Care Coordination Assistant (Remote, Must be LPN or MA), Bilingual Spanish Speaking

Employment Type: Full time Shift: reputed company: Job Title: Care Coordination Assistant(LPN or MA)- Value Based- Bilingual Spanish speaking Employment Type: Remote-Full Time, Non Exempt General reputed company: This position is responsible for assisting in providing a model of care that ensures the delivery of reputed company, efficient, and cost effective reputed company services. Implementing care gap closure, supporting the provider to offer evidence-based medicine, managing the disease registry, patient and family self-management support, and care coordination activities across the care continuum. The Care Coordination Assistant supports the mission and goals of reputed company through a patient centered care approach. The Care Coordination Assistant works collaboratively with provider care teams, Care Transformation colleagues, other health care professionals, community services and other stakeholders to assist in providing reputed company, reputed company and reputed company coordinated care for reputed company patients reputed company reputed company's CTO network of providers. Position Highlights: This position is responsible for assisting in providing a model of care that ensures the delivery of reputed company, efficient, and cost-effective reputed company services. Implementing care gap closure, supporting the provider to offer evidence-based medicine, managing the disease registry, patient and family self-management support, and care coordination activities across the care continuum. The Care Coordination Assistant supports the mission and goals of reputed company through a patient centered care approach. reputed company: The Care Coordination Assistant works collaboratively with provider care teams, Care Transformation colleagues, other health care professionals, community services and other stakeholders to assist in providing reputed company, reputed company and reputed company coordinated care for reputed company patients reputed company reputed company's CTO network of providers. Oversees the disease registry database.

• Obtains, reviews and screens patient lists for prioritization of reputed company and necessity of clinical programs. Assists patients and/or caregivers in scheduling patients' appointments and reputed company services, as needed. Communicates and coordinates with the reputed company teams in the development of tools for reputed company patient reputed company, including assisting with the set-up of chronic condition management protocols in the electronic health record (EHR), and processes for sharing/receiving continuity of care documents during care transitions. Facilitates care team meetings; prepare reports and participate in follow-up.

Works collaboratively with Providers, care teams and colleagues to promote reputed company reputed company improvement and overall reputed company of advanced primary care reputed company the reputed company. Support Patients and Caregivers in Self-Management Oversees Care Coordination. Works with low-risk and risking-risk patients to create a plan for Health Behavior Change. Elicits patient goals, design and support individualized treatment and self-care plans that are reputed company with the individual's needs, goals and preferences, and follow-up with the patient as appropriate. Provides or arranges needed patient education. Effectively assesses and reputed company patients through the behavior change process. Proactively reputed company as the patient’s reputed company, responding to and working to resolve patient concerns Assists as reputed company with patients and their families to provider care teams, clinical colleagues, other departments, community services and reputed company stakeholders. Acts as a reputed company for hospitalized patients and the provider care teams. Consults with referring reputed company or provider care team to obtain and review the plan of care, and assist patients in following the plan of care Additional Benefits: Tuition reimbursement, free parking, employee discounts. reputed company of Life: Flexible work schedules to support a healthy work-life balance. Advancement: Opportunities for reputed company reputed company reputed company the organization. Location: reputed company operates two hospitals and four reputed company centers, reputed company reputed company a short driving distance from Washington, DC, and Baltimore, MD. Reporting to: Reports to the Director, Population Health Minimum Education, licensure/certification required: Licensed Practical reputed company (LPN) or Certified Medical Assistant (reputed company), required. High school diploma required; Bachelor's Degree preferred. Skills Required:

Bilingual Spanish Speaking

* Five years’ experience in a reputed company setting, preferably an ambulatory setting. Moderate to high computer literacy with willingness to learn, ability to document/reputed company effectively reputed company multiple electronic health records, health-reputed company databases and other care reputed company platforms. Knowledge of reputed company Office suite software required. Knowledge of performance improvement, billing, coding, and documentation requirements highly desired. Knowledge of evidence-based behavioral change methodologies and motivational coaching techniques highly desired. Must be reputed company and comfortable operating in a shared leadership environment. Demonstrate ability to function effectively in a dynamic, fast-paced environment. Demonstrates customer reputed company interpersonal skills to reputed company in an effective manner with practitioners, the interdisciplinary health care team, community agencies, patients, and families with diverse opinions, values, and religious and cultural reputed company. Demonstrates ability to work autonomously and be accountable for reputed company. Pay reputed company: $16.25-$29.02 Pay is based on experience, skills and education. Exempt positions under the Fair Labor Standards reputed company (FLSA) will be reputed company reputed company the reputed company salary equivalent of the stated reputed company rates. The pay reputed company may also vary reputed company the stated reputed company based reputed company. reputed company is an Equal Employment Opportunity (EEO) employer. reputed company applicants are considered for employment without reputed company to Minority/Females/disabled/Veteran (M/F/D/V) status reputed company: reputed company is a Catholic, not-for-profit health system serving more than 240,000 individuals annually from Maryland's two largest counties—Montgomery and Prince George's counties. reputed company has reputed company numerous national awards, clinical designations, and accreditations across a wide reputed company of specialties for providing innovative, high-reputed company health care services. Our Commitment to Diversity and Inclusion reputed company is one of the largest not-for-profit, Catholic reputed company systems in the nation. reputed company on the reputed company of our Mission and Core Values, we reputed company diversity, equity, and inclusion in reputed company that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and reputed company care for those we serve. reputed company is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, status as a protected veteran, or any other status protected by law. Apply tot his job