Lake Placid, FL, Provider Liaison- Medical Assistant Temporary

About the role

Theoria Medical is a physician-led post-acute care organization that brings high-quality, patient-centered care to skilled nursing facilities. We focus on healthcare innovation, integrating multispecialty provider services and forward-thinking technology.

Responsibilities

• Provider & Patient Visit Coordination
• Facilitate in-room telemedicine visits and schedule acute, follow-up, and routine provider appointments
• Prepare and support residents during provider visits, including positioning and documentation
• Update EHRs with medical histories to support care plans and visit encounters
• Care Coordination
• Support smooth transitions of care across the post-acute continuum, including referrals and follow-up appointments
• Facilitate prior authorizations and assist residents with ACO Voluntary Alignment forms
• Patient Education
• Reinforce provider instructions and educate residents on nutrition, fall prevention, medication reminders, and general wellness
• Distribute provider-approved materials and route clinical concerns to licensed staff or providers
• Documentation & Administrative Support
• Maintain accurate documentation in the EMR and support regulatory compliance and quality initiatives

Requirements

• Fosters a culture of best-demonstrated practices, customer and peer service orientation, measurement, performance, accountability, and continuous improvement
• Manages the Transition of Care process from admission to transition home (i.e., admission, discharge planning, and follow-up appointments)
• Serves as a resource for the patient and their family to help solidify the discharge and treatment plan
• Facilitates and clarifies the patient’s goals of care with the facilities and attending physicians
• Assists with discharge planning from inpatient or skilled nursing settings
• Collaborates with the Community Medical Director daily to review the appropriateness of discharge plans
• Reviews with the CMD the medical necessity of Home Health orders and DME orders, and follows up with those HH and DME agencies on their treatment plan
• Facilitates access for patients to verify their ancillary services (e.g., DME, Home Health, outpatient rehab) are in place and meeting their needs
• Attends Interdisciplinary Team (IDT) meetings and provides additional information on patients
• Serves as the face of [Company Name] in the hospital/SNF when physicians cannot be onsite (e.g., bringing in notes, POLST, etc.); patients recognize them as part of the [Company Name] program
• Absorbs and communicates with the attending of record
• Assists physicians with communicating with the attending of record
• Arranges family meetings in the SNF and hospital
• Coordinates with the facility’s Case Management and Social Work teams on the discharge
• Coordinates with the facility’s Case Management and Social Work teams on the discharge
• Develops relationships in the admitting, ED, and Case Management departments in the facility setting
• Coordinates with the facility’s Case Management and Social Work teams on the discharge
• Develops relationships with SNF administrators
• Obtains access to clinical records in the facility setting, and reviews and facilitates medical-records transfer to [Company Name]
• May conduct home visits based on community team needs
• Ability to explain the [Company Name] care model and engage new members into the program

Qualifications

• Graduate of an accredited Medical Assistant (MA) program
• Certified Medical Assistant (CMA) preferred
• Prior experience as a Medical Assistant in a clinical or care-coordination setting; Health Plan / Hospice Liaison experience preferred
• Managed Care experience preferred

Skills

• Superior interpersonal skills
• Experience charting in an EMR
• Detail orientation
• Problem solving, thinking autonomously, and owning the solution
• Professional demeanor
• Knowledge of geriatric medical practice and terminology
• Innovative mindset
• History of successful outcomes or quality-driven practices
• Commitment to ethical patient care
• Teamwork and a can-do attitude
• Advanced computer skills (e.g., Excel filtering and advanced features, Google/Gmail, etc.)
• Strong communication skills (verbal and written)

Work Requirements

• Travel: Local travel may be required, up to 30 miles one way
• Physical Demands: Ability to lift up to 20 lbs. independently and assist with resident transfers involving greater weights as part of a team; ability to stand for extended periods; ability to travel to patient locations (e.g., home, hospital, SNF); fine motor skills and visual acuity required
• Schedule & Flexibility: Optional, add if applicable