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 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.