Phamily Chronic Care Manager- Medical Assistant

Phamily Chronic Care Manager

The Chronic Care Manager is a medical assistant who supports the development of patient-centered, team-based care. S / he will support primary care physicians (PCPs) and practices in managing their panel of patients using a population management informatics tool. By gathering and organizing patient data, the Chronic Care Manager works to identify patients' unmet needs, engage patients in their own care, gather summary information for treatment interventions, and enhance ongoing communication between the patient and her / his care team. The goal of the Chronic Care Management program is to facilitate high-value, patient-centered care that improves timely access to and provision of preventive services and chronic disease treatment.

Key Areas of Responsibility :

• Develops a keen understanding of primary care practice requirements for optimal, coordinated population health
• Works as an effective team member of the care team
• Works a Chronic Care Management platform to support patients with multiple chronic diseases and assists in coordination of the patients care continuum
• Contributes to quality improvement and care redesign of population health efforts

Principle Duties and Responsibilities :

Quality Improvement and Process Design :

Minimum of 3 years experience in primary care setting or similar specialty. Experience in population health preferred

Proven problem-solver with ability to multi-task

Prior use of electronic health records and other health care information systems desirable

Qualifications :