- Conduct monthly CCM patient check-ins via phone
- Assist with patient enrollment into CCM and RPM programs
- Document patient interactions accurately in the electronic health record (EHR)
- Review and monitor patient health data received through remote monitoring devices
- Escalate clinical concerns to the appropriate clinical team or provider
- Provide patient education regarding chronic disease management
- Maintain HIPAA compliance and patient confidentiality
- Coordinate with physician offices and care teams to support patient care plans
Organizational skillsMultitaskingDocumentation