Certified Medical Assistant Care Coordinator PRN

HCA Healthcare • Salt Lake City, UT

85d

About The Position

The Clinical Care Coordinator supports the patient and primary care relationship through care delivery enhancement. Primary mechanisms for this support are telephonic outreach to patients to guide them through transitions of care, care management, preventive services, and self-management. The Clinical Care Coordinator acts as an integral member of the Care Coordination team supporting the ACO and CIN network providers and practices in successfully meeting quality improvement initiatives, monitoring standards of care, and managing high-risk, multi-morbidity patient populations.

Requirements

• Certified Medical Assistant.
• Working knowledge of Microsoft Office, PowerPoint, Internet, Adobe, and MS Outlook.
• Prefer knowledge of Patient Centered Medical Home (PCMH), government programs (CMS), accountable care organizations (ACOs), HEDIS, and experience with payor cost sharing initiatives.
• Excellent oral and written communication skills with the ability to prepare reports with quality data and attention to detail and accuracy.
• Working knowledge of electronic medical records, medical terminology, ICD-10, CPT II coding, HEDIS measures, and medical office processes (preferred).
• Self-motivated and flexible to the changing needs of the program, team and work environment, with the ability to self-direct including prioritization of multiple simultaneous tasks.
• Ability to interpret and apply guidelines and procedures and maintain quality control standards.
• Knowledge of physician office practice operations and one (1) year of experience in a physician practice is preferred.

Responsibilities

• Serve as a subject matter expert in care transitions and case management.
• Assist in educating practice staff on quality, payor, and government program requirements.
• Develop professional working relationships with ACO and CIN network providers, practice managers, and their staff to collaboratively manage follow-up care and improve overall health and wellness.
• Attend learning sessions and share information learned with team members.
• Assist in the development of tools, education, and workflow processes to assist the network in meeting CMS, ACO, documentation, and payor quality initiatives.
• Collaborate with interdisciplinary teams and leaders to achieve the organization's coordination of care goals, quality goals, and financial performance goals.
• Conduct in-person and virtual meetings with practice managers, staff, providers, and managers to communicate program goals, results, and provide education.
• Prepare and submit minutes from all meetings, as directed.
• Maintain the strictest confidentiality in the areas of patient, employee, and physician relations.
• Act as a patient advocate to facilitate appropriate care management and wellness activities.
• Perform related work and additional duties as requested by supervisor.
• Contact patients after an emergency department encounter or hospital discharge to identify the need for a follow-up appointment, community resource needs, etc.
• Document assessment in the medical record to support transition of care services as specified by CMS and other program requirements.
• Access portals as necessary to prepare reports and other documents to evaluate progress and prioritize workload.
• Use available tools to identify at-risk patients.
• Triage patients to determine those appropriate for medical and/or behavioral care management.
• Create a care management action plan with the patient/caregiver that includes elements of self-management, as appropriate.
• Communicate via telephone and other virtual tools with patients regarding care needs, documenting communications appropriately in the electronic medical record.
• Identify and enroll eligible patients in longitudinal or chronic care management for medical or behavioral health conditions.
• Oversee the execution of patient care plans in partnership with other Clinical Care Coordinators.
• Facilitate specialty referrals, as appropriate, for conditions/needs managed outside the primary care realm.
• Document efforts in accordance with established workflow protocols.
• Identify and engage community resources to assist patients as needed.
• Understand and address short term behavioral health care gaps as needed.
• Schedule appointments related to preventive care, chronic disease management, and/or integrated behavioral health.
• Prepare and maintain Transitions of Care and Care Management reports and provide periodic updates to network leaders.

Benefits

• Comprehensive medical coverage that covers many common services at no cost or for a low copay.
• Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Fertility and family building benefits through Progyny.
• Free counseling services and resources for emotional, physical and financial wellbeing.
• Family support, including adoption assistance, child and elder care resources and consumer discounts.
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service).
• Employee Stock Purchase Plan.
• Retirement readiness and rollover services and preferred banking partnerships.
• Education assistance (tuition, student loan, certification support, dependent scholarships).
• Colleague recognition program.
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence).

What This Job Offers

• Industry: Hospitals