Certified Medical Assistant Care Coordinator PRN

Care Coordinator Prn

MountainStar Healthcare offers a total rewards package that supports the health, life, career, and retirement of our colleagues. The available plans and programs include comprehensive medical coverage, additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, and more. Our teams are a committed, caring group of colleagues. Do you want to work as a Care Coordinator PRN where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity.

Job Summary And Qualifications

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. In this role you will :

• 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 relationship 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 submits 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

Transitions Of Care

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.

Care Management

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.

Population Health

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.

What Qualifications You Will Need

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.

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Care Coordinator PRN opening. We review all applications. Qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.