Chronic Conditions Management Program Assistant

Kaiser Permanente
Santa Clara, CA

Job Summary:

The Program Assistant works under the direction of the CCM Manager and/or care/case managers to support the delivery and daily operations of CCM Population and care/case management programs. Support includes, but is not limited to, clerical duties, managing office logistics; facilitating communication with members, primary care team staff, and other departments and services, processing and maintaining databases, and maintaining program resources.


Essential Responsibilities:
  • Assists the CCM Manager or care/case manager in screening and enrollment of patients:
  • May conduct population or care/case management program outreach efforts, using the system database or other outreach lists
  • Obtains and reviews charts or other data related to ER visits and hospital admissions for follow-up and program enrollment
  • Processes referrals received from electronic referral system
  • Provides initial outreach to patients, introducing the care/case management program and processing of new referrals
  • Sets up initial visits and/or classes as appropriate and mails out program materials
  • Generates authorization letter when requested and follows up to ensure that written authorization is received if not electronically referred from primary care provider.
  • Provides logistical support for classes, group visits and clinics:
  • Schedules conference rooms
  • Schedules patients
  • Confirms schedule with providers and presenters
  • Provides reminder calls/letters to patients
  • Assists in preparing charts and supplies
  • Assists patients in completing program questionnaire or log as needed
  • Checks blood pressure, pulse, respirations, height, weight, peak flows, spirometry or downloads glucose meters as needed
  • Registers members and generates OSCR forms per medical facility policy.
  • Conducts visit registration and scheduling of telephone and clinic visits:
  • Schedules appointments
  • Provides reminders as needed
  • Coordinates or provides resources for patient-specific prevention activities
  • Registers members for visits and generates OSCR forms per medical facility policy
  • Processes referrals, schedule classes and follow-up appointments as directed by care/case managers
  • Contacts overdue patients by phone or letter at direction of care/case managers.
  • Maintains computer databases:
  • Adds and delete patients into the Patient Alert System using program guidelines
  • Manipulates and utilizes data in current patient population management report system.
  • Enters patients in care/case management software programs and maintains data as appropriate, e.g. AmCare, Lotus Notes Case Management System, Cholesterol Management Program, MULTIFIT Program, etc.
  • Maintains Access or Excel patient logs if used in conjunction with care/case management software applications.
  • Manipulates and utilizes data to generate reports and queries as needed.
  • Maintains daily program operations:
  • Prepares, maintains and provides member packets for enrollment, group visits, classes and/or clinics
  • Sends letters to patients and patients providers
  • Makes copies of program materials, send faxes as needed
  • Establishes and maintains a department filing system
  • Answers phone and voice mail and routes messages to appropriate person; provides call backs to patients relaying responses from care/case manager
  • Sorts and routes department mail
  • Orders and transfers charts at the direction of care/case managers
  • Sends memos and progress notes to patients MD/NPs
  • Contacts patients by phone or by letter at direction of care/case managers for follow-up
  • Upon program completion places patients on booking list for routine follow-up appointment with their primary care MD/NP per medical center policy
  • Orders office and program supplies
  • Works with care/case managers and other staff to maintain patient education resources, including inventory, ordering and distribution
  • Communicates with Schedule Maintenance Department regarding care/case manager schedules.
  • Supervisory Responsibilities: This job has no supervisory responsibilities.

Grade 400

Basic Qualifications: Experience

  • Minimum one-year secretarial and/or medical setting/front office experience required.
Education
  • High School Diploma or General Education Development (GED) required.
License, Certification, Registration
  • N/A
Additional Requirements:
  • Skills and knowledge of Medical Assistant preferred and may be required for a specific program per medical center policy.
  • Proficient and legible advanced writing, reading, and arithmetic skills required.
  • A minimum of intermediate tested proficiency with Windows, Microsoft Word, and Excel required, and ability to learn complex software programs, including databases, required.
  • Keyboarding at least 40 wpm required.
  • A service orientation and openness to creative and innovative approaches to providing service characterized by cultural sensitivity, respect, and polite communication with patients, staff members, and visitors required.
  • Strong organization and task management skills required, multi-tasking skills in a busy environment required.
  • Ability to be self-motivated, to work independently, and to work as a team member required.
  • The successful candidate must demonstrate the ability to be self motivated, to work independently and to work in a busy environment.
  • Must be willing to work in a Labor Management Partnership environment.
  • BLS may be required per medical center policy.
Preferred Qualifications:
  • Knowledge of medical terminology strongly preferred. Knowledge of KP systems (e.g., PARRS, RegPlus, CIPS) strongly preferred.
  • Knowledge of ordering materials and monitoring inventory strongly preferred.
  • Good attendance strongly preferred.
  • AA in Business or Health related field strongly preferred.
  • MA certificate preferred and may be required in certain circumstances.
// // //