Position
Chronic Care Management Specialist
Recurring CCM and AWV revenue, captured monthly.
A chronic care management (CCM) specialist runs the monthly Medicare CCM program for qualifying patients with two or more chronic conditions. Each month they call enrolled patients, review medications, screen for new symptoms, update the care plan in the EHR, and document the 20+ minutes of non-face-to-face care needed to bill CPT 99490, 99439, 99487, and 99489.
What is a chronic care management specialist?
A chronic care management (CCM) specialist runs the monthly Medicare CCM program for qualifying patients with two or more chronic conditions. Each month they call enrolled patients, review medications, screen for new symptoms, update the care plan in the EHR, and document the 20+ minutes of non-face-to-face care needed to bill CPT 99490, 99439, 99487, and 99489.
What a chronic care management specialist does day-to-day
Our CCM specialists also own the Medicare Annual Wellness Visit (AWV) program — Health Risk Assessments, personalized prevention plan prep, and pre-charting so the provider can complete and bill G0438 or G0439 in under 15 minutes of face time. They turn chronic care management into a recurring six-figure revenue line for primary care practices while measurably improving patient outcomes.
Daily responsibilities of a chronic care management specialist
- Monthly CCM patient calls and care plan updates
- Annual Wellness Visit pre-charting and HRA completion
- Medication reconciliation and refill triggers
- Care plan documentation for CPT 99490, 99439, 99487, 99489
- Coordination with home health, pharmacy, and specialists
Tools & EHRs supported
Practices that hire chronic care management specialists through Staffing For Doctors
Each practice gets a chronic care management specialist trained on the EHR, payers, and workflows specific to that specialty.
Frequently asked questions
About hiring a chronic care management specialist from Staffing For Doctors.