Remote Position: Seeking a Medical Assistant for Chronic Care Management Role (CCM Experience is REQUIRED) ID-12495

Purpose/belief statement:

Convergence Telehealth is currently recruiting full and part-time remote Care Management Team- Medical Assistant (MA) with a passion for delivering a high-quality customer experience, to support our clients. As a Care Management Team- Medical Assistant, you may be involved in chronic care management (CCM), remote patients monitoring (RPM) and transitional care management (TCM).  You will coordinate discharge and follow up care for patients and work directly with patients, caregivers, physicians, and discharge teams on a daily basis.This will include managing a patient’s successful transition from hospital to home and is accountable for developing, implementing, and evaluating comprehensive transitional care interventions for high risk medical, surgical, and/or trauma patients. You are responsible for managing the post-acute care of high-risk patients that are at risk for poor health outcomes, frequent emergency room visits, and hospital readmissions and working with complex and varied patients and situationsShift is 8 hours within window of 8:00 AM-5:00 PM ET Monday – Friday – no holidays or weekend work. This is a remote position that can be based anywhere in the United States.

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Job duties & responsibilities

Identifies patient/family education needs and ensures that patient/family members have adequate information to participate in transition planning.

Works collaboratively with the team on post discharge care plan

Interprets screening and selective laboratory/diagnostic tests.

Initiates and maintains communication and collaboration with physicians, social workers, care team leaders, staff nurses, other care giving disciplines, and patients/families to develop, implement, and evaluate a transition plan of care for each patient.

Conducts a comprehensive patient/family assessment and transition/home care planning evaluation upon program enrollment to initiate and maintain the patient's transitional plan of care.

Assesses financial and insurance resources to maximize the health care benefit to the patient.

Monitors the achievement of clinical outcomes and communicates with inpatient teams, primary and specialty physicians and staff, regional providers, and community resources (Home Health) regarding unanticipated variances.

 Assesses complexity of care needs and potential/actual issues or gaps in care.

Arranges post-discharge medical and community referrals for patients with health problems requiring further evaluation and/or additional services.

Qualifications

Certified Medical Assistant from an accredited MA program

Excellent communication skills, problem solving and conflict resolution skills

Computer skills in word processing, database management, and spreadsheets

3+ years of relevant CCM experience

PREFERRED

Previous experience in one or more of the following: Case Management, Transitional Care Management, Remote Patient Monitoring and Chronic Care Management

Bilingual in Spanish is highly desired but not required

Knowledge/Skills/Abilities

Work environment

·May work beyond normal working hours, on weekends and holidays, when necessary.

·Is subject to frequent interruptions.

·Field based work required.  Occasional overnight travel will be required as times with field based assignments.   

Physical effort/demands (With or Without the Aid of Mechanical Devices)

·Ability to move (sit, stand, bend, lift) intermittently throughout the workday.

·Ability to lift, push, pull, and move a minimum of 50 pounds.

Mental effort/demands (With or Without the Aid of Mechanical Devices)             

·Ability to function independently and have flexibility, personal integrity, and ability to work effectively with staff and support agencies.

·In good health and demonstrating emotional stability.

·Ability to cope with the mental and emotional stresses of the position.

Communication (With or Without the Aid of Mechanical Devices)

·Must be able to read, write and speak the English language in an understandable manner.

Sensory requirements (With or Without the Aid of Mechanical Devices)    

·Ability to see and hear or use prosthetics that will enable these senses to function adequately to assure that the requirements of this position can be fully met.

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