Medical Assistant Population Health (FT Non-Clinical) PN Administration

Chronic Disease Care Coordinator

Centered in a clinician provider practice, this individual works in partnership with patients, families, nurses, physicians, other qualified healthcare providers and clinical disciplines. Coordinates care for patients with chronic disease and manages effective care transitions for them within the continuum. Partners with the provider care team for successful preventative care visits to reduce the severity of chronic disease and avoidable acute illness. Provides effective clinical health coaching to assist patients with self-management of their chronic disease and life-style changes to mitigate health risk. Promotes effective partnerships and utilization of community resources. Facilitates a "shared goal model" within and across settings to achieve coordinated high-quality care that is patient and family-centered.

Education: High School diploma or GED required; post-secondary education preferred, medical assistant certification preferred.

Experience: Previous 3 years medical experience, preferably in an office/clinic setting caring for chronic disease patients. Preferable knowledge/experience with MCR Annual Wellness Visits, Transition Care Management, and Care Gap documentation, components, and billing. Preferable experience in social or case work.

Additional Skills/Abilities: Core values consistent with a patient/family-centered approach to care, demonstrates professional and effective written and verbal communication skills, demonstrates a positive, respectful attitude and professional customer service, acknowledges patients' rights on confidentiality issues, maintains patient confidentiality at all times, and adheres to HIPAA guidelines and regulations, proactively acts as a patient advocate, responding with empathy and respect to resolve patient/family concerns, recognizes and responds to opportunities for improvement., demonstrates continual learning skills, effects changes in approach to care based on established, evidence-based practice, demonstrates professional practice behavior, cultivates effective partnerships, effectively collaborates with all practice providers (Physician, Nurse Practitioner, Physician Assistant and other licensed allied health team-members), demonstrates understanding in use of IT resources and patient databases, demonstrates effective delegation skills to streamline operational workflows and optimize inter-office resources.

Highlights of our hospitals

Huntsville Hospital was recently named Best Regional Hospital and #2 in Alabama by U.S. News & World Report. With 971 beds, a specialized Orthopedic & Spine Tower, a Level III Regional Neonatal ICU, and the largest Emergency Department and Level 1 Trauma Center in the state with our own specialized Red Shirt Trauma Program, there are many opportunities to apply your knowledge and skills. We are a certified Primary Stroke Center and named "One of the Top 100 Hospitals in the Nation with Great Heart Programs." From six cath labs and four EP labs to multiple medical and step-down units, you can continually grow your skillset! We offer a training center on campus for continuing education, Shared Governance Program, Clinical Ladder for professional development, The Daisy Award, and if you are a new grad, a Nurse Residency Program to help you transition from student to professional nurse. We care about you and your well-being by offering an excellent benefits package, childcare, health and wellness programs, an onsite employee pharmacy, a free health clinic, tuition assistance, and much more. We are committed to creating a diverse environment and proud to be an equal opportunity employer. We are a partner to the U.S. Army's Partnership for Your Success (PaYS) program. Ask us about incentives and additional opportunities.

Huntsville Hospital Benefits:

We are committed to providing competitive benefits. Our benefits package for eligible employees includes medical, dental, vision, life insurance, flexible spending; short term and long term disability; several retirement account options with 401K organization match; nurse residency program; tuition assistance; student loan reimbursement; On-site training and education opportunities; Employee Discounts to phone providers, local restaurants, tickets to shows, apartment application and much more!

Learn more about Huntsville Hospital Health System:

• Careers:
• Benefits:
• Education & Professional Development:
• Life In Huntsville: