Medical Assistant, Care Connections - CA ONLY

Molina Healthcare; Long Beach (CA); Hybride; USD 28 000 - 45 000; Plein temps

Résumé du poste

Molina Healthcare seeks a Medical Assistant to support the Care Connections team in Long Beach, CA. The role focuses on patient navigation, follow-up coordination, and administrative clinical support to improve quality and cost-effectiveness of member care.

Responsibilities include coordinating care after visits, communicating results to members and PCPs, assisting with care management referrals, and ensuring timely follow-up and documentation.

Qualifications

• At least 1 year of health care experience in a family practice, home health, primary care, palliative care or hospice setting, or equivalent.
• Graduate of an accredited medical assistant program.
• Understanding of patient care, medical terminology, coding, pharmacology within MA scope.
• Excellent customer service skills.
• Ability to work independently or as part of a team.
• Desire to meet Care Connections metrics and provide excellent service.
• Strong attention to detail, ability to multi-task and meet deadlines.
• Empathy for senior, disabled and vulnerable populations.
• Strong communication skills; proficient with MS Office and able to learn new programs.
• Ability to lift up to 50 lbs.

Responsabilités

• Coordinates care between members and providers after appointments to support navigation and follow-up.
• Clarifies orders with providers and escalates issues when unable to resolve.
• Supports processing and follow-up for care management and PCP referrals for high-risk members.
• Escalates issues related to prior authorizations for medications and DME.
• Communicates lab results and exam findings to members and PCPs.
• Communicates with nurse practitioners on member health issues for timely follow-up.
• Sends electronic messages/faxes to PCPs to support care coordination.
• Closes gaps in health care by preparing member lab result letters and coordinating follow-up.
• Fulfills nurse practitioner supply orders and maintains inventory.
• Performs administrative tasks such as phone/email response and updating member records.
• Facilitates follow-up calls to ensure positive member experience.
• Assists with special projects under clinical leadership.

Connaissances

Customer service

Teamwork

Attention to detail

Multitasking

Communication

Microsoft Office

Formation

Medical Assistant program graduate

Outils

Epic EMR

Description du poste

JOB DESCRIPTION

Job Summary

Provides medical assistant support for Care Connections team. Responsible for contacting members following appointments/services rendered to ensure member understanding and navigation of the health care system, and coordination support for follow-up care. Also provides assistance for other administrative clinical support tasks. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

• Coordinates care between members and providers after appointment/service delivery to support member navigation of the health care system, needs related to follow-up care and highest quality care/desired member health outcomes.
• Communicates with Care Connections providers to clarify orders/requests and assists with escalation of issues to appropriate team(s) when unable to resolve independently.
• Supports processing and follow-up for care management assignment and primary care provider referrals for high-risk members.
• Escalates member issues related to prior authorizations for medications and durable medical equipment.
• Communicates lab results and other exam findings with members and primary care providers.
• Communicates with nurse practitioners on member health issues to ensure timely follow-up and response.
• Supports care coordination and intervention by sending electronic messages/faxes to primary care providers.
• Closes gaps in health care by preparing member lab result letters and coordinates follow-up on lab results.
• Fulfills nurse practitioner supply orders and maintains adequate nursing supply inventory.
• Performs administrative tasks such as telephone and email response, documentation follow-up and updates to member records.
• Facilitates follow-up calls to members to ensure positive member experience/outcomes and ensure needs are met.
• Assists with special projects under the direction of clinical leadership.

Required Qualifications

• At least 1 year of health care experience preferably in a family practice, home health, primary care, palliative care or hospice setting, or equivalent combination of relevant education and experience.
• Graduate of an accredited medical assistant (MA) program.
• Demonstrated understanding of patient care, medical terminology, coding procedures, reference tools and appropriate clinical pharmacology for medical assistant practice scope.
• Excellent customer service skills.
• Ability to work independently or as part of a team.
• Ability and desire to meet or exceed Care Connections clinical integration and departmental metrics and conjunctively provide excellent customer service.
• Strong attention to detail, ability to multi-task, prioritize, meet deadlines and demonstrate follow-through.
• Utilizes critical-thinking skills to identify issues, problem-solve and demonstrate initiative.
• Empathy for senior, disabled, income challenged and vulnerable populations.
• Ability to build positive working relationships with peers and effectively manage conflict.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs.
• Ability to lift up to 50 lbs.

Preferred Qualifications

• Certified Medical Assistant (CMA).
• Experience working with an electronic medical record system (EMR), preferably Epic.
• Experience with underserved populations facing socioeconomic barriers to health care.
• Bilingual in Spanish, Korean, Mandarin, Cantonese or Vietnamese.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $20.34 - $33.42 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.