Care Management Assistant

Frederick Health•Frederick, MD

13d

About The Position

The Care Management Assistant (CMA) is an essential member of the Integrated Care Management team, working directly with Frederick Health Medical Group patients. The CMA conducts outreach and assessments during care transitions, manages high-risk referrals when appropriate, and closes care gaps related to quality measures. The role also responds to and completes clinical and administrative tasks as directed by the primary care team. The CMA works under the guidance of the primary care provider and care management staff and collaborates with Frederick Health departments and community partners. The position supports Frederick Health’s mission, vision, core values, and customer service philosophy, and follows its Compliance Program, regulatory requirements, and Standards of Behavior. The CMA supports value-based care contracts by contacting attributed patients, generating orders and referrals, obtaining medical records, and scheduling appointments to address quality-measure gaps. The CMA provides education about health maintenance and routine testing, conducts follow-up after care transitions, and helps patients understand discharge instructions and overcome barriers to follow-up care. The position also assesses social determinants of health needs and connects patients with appropriate community resources in collaboration with care managers. When appropriate, the CMA maintains a high-risk patient log, ensures orders are entered for clinical tests, educates patients about tests, and assists with scheduling. The role requires current computer skills, effective communication and interpersonal skills, time management, reliability, prioritization, and the ability to collaborate with a multidisciplinary team. The CMA must be flexible to work at different primary care sites. The position involves sedentary to light work, including infrequent lifting of up to 15 pounds, with some walking or standing. Bloodborne pathogen exposure risk is Category B: the employee may have exposure to blood or body fluids.

Requirements

Knowledge of medical terminology.
Ability to provide clinical education about routine health screenings and care transitions within the scope of the CMA role.
Current computer skills, including Microsoft Office products (Word, Excel, Outlook, and Teams).
Basic knowledge of the operation of basic medical and emergency equipment.
Effective interpersonal and communication skills.
Strong time-management skills and the ability to prioritize competing tasks.
Professional personality and ability to collaborate with a multidisciplinary care team.
Availability and flexibility to work at different primary care sites.
High reliability.
Ability to demonstrate and maintain current knowledge and skills in appropriate care or contact for neonates, infants, children, adults, and geriatric patients.
If applicable, knowledge of growth and development across the lifespan and the ability to assess patient data, identify age-specific needs, and provide care in accordance with department policies and procedures.
Current CPR certification.
Physical capacity for sedentary to light work, including infrequent lifting of up to 15 pounds and some walking or standing.

Nice To Haves

Associate degree with at least 3–5 years of clinical work experience in a healthcare setting preferred.
Certified Medical Assistant or Certified Nursing Assistant certification preferred.

Responsibilities

Conduct outreach and assessments with patients during transitions in care, including assessing understanding of discharge instructions and providing education within the CMA role.
Contact attributed patients, generate orders and referrals, obtain medical records, and schedule appointments to close identified quality-measure gaps.
Educate patients about the importance of health maintenance, routine screenings, and clinical tests.
Identify patient barriers that may contribute to poor health outcomes or readmission and help ensure follow-up appointments are made.
Assess and identify social determinants of health needs and provide information and referrals to appropriate community resources in collaboration with care managers.
Maintain a log of high-risk patients when appropriate, as identified by the primary care provider.
Ensure orders are entered for appropriate clinical tests and assist with patient education and appointment scheduling.
Build trust with patients to facilitate their engagement with care management.
Respond to and complete clinical and administrative tasks as directed by the primary care team.
Schedule appointments in the electronic health record and respond promptly to calls, messages, and tasks from patients and the primary care team.
Collaborate with the primary care team, Frederick Health departments, and community partners.
Participate in staff meetings and in-services.
Perform other duties as assigned.