Medical Assistant - Surgical Associates

Opelousas General Health System•Opelousas, LA

6h•Remote

About The Position

The Chronic Care Management Medical Assistant will serve as a vital liaison between patients, their families, and the multidisciplinary clinical team. You will facilitate a shared goal model of care, ensuring seamless coordination for patients with chronic diseases and managing transitions of care to optimize health outcomes. This position focuses on providing essential non-face-to-face care coordination and support to help patients effectively manage chronic illnesses, reduce hospitalizations, and improve their overall quality of life. Key responsibilities include conducting regular monthly outreach, providing patient education, and maintaining precise clinical documentation in accordance with Medicare guidelines. By partnering closely with providers, you will deliver proactive clinical health coaching to assist patients with self-management and lifestyle modifications, ultimately mitigating health risks and preventing avoidable acute illnesses.

Requirements

High School Diploma/GED required
Vocational/Technical degree as Medical Assistant or Related field required
Certified Medical Assistant (CMA) required
Strong understanding of chronic conditions (diabetes, heart disease, CHF)
Medical terminology
Excellent phone etiquette
Active listening
Ability to explain complex medical information in simple terms
Proficiency with EHR systems
Proficiency with Microsoft Office applications
Empathy
Strong organizational skills
Ability to work independently in a fast-paced or remote environment

Nice To Haves

CPR preferred
At least 1 year experience as MA in a Clinic/Office is preferred

Responsibilities

Patient outreach and monitoring by conducting monthly telephonic or digital check-ins (typically 20+ minutes) to monitor health status and adherence to care plans.
Identifies program eligibility
Performs medication reconciliation and verify compliance, ensuring patients understand their prescriptions and identifying potential drug interactions.
Schedule follow-up appointments, facilitate specialist referrals, and coordinate community resources like transportation or home care.
Follows up with preventative screenings.
Support patients during transitions of care, such as follow-up after a hospital discharge or ER visit.
Provides effective clinical health coaching to assist the patients with self-management of their chronic disease and life-style changes to mitigate health risks.
Conducting regular monthly outreach
Providing patient education
Maintaining precise clinical documentation in accordance with Medicare guidelines
Deliver proactive clinical health coaching to assist patients with self-management and lifestyle modifications