Care Specialist Medical Assistant
Company: Upward Health of Rhode Island PC
Location: Lake Charles
Posted on: May 21, 2023
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 care
- Increase utilization of preventative care
- Reduce emergency room utilization and hospital
readmissions
- Create 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-making
- Provide medication reconciliation
- Connect patients to relevant community resources, with the goal
of enhancing patient health and well-being, increasing patient
satisfaction, and reducing health care costsThe 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 RESPONSIBILITIES
- Conduct 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
communications
- Serve as the contact point, advocate, and information resource
for patients and their care team.
- Work with patients to plan and monitor health and social
needs
- Develop a care plan with the patient, family/caregiver(s) and
provider
- Monitor adherence to care plans, evaluate effectiveness,
monitor patient progress in a timely manner and facilitate changes
as needed
- Create 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 time
- Facilitate patient access to appropriate medical and specialty
providers
- Facilitate appointments between patients and care team as
needed
- Cultivate 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 referral
- Builds rapport with Upward Health patients utilizing
motivational interviewing techniques
- Strong organizational skills to assist patients coordinating
services across providers
- Meets patients in their home or in the community to conduct a
needs assessment, including helping patients to set health
goals
- Makes follow-up calls and home visits to patients per Upward
Health policy
- Motivates patients to meet their health goals
- Coordinates with Clinical Care team
- Documents each patient encounter in detail per Upward Health
Policies
- Prepares reports and documents as needed or requested
- Attends regular team meetings and participate in clinical
rounds
- Performs other duties as assignedKNOWLEDGE, SKILLS & ABILITIES:
- Interpersonal savvy, with the demonstrated by the ability to
interact with and influence people to establish trust and build
strong relationships
- Ability to do home visits and outreach
- Comfortable with computer data entry
- Strong organization skills and ability to manage and maintain a
personal schedule
- Ability to establish priorities and meet deadlines
- Ability to work independently within a virtual operating
environment and as part of a team
- Excellent oral and written communication skills
- Ability to exercise judgment in the application of professional
servicesRequirements:MINIMUM REQUIREMENTS:
- Medical Assistant (MA) within state of practice
- High school graduate or GED required
- Experience in Chronic Care Management model
- Long-time resident of the community with good knowledge of the
resources of this community
- A valid driver's license and auto liability insurance
- Experience working as a community health workers or peer
support specialist is a plus
- Able to maintain clear professional boundaries with members and
coworkers
- Ability to complete Upward Health's initial training program
and ongoing educational requirements as assigned
- Commitment to represent the company with professionalism
- Cultural competency - able to work with diverse groups of
community members
- Basic computer skills, including ability to typePREFERRED
QUALIFICATIONS:
- Multi-lingual capabilities preferred, but not required
- Strong communication and problem-solving skills
- Technologically savvy is a plus
- Prior 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**PM22PI211912149
Keywords: Upward Health of Rhode Island PC, Lake Charles , Care Specialist Medical Assistant, Other , Lake Charles, Louisiana
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