Job description
Premier Medical Group employees commit to demonstrate Integrity, Respect and Compassion with their coworkers and patients at all times. Employees are required to acknowledge patients positively, show genuine concern, introduce themselves and others on the team, convey duration/expectation, explain what will be done to ensure understanding and offer thanks to patients for trusting us with their healthcare needs.
Job Purpose: Responsible for coordinating team-based care to provide health services to individuals, through effective partnerships with patients, their caregivers/families, community resources, and their physician.
Essential Functions:
- Provides mentoring/coaching of other population health and care coordination team members and coach patients/families toward successful self-management of their chronic disease.
- Utilize tools and documents that support a guided care process, collaborate with patients/family toward an effective plan of care.
- Assess patient and familys unmet health and social needs
- Provide effective communication to improve health literacy.
- Develop a care plan based on mutual goals with patient, family, and providers emergency plan, medical summary, and ongoing action plan, as appropriate.
- Monitor patients adherence to plan of care and progress toward goals in a timely fashion, facilitate changes as needed.
- Create ongoing processes for patients/families to determine and request the level of care coordination support they desire over time.
- Facilitate patient access to appropriate medical and specialty providers as well as other care coordination team support specialists (e.g. Diabetes Educator).
- Cultivate and support primary care and subspecialty co-management with timely communication, inquiry, follow up, and integration of information into the care plan regarding transitions-in-care and referrals.
- Provide clinical symptomatology, social welfare status and overall assessment to physician to facilitate collaboration toward meeting patient care goals/needs.
- Serve as a point of contact, advocate, and informational resource for patient, family, care team, payers, and community resources and facilitate and attend meetings between patient, families, care team, payers, and community resources, as needed.
- Ensure effective tracking of test results, medication management, and adherence to follow-up appointments.
- Develop systems to prevent errors (e.g. effective medication reconciliation and shared medical records).
- Attend and actively participate in clinical staff related training and meeting activities.
- Attends monthly staff meetings and training as required.
- Maintains confidentiality.
- Performs other duties as assigned.
Benefits:
Competitive Wages
Paid Time Off
Health Insurance with HSA and Company Contribution
Dental
Vision
Basic Life / Voluntary Life
Short Term Disability
Long Term Disability
Accident
Critical Illness
401k with Safe Harbor Match
Company Events
Community Events
Biweekly Food Truck
Discounted Gym Membership
Job Requirements/Qualifications: (Describe minimum qualifications, preferred or required)
Education: Graduation from an accredited medical assisting or nursing program.
Experience: Two years work experience in healthcare environment preferred.
Knowledge and Skills: Knowledge of examination, diagnostic and treatment room procedures. Knowledge of common safety hazards and precautions to maintain a safe work environment. Skill in taking vital signs. Skill in maintaining records and recording test results. Skill in establishing and maintaining effective working relationships with patients, staff and the public. Ability to maintain quality control standards. Ability to react calmly and effectively in emergency situations. Ability to read, understand and respond to detailed oral and written instructions. Ability to communicate clearly.
Licenses/Certifications: High School Diploma or equivalent. Medical Assisting Degree or Diploma from accredited Allied Health Professional Education Institution or valid Nursing License in the state of TN, if applicable. CPR certification.
Working Conditions: Normal medical office environment.
Physical Demands: Involves sitting approximately 90 percent of the day, walking, or standing the remainder.
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