Health Coach - (CMA or LPN) - Primary Care - Monroeville - Full-time

Allegheny Health Network; Monroeville (Allegheny County); On-site; USD 42,000 - 64,000; Full time

Job summary

Allegheny Health Network seeks a Medical Assistant/LPN to support population health outreach, care coordination, and clinical visits. You will assist with pre-visit planning, rooming, chart reviews, and patient activation under supervision.

The role emphasizes self-management coaching, documentation, and follow-up using a structured care plan to improve chronic disease outcomes.

Qualifications

• High School / GED or completion of a Medical Assistant Program or LPN License.
• 2 years of Medical Assistant experience.
• CPR certification and background clearances as required.

Responsibilities

• Actively participates in population health outreach and closes gaps in care.
• Performs pre-visit planning, chart/data reviews, and prepares for patient visits.
• Assists provider with rooming and activation of standing orders.
• Documents clinical visit elements under supervision and assists with order entry.
• Coaches patients toward self-management using motivational interviewing.

Skills

Patient communication

Care coordination

HIPAA compliance

Motivational interviewing

Education

High School / GED

Medical Assistant Certification / LPN License

Job description

Company

Allegheny Health Network

Job Description

GENERAL OVERVIEW

As a member of the health care team, assists with population health management through patient outreach and coordination of care, participates in the clinical visit to assist the provider, and provides self-management support to patients. Demonstrates leadership by communicating effectively, developing others, building and maintaining relationships, and guiding effective teams and work groups. Also mentors others within the team with office functions to support patient care and office operations. Follows all established protocols, policies, procedures and standardized work flows. Leads in managing data so that patients are effectively treated.

• Actively participates in population health outreach through identification of patients with gaps in care through use of analytic tools and patient registries. Contacts patients and facilitates closing gaps in care. (10%)
• Ensures pre-visit planning is completed by performing chart and data reviews in advance of patient visit and preparing for patient arrival by identifying items that need addressed during visit. (10%)
• Demonstrates expanded rooming protocol by assisting the provider in addressing care gaps with the patient and appropriately activating standing orders. (10%)
• Accurately performs clinical transcription during the patient encounter by documenting elements of the clinical visit under direct supervision of the provider and assisting with computerized provider order entry under direct supervision of the provider. (10%)
• Uses a motivational interviewing approach to coach patients toward self-management, self-efficacy, and activation. Engages the patients to assess current state, collaboratively set goals, and review the after-visit summary. Instructs the patient on condition management, behavioral support, and addresses emotional demands of having a chronic condition. Reinforces the clinical care plan and follows up for ongoing activation. (10%)
• Performs registry and quality data review and conducts population outreach to close gaps in care. (10%)
• Oversees the identification of high risk patients and facilitates complex care management referrals. Works collaboratively with care team nurses to provide care coordination to rising risk patients. (10%)
• Reviews and assesses with care team members to achieve population health management goals, to improve patient access to care and to reduce avoidable emergency department visits. (10%)
• Cleans and sterilizes instruments per established standards. Ensures adequate inventory of medical supplies. Ensures all patient treatment areas are stocked with appropriate supplies using established inventory standards. (10%)
• Performs in-house testing following established standards and policies. (10%)
• Performs other duties as assigned or required.

Essential Responsibilities

• Actively participates in population health outreach through identification of patients with gaps in care through use of analytic tools and patient registries. Contacts patients and facilitates closing gaps in care. (10%)
• Ensures pre-visit planning is completed by performing chart and data reviews in advance of patient visit and preparing for patient arrival by identifying items that need addressed during visit. (10%)
• Demonstrates expanded rooming protocol by assisting the provider in addressing care gaps with the patient and appropriately activating standing orders. (10%)
• Accurately performs clinical transcription during the patient encounter by documenting elements of the clinical visit under direct supervision of the provider and assisting with computerized provider order entry under direct supervision of the provider. (10%)
• Uses a motivational interviewing approach to coach patients toward self-management, self-efficacy, and activation. Engages the patients to assess current state, collaboratively set goals, and review the after-visit summary. Instructs the patient on condition management, behavioral support, and addresses emotional demands of having a chronic condition. Reinforces the clinical care plan and follows up for ongoing activation. (10%)
• Performs registry and quality data review and conducts population outreach to close gaps in care. (10%)
• Oversees the identification of high risk patients and facilitates complex care management referrals. Works collaboratively with care team nurses to provide care coordination to rising risk patients. (10%)
• Reviews and assesses with care team members to achieve population health management goals, to improve patient access to care and to reduce avoidable emergency department visits. (10%)
• Cleans and sterilizes instruments per established standards. Ensures adequate inventory of medical supplies. Ensures all patient treatment areas are stocked with appropriate supplies using established inventory standards. (10%)
• Performs in-house testing following established standards and policies. (10%)
• Performs other duties as assigned or required.

Qualifications

Minimum

• High School / GED or Completion of a Medical Assistant Program or LPN License
• Current State of PA LPN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) OR Medical Assistant Certification.
• 2 years of Medical Assistant experience

Preferred

• High school diploma or equivalent.

Additional Employment Requirements

• CPR certification.
• Act 34 Criminal Background Clearance Certificate
• Act 33 Child Abuse Clearance Certificate
• Act 73 FBI Fingerprinting Criminal Background Clearance Certificate

Disclaimer

The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement

This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

California Consumer Privacy Act Employees, Contractors, and Applicants Notice