Chronic Care Staffing LLC

Role Description Chronic Care Staffing is seeking a dedicated Health Risk Assessment (HRA) Coordinator (CMA/RMA) to join our remote care team. In this role, you will conduct health assessments, engage with patients managing chronic conditions, and help connect them to the care and resources they need. If you enjoy building patient relationships, working in a structured remote environment, and using your clinical skills to support preventative care, this role offers a rewarding opportunity to make a meaningful impact on patient health. The Health Risk Assessment (HRA) Coordinator is responsible for coordinating and managing health risk assessment activities for patients, members, or program participants. This role supports population health initiatives by: - Conducting outreach - Gathering and documenting health information - Identifying care gaps and risk factors - Collaborating with clinical and administrative teams to improve health outcomes - Ensuring compliance with organizational and regulatory standards Job Duties & Responsibilities Include but are Not Limited to: - Coordinate and complete Health Risk Assessments (HRAs) through telephone outreach. - Collect, review, and document patient/member health history, medications, chronic conditions, social determinants of health, and preventive care needs. - Maintain accurate and timely documentation in electronic health record (EHR) systems and internal databases. - Support care coordination efforts by scheduling Annual Wellness Visits (AWVs). - Monitor and track HRA completion metrics, productivity goals, and quality standards (expected completion of 7 HRAs per day). - Ensure compliance with HIPAA, CMS, Medicare, and organizational policies and procedures. - Collaborate with interdisciplinary teams including nurses, providers, case managers, and quality improvement staff. - Educate patients/members on available healthcare resources, wellness programs, and preventive services. Qualifications - Active, unencumbered clinical license/certification (e.g., LPN/RN or CMA/RMA) required. - Active Basic Life Support (BLS) certification required. - Proven ability to manage high-volume telephonic outreach and meet daily productivity goals (e.g., 7 HRAs per day). - Strong knowledge base in health risk factors, chronic conditions, and social determinants of health (SDOH). - High proficiency in Electronic Health Record (EHR) systems and maintaining timely, accurate documentation. - Excellent organizational, time management, and critical thinking skills. - Thorough understanding of HIPAA, CMS, and Medicare compliance standards. - Excellent verbal communication skills for patient education and collaboration with clinical teams. Home Office HRA Coordinators must have a HIPAA compliant workplace that is free of any distractions. The workplace must be in a room with a locked door to prevent accidental PHI disclosures. The home office must have high speed internet and a CCS approved computer with two monitors. Physical Demand Includes but is not limited to: vision, hearing, repetitive motion, typing, and sedentary extended viewing of a work environment computer screen. Reasonable accommodations may be made, with advanced notice, to enable individuals with disabilities in order to perform the essential functions and expectations of the position without compromising patient care.

Role Description The Financial Analyst is responsible for supporting the organization’s financial planning, reporting, forecasting, and business intelligence functions. This position analyzes financial and operational data, prepares reports and dashboards, identifies trends, and provides actionable insights to support organizational decision-making and performance improvement initiatives. The Financial Analyst utilizes financial systems, reporting platforms, and analytics tools to monitor financial performance, improve operational efficiency, and support strategic business objectives. Qualifications - Bachelor’s degree in Finance, Accounting, Business Administration, Economics, Data Analytics, or related field; equivalent experience may be considered. - Minimum of three (3) years of experience in financial analysis, accounting, business intelligence, or related analytical roles. - Experience using QuickBooks, Power BI, Google Analytics, Gemini Analytics, or similar accounting and analytics platforms. - Advanced proficiency in Microsoft Excel, including formulas, pivot tables, and financial modeling. Requirements - Analyze financial and operational data to identify trends, risks, variances, and opportunities for improvement. - Prepare recurring and ad hoc financial reports, dashboards, and presentations for leadership review. - Support budgeting, forecasting, financial planning, and variance analysis activities. - Develop, maintain, and enhance Power BI dashboards and reporting tools used for organizational performance tracking. - Utilize QuickBooks and other financial software systems to monitor financial performance and reporting accuracy. - Develop Google Analytics, Gemini Analytics, and related platforms to evaluate operational and business performance metrics. - Interpret data related to revenue, expenses, profitability, workforce utilization, and operational efficiency. - Assist with month-end and year-end financial reporting processes. - Collaborate with leadership and departmental teams to provide financial and operational analysis. - Evaluate financial models, projections, and reporting metrics to support organizational initiatives and strategic planning. - Ensure the accuracy, integrity, and confidentiality of financial and operational data. - Identify process improvement opportunities and support reporting automation initiatives. - Maintain compliance with organizational policies, procedures, and reporting standards. - Perform additional duties and responsibilities as assigned. Benefits - Strong analytical, organizational, and problem-solving skills. - Strong written and verbal communication skills. - Ability to interpret financial and operational data and provide actionable insights. - Ability to manage multiple priorities and meet deadlines in a remote work environment. - High level of accuracy and attention to detail. Home Office All employees must have a HIPAA compliant workplace that is free of any distractions. The workplace must be in a room with a locked door to prevent accidental PHI disclosures. The home office must have high-speed internet and a CCS approved computer with two monitors. Physical Demand Includes but is not limited to vision, hearing, repetitive motion, typing, sedentary, and extended viewing of a work environment computer screen. Reasonable accommodation may be made with advanced notice, to enable individuals with disabilities to perform the essential functions and expectations of the position without compromising patient care.

Role Description The Care Coordinator is a trained professional that enrolls patients into the Chronic Care Management Program to manage their chronic conditions. Responsibilities include: - Determining patient eligibility for the CCM program - Obtaining and documenting patient’s verbal consent into the CCM program - Explaining the CCM program to the patient - Creating care plan for provider signature - Assessing current health status - Educating patients about their chronic conditions - Answering questions and acting as a resource between the patient and the provider - Addressing any urgent patient needs - Following up on any changes in patient condition Qualifications - Unencumbered active CMA/RMA certificate or unencumbered active compact license LPN/RN - Active BLS certification - Ability to plan and organize time effectively, work independently and show good judgment - Excellent problem solving, clinical reasoning, and critical thinking skills - Ability to communicate effectively both verbally and in writing - Knowledge of CCM regulations and of CCM billing requirements - High proficiency in working within EHR systems - Operational knowledge of Google Suite, Atlas, and other required software Requirements - Care Coordinators must have a HIPAA compliant workplace that is free of any distractions - The workplace must be in a room with a locked door to prevent accidental PHI disclosures - The home office must have high-speed internet and a CCS approved computer with two monitors Physical Demand Includes but is not limited to vision, hearing, repetitive motion, typing, sedentary, and extended viewing of a work environment computer screen. Reasonable accommodation may be made, with advanced notice, to enable individuals with disabilities to perform the essential functions and expectations of the position without compromising patient care.

Role Description We are seeking a skilled and compassionate Registered Dietitian to join our Chronic Care Management team. This is a remote, work-from-home role designed to provide ongoing support and dietary counseling to patients using weight management medications. The ideal candidate will excel in remote patient engagement, leveraging data from monitoring systems to guide dietary changes, and willing to conduct virtual coaching sessions with patients. Key Responsibilities - Remote Patient Monitoring: Track and interpret patient scale readings and other relevant health data. - Virtual Coaching: Conduct coaching sessions with patients, providing personalized dietary education and support. - Customized Diet Planning: Develop tailored meal plans based on patient goals, preferences, and progress, especially for those on medications like Ozempic. - Patient Education: Educate patients on healthy eating habits, nutrition, and lifestyle modifications to support weight loss and chronic care management. - Collaboration: Work closely with healthcare providers, including physicians and pharmacists, to ensure a coordinated approach to patient care. - Documentation: Maintain detailed records of patient interactions, progress notes, and dietary plans. Qualifications - Active Registered Dietitian (RD) license - must hold South Carolina license - Experience in chronic care management, weight loss, or related fields - Excellent communication skills, with the ability to engage patients remotely - Tech-savvy with experience using remote monitoring platforms and/or EMR systems - Ability to work full-time hours (8:00am - 5:00pm EST) and manage a virtual caseload independently - System: We require you to have an i5 or newer Windows processor, and to have Windows Pro (not Windows Home). This can be a laptop or desktop. - Must live/work full time in the US - you can work from anywhere within the US but not outside. Benefits - Competitive salary starting at $27/hr, plus quarterly bonuses and a tech stipend. - Tools and resources to provide high-quality remote patient care. - Great benefits, with a company paid life insurance policy. - 9 paid holidays per year - PTO that increases with tenure (11 days in first year, 16 in second year) - Flexible, work-from-home position with a supportive team environment. Physical Demand Includes but is not limited to vision, hearing, repetitive motion, typing, sedentary, and extended viewing of a work environment computer screen. Reasonable accommodation may be made, with advanced notice, to enable individuals with disabilities to perform the essential functions and expectations of the position without compromising patient care.

Role Description The Remote Patient Monitoring (RPM) Care Coordinator is a trained professional responsible for supporting patients in managing chronic and high-risk conditions through Remote Patient Monitoring. The RPM Care Coordinator monitors biometric data daily, educates patients on device usage and care goals, escalates critical findings, and serves as a liaison between the patient and the healthcare team. The goal is to enhance patient outcomes, promote care plan adherence, and reduce hospitalizations through real-time monitoring and timely intervention. - Conduct onboarding and device education calls for new RPM patients. - Monitor incoming biometric data (e.g., blood pressure, glucose, weight, oxygen saturation) daily through the RPM platform. - Identify abnormal readings and trends; follow escalation protocols to notify providers as needed. - Perform monthly RPM engagement calls, assessing patient condition and addressing concerns. - Troubleshoot device connectivity issues or patient usage problems. - Communicate with patients and caregivers about their monitored condition(s), goals, and progress. - Promote adherence to individualized care plans developed in collaboration with the provider. - Support patient self-management and encourage compliance with treatment plans. - Coordinate with the patient’s healthcare team to ensure timely responses to alerts or abnormal readings. - Document all patient interactions and interventions accurately in the EHR and/or RPM portal. - Educate patients on lifestyle changes, risk reduction, and the importance of monitoring. - Comply with CMS RPM billing guidelines and documentation requirements. - Maintain productivity expectations related to device monitoring and patient outreach. - Represent CCS with professionalism and compassion in all communications. Qualifications - Unencumbered active CMA/RMA certification or compact license as an LPN/RN. - Active BLS certification. - Strong understanding of remote patient monitoring protocols and platforms. - Proficiency in recognizing clinical red flags in biometric data. - Ability to communicate clearly and compassionately via phone or electronic messaging. - Excellent documentation, time management, and critical thinking skills. - Experience with EHR systems and cloud-based platforms. - Familiarity with Google Suite, Atlas, and other CCS-required software. Home Office RPM Care Coordinators must have a HIPAA-compliant workplace that is free of any distractions. The workplace must be in a room with a locked door to prevent accidental PHI disclosures. The home office must have high-speed internet and a CCS-approved computer with two monitors. Physical Demand Includes but is not limited to vision, hearing, repetitive motion, typing, and extended sedentary viewing of a work environment computer screen. Reasonable accommodations may be made, with advanced notice, to enable individuals with disabilities to perform the essential functions and expectations of the position without compromising patient care.

Role Description The Care Coordinator is a trained professional that helps patients manage their chronic conditions by calling patients monthly. Monthly calls will include: - Assessing current health status - Educating patients about their chronic conditions - Answering questions and acting as a resource between the patient and the provider - Addressing any urgent patient needs - Following up on any changes in patient condition Job Duties & Responsibilities Include but are Not Limited to: - CCM monthly calls or verbal enrollments - Other services such as Health Risk Assessments, Transitional Care Management, Remote Patient Monitoring, etc. - Communicate with patients and family members about their chronic conditions, medications, quality measures, barriers to care, and practice-specific requests - Communicate effectively with providers, staff, and other healthcare professionals - Promote adherence to a care plan developed in coordination with the patient, primary care provider, and family/caregiver(s) - Increase patients’ ability for self-management and shared decision-making, and assist patients in reaching established goals - Medication reconciliation - Connect patients to relevant community resources, with the goal of enhancing patient health and well-being, increasing patient satisfaction, and reducing healthcare costs - Represent CCS in a caring and professional manner to providers and other healthcare professionals - Comply with organizational guidelines and healthcare laws and regulations, including CMS guidelines - Be flexible and a team player - Maintain expected call volume (see Call Expectations Policy) Qualifications - Unencumbered active CMA/RMA certificate or unencumbered active compact license LPN/RN - Active BLS certification - Ability to plan and organize time effectively, work independently, and show good judgment - Excellent problem solving, clinical reasoning, and critical thinking skills - Ability to communicate effectively both verbally and in writing - Knowledge of CCM regulations and of CCM billing requirements - High proficiency in working within EHR systems - Operational knowledge of Google Suite, Atlas, and other required software Home Office Care Coordinators must have a HIPAA-compliant workplace that is free of any distractions. The workplace must include: - A room with a locked door to prevent accidental PHI disclosures - High-speed internet - A CCS-approved computer with two monitors Physical Demand Includes but is not limited to vision, hearing, repetitive motion, typing, and sedentary extended viewing of a work environment computer screen. Reasonable accommodations may be made, with advanced notice, to enable individuals with disabilities to perform the essential functions and expectations of the position without compromising patient care.

Role Description The RN care coordinator is a trained professional that helps patients manage their chronic conditions by calling patients monthly. Monthly calls will include: - Assessing current health status - Educating patients about their chronic conditions - Answering questions and acting as a resource between the patient and the provider - Addressing any urgent patient needs - Following up on any changes in patient condition Job Duties & Responsibilities Include but are not limited to: - CCM monthly calls or verbal enrollments - Other services such as Health Risk Assessments, Transitional Care Management, Remote Patient Monitoring, etc. - Communicate with patients and family members about their chronic conditions, medications, quality measures, barriers to care, and practice-specific requests - Communicate effectively with providers, staff, and other healthcare professionals - Promote adherence to a care plan developed in coordination with the patient, primary care provider, and family/caregiver(s) - Increase patients’ ability for self-management and shared decision-making, and assist patients in reaching established goals - Medication reconciliation - Connect patients to relevant community resources, with the goal of enhancing patient health and well-being, increasing patient satisfaction, and reducing healthcare costs - Represent CCS in a caring and professional manner to providers and other healthcare professionals - Comply with organizational guidelines and healthcare laws and regulations, including CMS guidelines - Be flexible and a team player - Maintain expected call volume (see Call Expectations Policy) Qualifications - Unencumbered active compact license (RN), or a California RN license - Must live in either MST or PST time zone - Active BLS certification - Ability to plan and organize time effectively, work independently, and show good judgment - Excellent problem-solving, clinical reasoning, and critical thinking skills - Ability to communicate effectively both verbally and in writing - Knowledge of CCM regulations and of CCM billing requirements - High proficiency in working within EHR systems - Demonstrated leadership skills, including the ability to guide, motivate, and support team members - Operational knowledge of Google Suite, Atlas, and other required software Home Office - Care coordinators must have a HIPAA-compliant workplace that is free of any distractions - The workplace must be in a room with a locked door to prevent accidental PHI disclosures - The home office must have high-speed internet and a CCS-approved computer with two monitors Physical Demand Includes but is not limited to vision, hearing, repetitive motion, typing, and extended sedentary viewing of a work environment computer screen. Reasonable accommodations may be made, with advanced notice, to enable individuals with disabilities to perform the essential functions and expectations of the position without compromising patient care.

Role Description The Clinical Operations Manager is a clinical and operational leader responsible for supporting the performance, quality, and daily operations of the Care Coordination team. This role serves as a development pathway for future Regional Clinical Director (RCD) responsibilities by providing progressive exposure to clinical oversight, team leadership, and program management. The Clinical Operations Manager ensures adherence to care coordination standards, supports staff development, and contributes to the delivery of high-quality patient care and client satisfaction, including direct patient engagement when necessary. Qualifications - Active RN license. - Minimum 2 years of clinical experience; care coordination experience preferred. - Prior leadership, mentoring, or supervisory experience preferred. - Strong knowledge of care coordination workflows, documentation, and compliance standards. - Ability to manage performance, prioritize tasks, and lead in a remote environment. Requirements - Provide direct support, guidance, and coaching to Care Coordinators (CMAs, RMAs, LPNs, RNs). - Serve as the primary escalation point for workflow, performance, and clinical concerns. - Monitor daily team performance, productivity, and engagement. - Support onboarding, training, and ongoing staff development. - Reinforce adherence to company policies, workflows, and expectations. - Make calls to patients as needed to support care coordination, address escalations, or assist during high-volume or staffing gaps. - Conduct and support chart audits and documentation reviews to ensure quality and compliance. - Monitor adherence to care coordination protocols and regulatory requirements. - Assist in resolution of clinical escalations and patient-related concerns. - Promote consistent, high-quality patient engagement and care planning practices. - Track and evaluate individual and team performance metrics (productivity, quality, engagement). - Provide routine feedback, coaching, and performance improvement support. - Partner with leadership and HR to execute corrective action processes (coaching, verbal warning, written warning, PIP). - Identify performance trends and recommend targeted development actions. - Assist with daily workflow management, staffing coverage, and workload distribution. - Support achievement of client expectations and service level agreements. - Participate in implementation of new processes, tools, and operational initiatives. - Identify workflow gaps and recommend process improvements. - Shadow and support RCD functions, including program oversight and performance monitoring. - Participate in leadership discussions, reporting, and operational planning. - Assist with client-related needs and communications as appropriate. - Demonstrate progressive readiness for transition into RCD responsibilities. Skills - Excellent written and verbal communication skills. - Proficient in Microsoft Office Suite, G-Suite, and other digital collaboration tools. - Strong organizational skills with the ability to prioritize multiple projects. - High attention to detail and professionalism in handling client-facing tasks. - Ability to engage and motivate remote employees in a virtual work environment. - Self-motivated and capable of managing multiple projects simultaneously. Career Path Expectations - This role is designed as a pathway to Regional Clinical Director (RCD). - Advancement is based on demonstrated performance in leadership, clinical oversight, and operational management. - Maintain high standards of clinical quality and compliance. - Remain engaged in operational workflows, including patient outreach when needed. - Demonstrate ownership of team performance and outcomes. - Support a positive, collaborative team environment. - Actively engage in leadership development and RCD readiness. Home Office Requirements - All employees must have a HIPAA-compliant workplace that is free of any distractions. - The workplace must be in a room with a locked door to prevent accidental PHI disclosures. - The home office must have high-speed internet and a CCS-approved computer. Work Demands - Ability to work in a fully remote setting with a stable internet connection. - Flexibility to accommodate different time zones and employee schedules. - May require occasional evening or weekend training sessions to meet organizational needs. - Ability to remain seated for extended periods while conducting virtual training sessions. - Must be able to manage multiple deadlines and adjust priorities as necessary.