Clinical Assistant - CNA, CMA, PCT

Position Description

This Clinical Assistant with (Quality Care Coordination) SOM Performance Improvement combines professional medical support duties with a vibrant, upbeat culture while emphasizing TEAMWORK, patient advocacy, positive energy and a supportive workplace environment.

Department

Performance Improvement Lbk

Major/Essential Functions

• 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.
• Assist in identifying high-risk patients.
• Conducts post-discharge follow-up calls to patients and caregivers, utilizing specific clinical protocols, Transitional care management (TCM).
• Assists with patients' care as they move between health care settings, such as from hospital to home, to prevent complications, hospital readmissions, and improve health outcomes to ensure a seamless transition, enhance the continuity of care, and empower patients to manage their health effectively.
• 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 needs.
• Audits charts utilizing custom report data, identifies and reports alterations in patient responses to assist in the identification of problems and formulation of goals/ outcomes and patient-centered plans of care in collaboration with patients, their families, and the interdisciplinary health care 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 the identification of patient needs for referral to resources and facilitates continuity of care.
• Communicates patient data using EMR to support decision-making to improve patient care.
• Collaborates with an interprofessional team.
• Attends and participates in Care Coordination TEAM activities, including but not limited to staff meetings, educational activities, etc.
• Completes Annual Nursing Core Competency Training and maintains current required licensure.

Occasional Duties

as assigned by supervisor

Required Qualifications

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 particular 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 working experience in one of the following healthcare settings: clinical, hospital, or home-care experience.

EEO Statement

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information or status as a protected veteran.

Jeanne Clery Act

The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. To view this report, visit the TTUHSC Clery Act website at https://www.ttuhsc.edu/compliance/clery-report.aspx.