Chronic Care Management Coordinator

Company: Hillside Primary Care
Location: San Antonio
Posted on: February 21, 2026

Job Description:

Job Description Job Description About Us: Hillside Medical Group is a leading outpatient primary care organization dedicated to delivering compassionate, high-quality care across Texas. Our team-driven environment supports innovation, collaboration, and continuous improvement in both clinical and administrative healthcare delivery. We are committed to excellence in value-based care, population health, and chronic disease management. Position Summary: We are seeking a highly motivated and qualified Clinical Care Coordinator to join our team. This role plays a key part in our Chronic Care Management (CCM) and population health programs, working directly with patients and providers to ensure quality care, documentation compliance, and positive health outcomes. The position blends clinical coordination with healthcare administration and public health practice. Key Responsibilities: Clinical & Chronic Care Management: Coordinate and deliver services under the Chronic Care Management (CCM) program. Develop and maintain individualized care plans in accordance with Medicare guidelines. Provide patient education and chronic disease self-management support. Monitor and track chronic conditions, including outreach and follow-up to improve outcomes. Maintain accurate and compliant Medicare documentation. Administrative & Population Health Functions: Oversee quality reporting, EHR workflow optimization, and care gap closure. Track and analyze population health data to support value-based care goals. Collaborate with providers and staff on Medicare compliance and regulatory reporting. Participate in QI/QA activities and help align clinic performance with state and federal benchmarks. Minimum Qualifications: Master’s degree in Public Health (MPH), Health Administration, Nursing, or a related health sciences field. Background in medicine (e.g., MBBS) or nursing is highly preferred. International medical graduates (IMGs) with a doctoral-level degree (such as MBBS, MD, or equivalent) from outside the United States are strongly encouraged to apply. Experience in Chronic Care Management, Medicare documentation, or public health coordination. Proficiency with EHR systems and clinical workflows. Knowledge of healthcare terminology, HIPAA, and CMS guidelines. Preferred Skills: Bilingual (English/Spanish) a plus. Prior experience in value-based care models. Strong communication, patient engagement, and interdisciplinary collaboration skills. Work Schedule & Compensation: Full-time, Monday–Friday. Competitive salary based on experience, with comprehensive benefits including medical, dental, vision, PTO, and 401(k). Visa Sponsorship: We welcome applications from candidates who require H-1B visa sponsorship. Hillside Medical Group is an experienced and supportive sponsor of qualified international healthcare professionals. Equal Opportunity Employer: Hillside Medical Group is proud to be an Equal Employment Opportunity (EEOC) employer. We are committed to fostering a diverse and inclusive environment and make all employment decisions without regard to race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity, veteran status, or any other protected category under applicable federal, state, or local law. How to Apply: Please submit your resume and a brief cover letter detailing your qualifications and interest in this role to admin@hillsidemedicalgroup.com.

Keywords: Hillside Primary Care, Pflugerville , Chronic Care Management Coordinator, Healthcare , San Antonio, Texas