Care Specialist Medical Assistant

Company: Upward Health of Rhode Island PC
Location: Monroe
Posted on: March 20, 2023

Job Description:

Job Description:

Job Description Description: Medical Assistant (Chronic Care Management) Upward Health provides technology-enabled, integrated, and coordinated care delivery services that improve outcomes and reduce costs for patients with severe behavioral health diagnoses and co-morbid, chronic physical conditions. Our services are delivered through a comprehensive care model provided by our clinical team. The Care Team is a multidisciplinary team of licensed and unlicensed staff who provide direct support and care to Upward Health's patients. We are currently recruiting for an experienced, personable Certified Medical Assistant to work in patient's homes and virtually to deliver chronic care management to high complexity patients. This position assists our Providers in the coordination of care with patients not limited to but including calls to the patients, assisting with referrals, medication adjustments, and general assistance that may be too time consuming to be completed at the time of the office visit. The position with also facilitate virtual visits from the patient's home to our providers remotely to support our integrated care delivery model, focused on the following goals:Promote timely access to appropriate careIncrease utilization of preventative careReduce emergency room utilization and hospital readmissionsCreate and promote adherence to a care plan developed in coordination with the patient, primary care provider, and family/caregiver(s)Increase patient's ability for self-management and shared decision-makingProvide medication reconciliationConnect patients to relevant community resources, with the goal of enhancing patient health and well-being, increasing patient satisfaction, and reducing health care costs The ideal candidate must be flexible and willing to work in an early-stage company on an innovative pilot program where the scope of services and protocols will evolve. This will be a dynamic environment that requires flexibility, dedication, and commitment to improve care for underserved populations. KEY RESPONSIBILITIESConduct one-on-one extended patient calls for initial care plans, follow-up with patients, family/caregiver(s), providers, and community resources via secure e-mail, phone calls, and other communicationsServe as the contact point, advocate, and information resource for patients and their care team.Work with patients to plan and monitor health and social needsDevelop a care plan with the patient, family/caregiver(s) and providerMonitor adherence to care plans, evaluate effectiveness, monitor patient progress in a timely manner and facilitate changes as neededCreate ongoing process for patients and family/caregiver(s) to determine and request the level of care coordinates support they desire at any given point in timeFacilitate patient access to appropriate medical and specialty providersFacilitate appointments between patients and care team as neededCultivate and support the primary care providers with timely communication, inquiry follow-up, and integration of information into the care plan regarding transitions-in-care and referralBuilds rapport with Upward Health patients utilizing motivational interviewing techniquesStrong organizational skills to assist patients coordinating services across providersMeets patients in their home or in the community to conduct a needs assessment, including helping patients to set health goalsMakes follow-up calls and home visits to patients per Upward Health policyMotivates patients to meet their health goalsCoordinates with Clinical Care teamDocuments each patient encounter in detail per Upward Health PoliciesPrepares reports and documents as needed or requestedAttends regular team meetings and participate in clinical roundsPerforms other duties as assigned KNOWLEDGE, SKILLS & ABILITIES:Interpersonal savvy, with the demonstrated by the ability to interact with and influence people to establish trust and build strong relationshipsAbility to do home visits and outreachComfortable with computer data entryStrong organization skills and ability to manage and maintain a personal scheduleAbility to establish priorities and meet deadlinesAbility to work independently within a virtual operating environment and as part of a teamExcellent oral and written communication skillsAbility to exercise judgment in the application of professional servicesRequirements:MINIMUM REQUIREMENTS:Medical Assistant (MA) within state of practiceHigh school graduate or GED requiredExperience in Chronic Care Management modelLong-time resident of the community with good knowledge of the resources of this communityA valid driver's license and auto liability insuranceExperience working as a community health workers or peer support specialist is a plusAble to maintain clear professional boundaries with members and coworkersAbility to complete Upward Health's initial training program and ongoing educational requirements as assignedCommitment to represent the company with professionalismCultural competency - able to work with diverse groups of community membersBasic computer skills, including ability to type PREFERRED QUALIFICATIONS:Multi-lingual capabilities preferred, but not requiredStrong communication and problem-solving skillsTechnologically savvy is a plusPrior experience as a Community Health Worker, Peer Support Specialist or similar role a plusUpward Health is proud to be an equal opportunity/affirmative action employer. We are committed to attracting, retaining and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities**All employees are required to be vaccinated for Covid-19 and be able to show proof upon hire**PM22 PI208031145

Keywords: Upward Health of Rhode Island PC, Monroe , Care Specialist Medical Assistant, Healthcare , Monroe, Louisiana