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Chronic Care Management (CCM) Specialist - Patient Ally Proficiency (English & Spanish)

Work from home Full-time role Hiring

Schedule: Full-Time | 40 Hours | Monday - Friday | US Timezone Contract Type: Independent Contractor

About the Role

We are seeking an experienced Chronic Care Management (CCM) Specialist - Patient Ally Proficiency to join a growing healthcare team. This role is ideal for someone with hands-on U.S. CCM experience who is passionate about supporting patients through ongoing care coordination and proactive follow-up. As a CCM Specialist, you will play a key role in improving patient outcomes by conducting routine follow-up calls, documenting patient interactions, coordinating care activities, and maintaining accurate patient records. The ideal candidate is organized, self-motivated, bilingual, and comfortable working independently in a fully remote environment.

Key Responsibilities

Conduct Chronic Care Management (CCM) follow-up calls with eligible patients. Build positive relationships with patients and encourage ongoing engagement in their care plans. Accurately document all patient interactions and care activities within established timelines. Maintain and update CCM tracking logs using Google Drive and Google Sheets. Utilize Office Ally as the primary Electronic Health Record (EHR) system. Coordinate patient care activities and ensure all required documentation is complete and compliant. Monitor patient progress and escalate concerns to the appropriate clinical team when necessary. Collaborate with providers and other healthcare professionals to support continuity of care. Maintain strict HIPAA compliance and protect patient confidentiality at all times. Perform additional administrative and care coordination duties as assigned. Required Qualifications 1–2+ years of recent hands-on experience in U.S. Chronic Care Management (CCM). Experience conducting patient follow-up calls and coordinating ongoing patient care. Proficiency with Google Drive and Google Sheets for patient tracking and workflow management. Experience using Office Ally EHR. Strong understanding of U.S. healthcare workflows, documentation standards, and patient communication. Excellent verbal and written English communication skills. Strong organizational skills with exceptional attention to detail. Ability to work independently, manage priorities effectively, and thrive in a remote environment. Bilingual proficiency is required.

Preferred Qualifications

Experience using Patient Ally. Experience supporting Remote Patient Monitoring (RPM) or other care coordination programs. Medical Assistant, Nursing, or other clinical healthcare background. Familiarity with insurance documentation and patient scheduling processes. Technical Requirements Reliable high-speed internet connection. Quiet, professional home office environment. Computer capable of running multiple browser-based healthcare applications simultaneously. Schedule & Availability Full-time remote position. Availability to work during U.S. business hours.

What We're Looking For

We are especially interested in candidates who have: Recent hands-on experience managing Chronic Care Management (CCM) programs. Practical experience using Office Ally. Experience with Patient Ally (strongly preferred). Managed CCM workflows using Google Sheets and Google Drive. Excellent spoken English, professionalism, and a patient-centered communication style. A proactive approach, strong attention to detail, and the ability to work with minimal supervision.

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