Job Overview:

This position is responsible for providing direct patient care in a primary care office. This position will maximize synergy between care delivery providers to identify gaps in care, contact patients to schedule required care, and provide referral follow up. The successful Medical Home Medical Assistant will provide pre-visit planning for the practice's patient panel, coordinate messages through electronic portals, and assist in managing care transitions into and our of the office. The Medical Home Medical Assistant will act as a clinical liaison to the physician care plan and will actively communicate with patients. The Medical Assistant will suggest process improvements, understand clinical goals (including TPEC Q1), and shall work to manage patient satisfaction and engagement. Must have competency in clinical care, customer service communication, and team work. Must be certified or register medical assistant. must maintain certified or registered status.

Job Requirements:

Graduate of an approved technical, professional, or vocational program in Healthcare; Healthcare clinical experience preferred physician practice or related field 
Equivalent experience accepted in lieu of degree
Must be certified or registered medical assistant 
Must maintain this certification and registration status Registered Medical Assistant (RMA), through AMT, NCCT, or NHA, or certified Medical Assistant (CAN) by AAMA, and Cardiopulmonary Resuscitation (CPR)
Medical office flow, especially the clerical/front office tasks 
Ability to make quick decisions based on well thought out consequences/results 
Knowledge of EMR, practice management software and medical coding/billing strongly encouraged
3-4 years experience Clinical Healthcare 

Job Responsibilities:

Provides expertise in the primary care rooming process, relevant medical procedures, and adult and pediatric patient care. Follows protocols and policies for clinical procedures and appropriate use of medical equipment. Follows scheduling decision trees and clinical protocols to assure appropriate patient access and disposition. Provides accurate and complete documentation of clinical calls, and all facets of the patient's care. Addresses patient messages in a timely manner and escalates patient issues as appropriate. Utilizes and monitors MyChart messaging to support patient communication. 
Participates as a part of the patient centered medical home team during all patient visits by reviewing the patient chart of clinical gaps in care. Assists with outreach campaigns and tactics to close gaps in care. Supports and completes pre-visit planning, and participates in daily huddles with the physician and care team. Embraces the philosophy of wellness and prevention by reminding patients of all screenings and immunizations due by the end of the year. Informs physician of any potential barrier identified by the patient.
Utilizes knowledge of population health and value based contracts. Works from knowledge of key quality and unitization metrics of value-based programs for both wellness and chronic disease management. Has proficient understanding of the Primary Care quality program including all protocols of well and chronic disease states. Can identify patients "at risk" for change in condition and increased utilization. Attends required population health training and education such as Lunch and Learns and other opportunities
Participates in the longitudinal care continuum of patients through completing post ED/post inpatient discharge outreach on identified risk patient group. Updates care team thorough documentation and works collaboratively with Complex Care RN, Social Worker, CHW, and Population Health Pharmacist. Knowledgeable and able to provide basic community resources to patients with social determinates in health. Supports and provides education and patient coaching of both wellness and chronic disease management. Supports facilitating follow-up for post-hospital care, chronic disease management, or specialty referral.

Other Job-Related Information:

Age-related competencies, experience with multiple age groups, understanding of recommended screenings based on age groups, understanding of chronic disease management process, and experience with patient centered medical home.

Working Conditions:

Climbing - Occasionally
Concentrating - Consistently
Hearing: Conversation - Frequently
Interpersonal Communication - Consistently
Kneeling - Occasionally
Lifting <10 Lbs - Consistently
Lifting 50+ Lbs - Occasionally
Lifting 11-50 Lbs - Rarely
Pulling - Occasionally
Pushing - Occasionally
Reaching - Consistently
Reading - Consistently
Sitting - Consistently
Standing - Frequently
Stooping - Occasionally
Thinking/Reasoning - Consistently
Use of Hands - Consistently
Color Vision - Consistently
Walking - Consistently

TriHealth SERVE Standards and ALWAYS Behaviors
At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following: 

Serve: ALWAYS…
• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or patient care areas
Excel: ALWAYS…
• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service 
Respect: ALWAYS…
• Respect cultural and spiritual differences and honor individual preferences.
• Respect everyone’s opinion and contribution, regardless of title/role.
• Speak positively about my team members and other departments in front of patients and guests.
Value: ALWAYS…
• Value the time of others by striving to be on time, prepared and actively participating.
• Pick up trash, ensuring the physical environment is clean and safe.
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.
Engage: ALWAYS…
• Acknowledge wins and frequently thank team members and others for contributions.
• Show courtesy and compassion with customers, team members and the community