Job Description
Company : Endorsed Job Description : JOB SUMMARY This job, in conjunction with the Practice Team, provides care planning, coordination and follow-up for patients at risk for poor outcomes or experiencing poor coordination of services. ESSENTIAL RESPONSIBILITIES Completes a structured assessment of medical, bio-psychosocial support and self-management support needs. Coordinates with and acts as an advocate/liaison/contact to hospital, long-term care, specialty services, home health services, patient family, cultural and community resources for care managed patients. Accurately maintains appropriate documentation on care coordination to promote Practice Team awareness and ensure patient safety and follow through on care plan. Provides registration and billing functions; assisting patients in problem solving potential issues related to the health care system, financial and psychological barriers. Collaborates with primary care to establish and update a shared care plan; providing support for improving health behaviors and self-management skills - goal setting, action planning, problem solving. Provides clinical workflow oversight. Other duties as assigned or requested. EDUCATION Required Graduate of a Medical Assistant or LPN Program Substitutions Education/experience will be considered, in lieu of LPN or Medical Assistant Preferred None EXPERIENCE Required 5 years in a Medical Assistant or related role Preferred None LICENSES or CERTIFICATIONS Required None Preferred None SKILLS Communication Problem Solving Empathy Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Rarely
