Medical Assistant
- Reviewing daily schedules to identify high-cost patients
- Participate in daily clinic morning huddles
- Participate in weekly UM/CM rounds
- Perform task-driven outreach according to plan of care
- Schedules follow up appointments after ED events
- Send letters / reminder for patients not seen not established
- Follow up with other teams for pending tasks completeness
- Provides Tier Two patient outreach for short term case management
- Follows up on referral/ DME / specialists visits completeness with patients
- Assists with required paperwork from hospitals. SNFs. LTAC, Home health
- Tuck in calls to real time rising risk patients
- Assists case manager and clinic staff with daily outreach for specific tasks
- Confirm medication is being taken; Confirm patient attended specialist appointment and update goals; Confirm patient has received DME, HHC or any resources outlines in the plan of care
- College degree or completion of college courses in healthcare, care management, or similar focus.
- Medical Assistant, health coaching, or care management prior experience preferred
- Good interpersonal skills
- Able to stay in constant communication with the team.
- Able to multitask in a fast-paced environment
- Bilingual in English/Spanish preferred but not required
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