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Chronic Care Mangement Coordinator

Family Medicine at Greenhill
Wilmington, DE Full Time
POSTED ON 10/23/2026
AVAILABLE BEFORE 2/20/2027

Job Overview
We are seeking a proactive and compassionate Chronic Care Management Coordinator to join our healthcare team. In this vital role, you will coordinate comprehensive care plans for patients with complex, chronic conditions, ensuring seamless communication between patients, providers, and support services. Your energetic approach will help improve patient outcomes, enhance care experiences, and promote adherence to treatment regimens. This position offers an exciting opportunity to make a meaningful difference in the lives of diverse patient populations while working within a dynamic healthcare environment.

Responsibilities

  • Collaborate with healthcare providers to develop and implement personalized care plans for patients with chronic illnesses.
  • Conduct patient intake assessments and gather detailed medical histories using EMR (Electronic Medical Record) systems and EHR (Electronic Health Record) systems.
  • Provide patient education on disease management, medication adherence, and lifestyle modifications to empower self-care.
  • Coordinate discharge planning and follow-up care, ensuring timely referrals to social services, hospice care, or behavioral health resources as needed.
  • Monitor patient progress through regular outreach calls, virtual check-ins, and in-person visits when appropriate.
  • Maintain compliance with HIPAA regulations by safeguarding patient information during all communications and documentation.
  • Utilize CPT coding, ICD-9/10 coding, and ICD coding to accurately document clinical encounters for billing and utilization management purposes.

Experience

  • Critical care experience in hospital settings such as ICU (Intensive Care Unit), emergency medicine, or Level I/II trauma centers is highly desirable.
  • Prior hospital experience with acute care environments including hospital medicine or pediatrics enhances your ability to manage complex cases effectively.
  • Strong nursing background with knowledge of medical terminology, discharge planning, and managed care processes is essential.
  • Familiarity with EMR/EHR systems, Microsoft Office applications, and medical coding practices (CPT, ICD-9/10) is required for efficient documentation and communication.
  • Experience working with diverse cultural backgrounds and bilingual skills can significantly improve patient engagement and outcomes.
  • Knowledge of social work practices, behavioral health integration, health insurance policies, utilization management, and working within a Level I or Level II trauma center setting will be considered advantageous.

Join us in delivering exceptional patient-centered care! This role offers an engaging environment where your expertise in case management, social services, and healthcare coordination will directly impact the well-being of individuals managing chronic conditions across various clinical settings.

Pay: $25.00 - $30.00 per hour

Expected hours: 40.0 per week

Benefits:

  • 401(k)
  • Dental insurance
  • Disability insurance
  • Flexible schedule
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Vision insurance

Work Location: In person

Salary : $25 - $30

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