Desert Ridge Family Physicians·Phoenix, Arizona
Manage a panel of CCM and TCM patients through outreach, education, and care coordination to improve health outcomes. Document all activities in the EHR and collaborate with physicians and clinical staff to execute patient care plans.
Experienced in care coordination, chronic care management, or a similar patient-facing healthcare role.
Patient centered and Team oriented
Medical Assistant experience preferred .
Organized, dependable, and able to work independently within defined workflows.
Able to follow structured workflows while maintaining strong attention to detail and accountability for assigned tasks.
Understands role responsibilities and maintains appropriate professional boundaries within a team-based care model.
Able to manage a high-volume workload, prioritize tasks effectively, and meet deadlines in a fast-paced environment.
Communicates clearly and proactively with leadership regarding patient needs, barriers, and workflow concerns.
Open to feedback, coaching, and professional development.
Experience with Athena EHR or similar systems preferred.
Why You’ll Love Working Here
Supportive leadership with clear expectations, structured workflows, and accountability.
Established systems that allow you to focus on patient care without unnecessary chaos.
Opportunities to build skills in CCM, TCM, and care coordination.
A collaborative environment that values teamwork, consistency, and growth.
Meaningful work that helps reduce hospitalizations and improve patient outcomes.
This role requires strong time management, attention to detail, and the ability to work within established processes.
We offer full medical benefits Paid 100% for employee 401k w/ 4% Match at 6 months competitive salary & PTO
Requires experience in care coordination or chronic care management, with Medical Assistant experience preferred. Candidates must be organized, able to handle high-volume workloads, and proficient in EHR systems like Athena.
Market context
Arizona nursing roles are often competitive in psychiatric inpatient and geriatric med/surg settings, where employers look for current licensure, CPR or BLS certification, and a Level 1 Fingerprint Clearance card. Experience in behavioral health or geriatric care can strengthen an application. This platform’s job requirements and benefits are AI-summarized from the original posting, helping you review details faster before applying. If you are interested, confirm your Arizona license and clearance status first.