Medical Assistant Chronic Care Manager A Chronic Care Manager is a medical assistant who supports the development of patient-centered, team-based patient care. Care Managers will support primary care providers (PCPs) and clinical staff at Alta Vista Regional Hospital in managing their panel of patients using patient engagement and population management informatics tools. By directly communicating with patients and clinical staff, the Care Manager works to identify patients’ unmet needs, gather summary information for treatment interventions, build trusting relationships, and enhance ongoing communication between the patient and their care team. The goal of our 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 by providing seamless communication and proper EHR documentation * Manages a Chronic Care Management platform to support a robust panel of 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: * Manage patient registries and provide data required to meet the health needs of the patient * Support clinical staff to develop interventions to proactively manage target populations * Contributes to a positive experience for patients and families through courteous telephone and digital interactions, accurate and expeditious routing, as well as triage to appropriate clinical staff * Recognize and report data inconsistencies to appropriate personnel * Contributes to the teamwork within and between departments. Regularly attends and participates in meetings with coworkers and practice staff. * Perform all job functions in compliance with applicable federal, state, local and company policies and procedures * And other duties as assigned QUALITY IMPROVEMENT AND PROCESS DESIGN * Collaborate with care teams to establish population-appropriate, pre-visit, and point of care processes * Provide data to the care teams to properly perform these processes * Monitor and correct patient attribution to the practice and the care teams within the practice * 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 (such as e Clinical Works) and other health care information systems desirable QUALIFICATIONS * Certified Medical Assistant from nationally recognized organization preferred * Significant experience within a clinical care setting with quality/population health experience in lieu of certification will be considered. Job Type: Full-time Pay: $20.87 - $25.13 per hour Schedule:
Day shift
Monday to Friday
Work Location: Hybrid remote in Las Vegas, NM 87701