Clinical Assistant - CNA, CMA, PCT

About the Role

This Clinical Assistant with Quality Care Coordination combines professional medical support duties with a vibrant, upbeat culture that emphasizes teamwork, patient advocacy, positive energy, and a supportive workplace environment.

Responsibilities

• Works closely with patient outreach, including patients identified by clinicians with Social Determinants of Health (SDOH) needs, to assist patients with connecting to local and state resources for assistance with health equity needs.
• Assists in identifying high-risk patients.
• Conducts post-discharge follow-up calls to patients and caregivers, utilizing specific clinical protocols and Transitional Care Management (TCM).
• Assists with patients' care as they transition between healthcare settings (e.g., from hospital to home) to prevent complications, hospital readmissions, and improve health outcomes, ensuring seamless transitions and continuity of care.
• Reconciles the discharge medication list.
• Promotes and reinforces patient-centered medical home concepts with patients, their families, and clinic personnel.
• Works proactively to prevent complications, reduce hospital readmissions, and manage patient populations by identifying and addressing quality gaps in care.
• Audits charts using custom report data, identifies and reports alterations in patient responses to assist in problem identification and formulation of goals/outcomes, and develops patient-centered plans of care in collaboration with patients, families, and the interdisciplinary healthcare team.
• Assists in determining the physical and mental health status, needs, and preferences of culturally, ethnically, and socially diverse patients and their families.
• Participates in identifying patient needs for referral to resources and facilitates continuity of care.
• Communicates patient data using EMR to support decision-making and improve patient care.
• Collaborates with an interprofessional team.
• Attends and participates in Care Coordination team activities, including staff meetings and educational activities.
• Completes Annual Nursing Core Competency Training and maintains current required licensure.
• Performs occasional duties as assigned by supervisor.

Requirements

• A minimum of a High School diploma or equivalent.
• Graduation from an approved certified program for assistants in the area of required specialty.
• Certification by an approved accredited certifying agency in the specialty in which the work will be performed.

Preferred Qualifications

• Knowledge and/or experience in care coordination and/or case management.
• Knowledge and/or experience in value-based HEDIS quality care gap measures.
• 1-2 years of working experience in one of the following healthcare settings: clinical, hospital, or home-care.

Benefits

• Health Plans + Supplemental Coverage Options – Individual health insurance provided at no cost for full-time team members.
• Paid Time Off – Including holidays, vacation, sick leave, and more.
• Retirement Plans.
• Wellness Programs.
• Certified Mother-Friendly Workplace.
• Lifelong learning programs, recognition programs, and health and wellness initiatives.
• Special membership rates at local gyms and golf courses.
• Access to state-of-the-art software and facilities.
• Discounts on travel, technology, entertainment, and more.