Clinical Assistant - CNA, CMA, PCT

Texas Tech University • Lubbock, TX

6d

About The Position

This Clinical Assistant role focuses on Quality Care Coordination and SOM Performance Improvement, blending professional medical support with a positive and collaborative work environment. The position emphasizes teamwork, patient advocacy, and a supportive atmosphere. Key responsibilities include patient outreach, particularly for those with Social Determinants of Health (SDOH) needs, assisting patients in connecting with local and state resources, and identifying high-risk patients. The role involves conducting post-discharge follow-up calls using Transitional Care Management (TCM) protocols to prevent complications and hospital readmissions, reconcile discharge medication lists, and promote patient-centered medical home concepts. The Clinical Assistant will proactively address quality gaps in care, audit charts, identify patient needs, and collaborate with patients, families, and the interdisciplinary healthcare team to develop patient-centered care plans. Communication of patient data via EMR and participation in Care Coordination TEAM activities are essential. Annual Nursing Core Competency Training and maintaining current licensure are required.

Requirements

• A minimum of a High School diploma or equivalent.
• Graduation from an approved certified program for assistants in the area of required specialty.
• Certification by an approved accredited certifying agency in the specialty in which the particular work will be performed.

Responsibilities

• Works closely with patient outreach, including patients identified by clinicians with Social Determinants of Health (SDOH) needs, to assist patients with connecting to local and state resources for assistance with health equity needs.
• Assist in identifying high-risk patients.
• Conducts post-discharge follow-up calls to patients and caregivers, utilizing specific clinical protocols, Transitional care management (TCM).
• Assists with patients' care as they move between health care settings, such as from hospital to home, to prevent complications, hospital readmissions, and improve health outcomes to ensure a seamless transition, enhance the continuity of care, and empower patients to manage their health effectively.
• Reconciles the discharge medication list.
• Promotes and reinforces patient-centered medical home concepts with patients, their families, and clinic personnel.
• Works proactively to prevent complications, reduce hospital readmissions, and manage patient populations by identifying and addressing quality gaps in care needs.
• Audits charts utilizing custom report data, identifies and reports alterations in patient responses to assist in the identification of problems and formulation of goals/ outcomes and patient-centered plans of care in collaboration with patients, their families, and the interdisciplinary health care team.
• Assists in determining the physical and mental health status, needs, and preferences of culturally, ethnically, and socially diverse patients and their families.
• Participates in the identification of patient needs for referral to resources and facilitates continuity of care.
• Communicates patient data using EMR to support decision-making to improve patient care.
• Collaborates with an interprofessional team.
• Attends and participates in Care Coordination TEAM activities, including but not limited to staff meetings, educational activities, etc.
• Completes Annual Nursing Core Competency Training and maintains current required licensure.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED