Shire Jobs

JOB DESCRIPTION

Job Summary

The Medical Assistant – Care Connections will communicate with members after appointments and services to ensure that they are receiving quality care. They will function as a liaison to share testing results, coordinate care between providers, and help the member navigate the health care system to receive appropriate follow up care. Communicates with the providers to clarify any orders or requests and assist with escalation of issues to the appropriate team when unable to resolve independently. In addition to working directly with members, they will perform various administrative tasks, documentation, and patient records updates.

KNOWLEDGE/SKILLS/ABILITIES

• Be a liaison for Molina members by following up with members after appointments or services to ensure they receive the highest quality care leading to better health outcomes

• Help at risk patients by processing and following-up on case management and primary care provider referrals

• Escalate patient issues related to prior authorizations for medications and durable medical equipment.

• Communicate lab results and other exam findings with members and Primary Care Providers as needed.

• Assist with follow up calls to members to ensure positive experience/outcomes and ensure patient needs are met.

• Communicate with Nurse Practitioner related to member health issues to ensure timely follow up and response.

• Facilitate care coordination and intervention by sending electronic messages/faxes to primary care physicians

• Close gaps in health care by preparing patient lab result letters and following-up on lab results

• Fulfill nurse practitioner supply orders and maintain adequate nursing supplies inventory

• Perform administrative tasks such as telephone and email inquiries, follow-up documentation and update patient records

• Assists with special projects under the direction of Clinical Integration leadership team.

JOB QUALIFICATIONS

Required Education

High School Diploma or GED

Required Experience

• At least 1-3 years of clinical experience preferably family practice, in-home health, primary care, palliative care, or hospice settings

• A basic understanding of patient care, medical terminology, coding procedures, reference tools, and appropriate clinical pharmacology for medical assistant practice scope

• Working knowledge of desktop software applications (e.g., Outlook, Word, Excel, Internet, Email)

• Ability to lift up to 50 lbs

• Excellent customer service and communication (written & verbal and can work independently or as part of a team

• Understanding and striving to meet or exceed Care Connections Clinical Integration and departmental metrics while providing excellent customer service

• Strong attention to detail, ability to multi-task, prioritize tasks, meet deadlines, and demonstrate attention to detail and follow through

• Can utilize critical thinking skills to identify issues, problem solve to logical conclusion and demonstration initiative

• Empathy for working with senior, disabled, income challenged /vulnerable populations

• Demonstrate positive working relationships with peers and effectively manage conflict

Required License, Certification, Association

Graduate of an accredited Certified Medical Assistant program

Preferred Experience

• Experience working as a Certified Medical Assistant for more than 1 year

• Experience working with an electronic medical record system, preferably Epic

• Experience with underserved populations facing socioeconomic barriers to healthcare

• Bilingual in Spanish, Korean, Mandarin, Cantonese, or Vietnamese

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $20.29 - $34.88 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.