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Home Based Chronic Care Management Jobs (NOW HIRING)

Harris

$10/hr

Remote The Care Manager will be assigned a patient panel based on skill and efficiency level and is ... Surg, Case Management, and/or home health care. * Hands-on experience with Electronic Medical ...

GEO Group

REGISTERED NURSE, CHRONIC CARE

Winton, NC · On-site

Job Title Registered Nurse Chronic Care Are you looking for a career you can feel good about? We ... provision of management services and evidence-based rehabilitation to the post-release ...

Harris

$10/hr

Remote The Care Manager will be assigned a patient panel based on skill and efficiency level and is ... Surg, Case Management, and/or home health care. * Hands-on experience with Electronic Medical ...

Harris

$10/hr

Remote The Care Manager will be assigned a patient panel based on skill and efficiency level and is ... Surg, Case Management, and/or home health care. * Hands-on experience with Electronic Medical ...

Harris

$10/hr

Remote The Care Manager will be assigned a patient panel based on skill and efficiency level and is ... Surg, Case Management, and/or home health care. * Hands-on experience with Electronic Medical ...

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Home Based Chronic Care Management information

What is home based chronic care management?

Home Based Chronic Care Management (CCM) is a healthcare service designed to help patients with multiple or severe chronic conditions manage their health from the comfort of their own homes. This service typically involves regular check-ins, care coordination, medication management, and health monitoring, often led by nurses or other healthcare professionals. The goal is to improve patient outcomes, prevent complications, and reduce hospitalizations by providing ongoing support and personalized care plans. CCM is especially beneficial for patients who have difficulty traveling to clinics or require continuous oversight due to their medical conditions.

What are the key skills and qualifications needed to thrive in home based chronic care management?

To thrive in Home Based Chronic Care Management, you need a background in nursing, social work, or allied health, with expertise in chronic disease management and care coordination. Familiarity with telehealth platforms, electronic health records (EHRs), and case management software is typically required. Exceptional communication, problem-solving, and empathy are vital soft skills for engaging patients and collaborating with multidisciplinary teams remotely. These skills ensure effective patient support, adherence to care plans, and improved health outcomes for individuals managing chronic conditions at home.

What are the main challenges faced by professionals in home based chronic care management, and how can they be addressed?

One of the main challenges in Home Based Chronic Care Management is effectively coordinating care among multiple healthcare providers while communicating consistently with patients and their families. Professionals often work remotely and must rely on digital tools to monitor patient progress, which can make it harder to build rapport and quickly address urgent concerns. To overcome these challenges, successful care managers prioritize strong organizational skills, regular virtual check-ins, and proactive communication strategies, ensuring all stakeholders remain informed and engaged in the patient's care plan.

What is the difference between Home Based Chronic Care Management vs Home Health Aide?

AspectHome Based Chronic Care ManagementHome Health Aide
CertificationsCCM certification, healthcare trainingCertified Nursing Assistant (CNA) or equivalent
Work EnvironmentRemote, patient homes, healthcare settingsPatient homes, healthcare facilities
Job FocusManaging chronic conditions, care coordinationAssisting with daily living activities
Employer & IndustryHealthcare providers, insurance companiesHome health agencies, hospitals

Home Based Chronic Care Management involves coordinating care for patients with chronic conditions, often remotely, requiring healthcare certifications. In contrast, Home Health Aides assist with daily activities in patients' homes, typically with CNA credentials. Both roles serve in home settings but focus on different aspects of patient care.

More about Home Based Chronic Care Management jobs

What cities are hiring for Home Based Chronic Care Management jobs?

Cities with the most Home Based Chronic Care Management job openings:

What are the most commonly searched types of Chronic Care Management jobs?

The most popular types of Chronic Care Management jobs are:

What states have the most Home Based Chronic Care Management jobs?

States with the most job openings for Home Based Chronic Care Management jobs include:

What job categories do people searching Home Based Chronic Care Management jobs look for?

The top searched job categories for Home Based Chronic Care Management jobs are:

Home Based Chronic Care Management jobs near you
Infographic showing various Home Based Chronic Care Management job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 14% Part Time, and 7% Contract. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution.

Remote Registered Nurse (Remote Patient Monitoring & Chronic Care Management)

3:15

Atlanta, GA • Remote

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Job TitleWe believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care programs like Remote Patient Monitoring and Chronic Care Management. Our team works fervently to anticipate the needs of our patients and connect on a personal level. We exist to coach people to their best health!ResponsibilitiesWelcome patients into continuous care program(s) and review benefits and services includedEducate patients on the frequency and use of their assigned in-home monitoring devicesCreate a personalized, comprehensive care plan with the patient via phone or video visitsIdentify and address any barriers to patient successProvide specific education and coaching on patients' chronic conditionsConnect with the patient frequently to review readings and a monthly update of their plan of careServe as the patient's first contact for all non-emergent needs (example - medication refills, scheduling, appointment reminders, etc.)Anticipate patients' needs and bridge any gaps in careAssist patients in the navigation of their healthcare (example - assisting patients with scheduling appointments, coordinating with specialists, and ensuring preventative screenings are completed, etc.).Review and evaluate in-home device readings in real time, during normal business hoursFollow established protocols for identifying, communicating and documenting device trends and any associated symptoms in the patient's medical recordEscalate concerning readings and/or symptoms to the provider following a communication protocol established by the providerEstablish a meaningful rapport that builds trust, open communication, and motivation to make a positive change in the patient's healthCollaborate with virtual team members and in-office staff to ensure patient's needs are being met

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