Job Description

EDUCATION (must be required for position), LICENSE, CERTIFICATION and EXPERIENCE:
Education: MA
Licenses: Medical Assistant
Certifications: Medical Assistant, Quality Improvement Certification preferred.
Experience: Three (3) years of preferred related healthcare experience in population health, or in acute case setting, ambulatory care, home health, or physician practice.

REQUIRED SCREENINGS:
Drug Screen
Physical Assessment
Two-step Tuberculosis screen
Background check (Criminal, Civil, Educational, Previous Employment, etc.)
Driver Record screen (positions requiring on-the-job driving)

ESSENTIAL FUNCTIONS:
Attend and actively participate in all Family Health West population health related trainings and meetings including advanced health coach certification, regional workshops, webinars, roadmap and cohort calls, and one-on-one meetings, as needed
Reliable and punctual attendance is essential; expected to be at job as scheduled each scheduled day.
Communicate necessary information to others as appropriate.
Stratify patient population according to risk to effectively and efficiently manage patients with multiple chronic diseases; determine frequency for provider visit and Chronic Care Management (CCM) encounters; maximize use of qualified clinical staff within the care management team to provide appropriate non-face-to-face patient contact.
In collaboration with the primary care providers, nurses, patient, and family; monitor patient adherence to the care plan and progress toward goals and facilitate changes as needed.
Participate in huddles with the primary care provider and care team; identify scheduling opportunities, special needs for patients with appointments that day, patients who need care outside of their scheduled visit, and patients who qualify for CCM .
Collaborate with practice leaders to implement effective internal tracking systems for patients such as patient panels, transition of care follow-up calls/visits, and CCM encounters.
Must have the ability to collaborate as a group on projects as well as work autonomously.
Collaborate with practice leaders to establish a method for assigning patients into a panel listing by provider that is routinely utilized for scheduling purposes; utilize empanelment method to ensure that preventive, chronic, and acute needs of all patients are met, including both high and low utilizers.
Your priorities will be Chronic care management, Transitional Care Management, Care Management, closing the loop in care gaps/quality, and supporting the care management team.

ORGANIZATIONAL EXPECTATIONS:
Be responsible for my own attitude.
Be open to constructive feedback and suggestions for improvement; accept constructive feedback in a positive manner.
Be generous with my skills and abilities by educating others on new ideas and/or techniques; offer constructive input to support the work area appropriately and respectfully.
Take responsibility to attend or obtain information provided at in-services, seminars and staff meetings.
Demonstrate, through my actions and speech, that I represent the entire organization. I will take action to ensure that a need is met; emulate the mission and vision statements.
Acknowledge and greet everyone; look approachable, with open body posture, eye contact and a smile; communicate appropriately using good interpersonal skills.
Dress professionally and appropriately for my work environment.
Know and follow policies and procedures for both organization and department safety issues.
Communicate delays in services and take service recovery steps as needed.

WAGE STARTS AT $22.00

FHW offers a full benefits package including:

FOR ALL EMPLOYEES :

Employee Assistance Program

403 (B) with 4% match from FHW and zero day vesting schedule

FOR FULL TIME EMPLOYEES WORKING AT LEAST 30 HOURS A WEEK

Medical Plan Options:

1. PPO plan with copay/coinsurance and lower deductible
2. High Deductible Health Plan with the option for a Health Savings Account.

Telemedicine includes in both plan options.

Dental

Vision

Life Insurance/ Accidental Death and Dismemberment Insurance

Disability Insurance with a Short and Long Term Option.

Critical Illness and Accident Plans

Cafeteria Options: Health Reimbursement/ Flex Savings / Dependent Childcare

A host of other options to include: Pet Insurance, Identity Protection, Travel protection, etc.

Licenses & Certifications

• Cert - BLS

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