Care Coordinator - Chronic Management

Optima Medical
Glendale, AZ
On-siteCareer-pivot friendly

Who this role is best for

Aimed at mid-level clinical professionals with EMR experience who prefer in-office coordination roles.

Best fit for

  • Medical Assistants with EMR experience and a focus on chronic disease management
    — “This is a fantastic opportunity for Medical Assistants looking to take the next step in their career while still using their clinical knowledge every day.”
  • Candidates with strong communication and patient education skills
    — “Providing ongoing education and support to patients and their families regarding disease management, lifestyle modifications, and preventive care measures.”
  • Individuals with a background in care coordination and a commitment to patient well-being
    — “Collaborating with community resources and social services agencies to address patients’ social determinants of health and support their overall well-being.”

Things to consider

  • The role is in-office and requires regular patient outreach and follow-up
    — “This is an in office phone and EMR-based coordination role”
  • Bilingual capability may be necessary for effective patient communication
    — “Bilingual (English/Spanish) is a plus”

How to stand out

  • Highlight experience in creating personalized care plans and coordinating with multidisciplinary teams
    — “Developing personalized care plans in collaboration with patients, caregivers, and healthcare providers.”
  • Demonstrate proficiency in using EHR systems, especially eClinicalWorks
    — “At least 1 year of EMR experience; eClinicalWorks preferred”
  • Showcase your ability to provide patient education and support for chronic conditions
    — “Providing ongoing education and support to patients and their families regarding disease management”
  • Emphasize any experience in addressing social determinants of health
    — “Collaborating with community resources and social services agencies to address patients’ social determinants of health”
Pace · SteadyCollaboration · HighAutonomy · MediumDecision Impact · Team

Derived from job-description analysis by Serendipath's career intelligence engine.

What success looks like

  • personalized care plans
  • patient progress monitoring
  • education and support
Typical background
1+ year clinical work experience1+ year EMR experiencemedical assistant certification

Skills & requirements

Required

Care CoordinationPatient CommunicationHealthcare TechnologyChronic Disease ManagementEMR UsageCommunity Resource Coordination

Preferred

Bilingual (english/spanish)Medical Assistant Certification

Stack & domain

EMR ExperiencePatient Care CoordinationChronic Disease ManagementHealthcare Technology ToolsCommunity ResourcesCommunicationCustomer ServiceTeamworkProfessionalismHealthcareChronic DiseasePatient CareHealth Management

About the role

Original posting from Optima Medical via Greenhouse

About Optima Medical:

Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130+ medical providers, who care for more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation’s top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard. Optima is currently seeking a Care Coordinator to join our team! This individual will be expected to monitor a specific group of patient’s care and support them in achieving short/long term health goals. The Care Coordinator will coordinate with providers to ensure patients’ needs are met. A working knowledge of the clinical field is desired for this position.

About the Role:

This is an in office phone and EMR-based coordination role — not a traditional clinical floor position. As a Care Coordinator in our growing CCM program, you’ll work directly with patients living with chronic conditions (such as diabetes, hypertension, COPD, and heart disease), helping them stay on track with their care plans and health goals through regular outreach and follow-up. This is a fantastic opportunity for Medical Assistants looking to take the next step in their career while still using their clinical knowledge every day.

Care Coordinator Responsibilities:

Developing personalized care plans in collaboration with patients, caregivers, and healthcare providers.

Coordinating and facilitating communication between various healthcare team members, including physicians, specialists, nurses, and ancillary service providers.

Monitoring patients’ adherence to treatment plans and medications, as well as their progress towards health goals.

Providing ongoing education and support to patients and their families regarding disease management, lifestyle modifications, and preventive care measures.

Utilizing electronic health records (EHR) and other healthcare technology tools to document patient encounters, track interventions, and ensure continuity of care.

Collaborating with community resources and social services agencies to address patients’ social determinants of health and support their overall well-being.

Conducting regular follow-up check ins and care coordination activities to optimize health outcomes and quality of life for patients with chronic conditions.

Care Coordinator Qualifications:

At least 1 year of clinical work experience as a Medical Assistant

At least 1 year of EMR experience; eClinicalWorks preferred

High level of professionalism

Excellent written and verbal communication skills

Strong customer service skills

Medical Assistant Course Completion Diploma or CMA designation required

Bilingual (English/Spanish) is a plus

Must have HS diploma or GED equivalent

Why Join Our Team?

Substantial growth opportunities

Leadership and mentoring

Resources to further your career

Fun work environment (events, holiday parties)

Benefits (medical/vision/dental/401k/paid holidays)

Supportive and positive work environment

Source: Optima Medical careers (Greenhouse)

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