Medical Assistant - Chronic Care Management

RECONNECT PJ; Goodyear (AZ); Hybrid; USD 35,000 - 45,000; Full time

Job summary

RECONNECT PJ is seeking a Medical Assistant for Chronic Care Management in Goodyear, Arizona. This position involves working with patients who have chronic diseases, ensuring quality care and effective management strategies are employed while also maintaining communication with healthcare teams.

The role is primarily remote but requires occasional visits to the office. Candidates must have relevant certifications, strong decision-making skills, and be customer service oriented.

Responsibilities

• Register and validate enrollment of CCM patients.
• Conduct monthly patient check-ins via telephone.
• Document care plans and patient progress in EHR.
• Monitor patient adherence to care plans and medications.
• Provide patient education regarding disease management.

Skills

Critical decision making

Effective communication

Computer skills

Customer service orientation

Detail oriented

Flexibility

Teamwork

Education

CMA or RMA certification or LSW or LPN or RN license

Job description

Medical Assistant - Chronic Care Management

*This position requires occasional visit to the office a few days a week.*

We have openings in multiple locations. Gilbert/San Tan/Goodyear/Central Phoenix.

The Chronic Care Coordinator performs care management for chronically ill patients with chronic diseases such as chronic kidney disease, diabetes mellitus, chronic obstructive pulmonary disease, and/or congestive heart failure. The Chronic Care Coordinator works in collaboration and continuous partnership with chronically ill patients and their family/caregiver(s), clinic providers in a team approach to increase patients’ ability for self-management and shared decision-making.

Duties

• Responsible for registry of chronic care management (CCM) patients.
• Validates enrollment of CCM patients based on provider request.
• Conducts minimum of one 20 minute of telephone and education per month to each CCM patient on roster.
• Complies with documentation requirements of the Chronic Care Management program by carrying out the care plan with the patient, family/caregiver(s) and providers and recording in the EHR.
• Monitors adherence to care plans, evaluates effectiveness, monitors patient progress on time, and facilitates changes as needed.
• Medication reconciliation with review for adherence
• Reinforce disease self-management education and preventive care guidelines, communicate PCP instruction and advice, and provide patient education materials
• Communicate with and assist patients in a professional and courteous manner.
• Work as part of the healthcare team to assess patient needs, plan and modify care and implement interventions. Communicate with the healthcare team to provide a proactive approach to patient care.
• Knowledge of medical terminology.
• Knowledge of medical office principles, standards, applications and tests.
• Knowledge of medical office safety, cleanliness and infection control policies and regulations.
• Knowledge of medical office equipment uses and maintenance.
• Decision Making – Ability to make critical decisions while following organizational policies and procedures.
• Accuracy – Ability to perform work accurately and thoroughly.
• Communication – Ability to communicate effectively verbally and in writing.
• Computer Skills – Proficient ability to use a computer and electronic medical records.
• Confidentiality – Maintain patient, team member and employer confidentiality. Comply with all HIPAA regulations.
• Customer Service Oriented – Friendly, cheerful and helpful to patients and others. Ability to meet patients and others' needs while following office policies and procedures.
• Detail Oriented – Ability to pay attention to the minute details of a project or task.
• Decision Making – Ability to make critical decisions while following organizational policies and procedures.
• Flexibility – Ability to adapt easily to changing conditions and work responsibilities.
• Positivity – Display a positive attitude and is a positive agent for change.
• Teamwork – Work as part of a team and collaborate with co-workers.
• Working Under Pressure – Ability to complete assigned tasks in stressful situations.

Requirements

The position is mainly remote but occasional visit to the office may be required a few days a week.

Certification and Licensures:

• CMA or RMA certification or LSW or LPN or RN license required