benefits: Health insurance; Paid time off
Stoney Batter Family Medicine Associate P.A. CCM program provides quality outreach for patients with multiple chronic condition. On a daily basis, CCM Case Manager will coordinate care, outreach to patients providing care management services and accurate and timely documentation.
Essential Duties: The duties listed below are the essential functions of this position, and they may change as the needs of the company demand. All CCM Coordinator / Care Managers are expected to do what is necessary to get the work done and to cooperate fully with their supervisor’s requests for additional or altered duties.
 Identifies and implements the appropriate level of intervention based upon the member’s needs and clinical progress
 Maintain proper documentation including
o. Patient notes
o Messaging
o Care Plans
o Medication Reconciliation
o Scheduling notes
 Coordinate with Provider on
o Goals
o Patient Needs
o requirements
 Shares goals with the member and family as appropriate
 Schedules follow up calls as necessary
 Keeps a calendar and f/u on issues
o If meds were changed
o BP calls back in a week
o Depression meds call back in a week
 Documents progress towards meeting goals and resolving problems
 Coordinates care and services with other offices as needed
 Schedule visits
 Assist provider on AWV’s by completing the assessment portion
 Orders DME
 Provide virtual visit to patient when necessary
 Check voicemails multiple times a day
 Support other case managers at times of absences including
o Patient Contact
o Call coverage
o Messaging
 Participate in regularly scheduled meetings as needed
 Access Aledade APP daily for
o Admission data on covered patients to avoid readmissions
o Care Gap
 Graduates and defers pts when needed
 Other duties as assigned


  • 1-3 years of experience
  • Strong competency in professional Health Care services industry
  • Must have strong written and verbal skills in English.
  • Experience using Associated software Hospital based systems
  • Must have knowledge of a variety of computer software applications

Skills & Abilities Required:

  • Organized
  • Attention to detail
  • Ability to multitask
  • Strong communication skills
  • Deadline oriented
  • Ability to work with minimal supervision
  • Basic use of Microsoft Produces
  • Ability to work in a team environment
  • Customer service mentality
  • Strong written & verbal communication skills in English
  • Uses critical thinking to assess potential issues and does not focus on just the POC when speaking
  • Be a team player

Physical Requirements:

  • Ability to sit and/or stand for extended periods
  • Ability to perform work on a computer for extended periods
  • Ability to attend work and meetings with excellent attendance and punctuality
  • Ability to bend and lift up to 25 lbs.
  • No travel required
Please note this position is posted on behalf of our partner practices. This individual will be working at the specific practice that is mentioned in the above details and will not be a direct employee of Aledade, Inc. so will therefore not be eligible for the benefits available to Aledade employees.