Medical Assistant - Chronic Care Management
Sante Health
Job Description
Job Description
Sante Health System is seeking an exceptional Medical Assistant to join our team in Fresno, CA. This role is responsible for collaboration with staff, physicians and management to perform and achieve objectives of the Chronic Care Management program for all eligible patients according to insurance guidelines. This Medical Assistant also promotes patient engagement and satisfaction, ensure outcome quality metrics are met and reimbursements are captured. REQUIREMENTSHigh school diploma/GED equivalentGraduation from an accredited program for Medical AssistantsCertification from the American Association of Medical Assistants preferredMinimum of 2 years experience preferred but not requiredEpic EMR experience preferred Bilingual in English/Spanish preferred but not required Candidates should have exceptional people and communication skills, be highly skilled in multi-tasking in a fast-paced environment, a commitment to achieving a high level of accuracy and attention to detail, and a no-task-too-small approach to the work. Does this sound like you? If so, please continue reading about this medical assisting opportunity!KNOWLEDGE, SKILLS & ABILITIESKnowledge of community health concepts, principals of community health care, care coordination and epidemiology. Knowledge of organizational policies, regulatory requirements and procedures to administer patient care. Knowledge of common safety hazards and precautions to establish a safe work environment and evaluate same for home care. Skill in health interviewing techniques, teaching and communication both verbally and in writing. Skill in identifying problems and recommending solutions utilizing established protocols and a common-sense approach. Skill in preparing and maintaining records, writing reports and responding to correspondence. Skill in developing and maintaining site quality assurance. Skill in establishing and maintaining effective working relationships with patients, medical staff and the care team members. Ability to react calmly and effectively in emergency situations. ESSENTIAL DUTIES AND RESPONSIBILITIESDevelops an efficient process for Chronic Care Management (CCM), to include: CCM identification, communication, scheduling and follows up through collaboration with physicians and office staff. Supports identification of eligible patients for CCM and completes the CCM monthly calls according to best practice guidelines. Ensures that CCM calls are coded accurately for maximum financial capture. Provides age-based, culturally and language appropriate patient education. Assists patients through the healthcare system and community by acting as a patient advocate and navigator. Encourages and facilitates patient self-management of disease, behavior modification interventions, and home monitoring within the scope of Chronic Care Management. Maintains the sustainability and process improvement for Chronic Care Management and makes referrals as appropriate. Demonstrates System Values in performance and behavior. Complies with System policies and procedures. Complete comprehensive, age appropriate review based on patient strengths, goals and needs, acute and chronic health conditions, environment and psychosocial determinants of health. Conduct ongoing response to care plan or services and/or changes in patient's biophysical, psychosocial, family or environment status. Notify RN/LVN on new information and assure patient, family and care team members who participate are informed of new information. Provide general information on department policies and procedures. Maintain patient files, records, and other information. Attend required meetings and participates in committees as requested. Participate in professional development activities and maintain professional affiliations. Follow all MA competencies. Maintain patient confidentiality in compliance with HIPAA regulations. Provide Chronic Care Management services under the direction of a physician.In the spirt of teamwork, employees are expected to follow any other job related instructions and to perform any other job related duties as requested. ABOUT SANTE HEALTH SYSTEMSante Health System is a Management Services Organization that serves multiple clients. "Sante" is the French word for health. Our name symbolizes our commitment to good health, progressive care, and leadership in our community.Sante is one of the largest healthcare claims and billing management companies in Central California. The strength of Sante is the extraordinary network of physicians, health plans, and other health service providers it offers the people of our valley. Sante coordinates with physicians, health plans, hospitals, and ancillary providers to ultimately benefit the patient in a managed care environment. Sante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physician services, practice management, provider relations, quality improvement, and utilization management.With over 30 years of service to the community we deeply understand that we would not be successful in enhancing the quality of life of our patients without our incredible team. This is why we have created a work culture that is comprised of talented, driven, dedicated, innovative, and service-driven professionals. We provide competitive pay, excellent benefits including medical, dental, vision, and life insurance, 401k retirement plan, paid time off, and opportunities for advancement. Being part of our team is like being part of a big family. Join our team and make Sante Health System your home away from home.If you meet the above qualifications and are ready to provide excellent care to our patients, we want to meet you! Apply now for this Medical Assistant job!
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- Open Continuous Announcement This is an open continuous announcement. The initial cut-off date for referral of eligible applications is Friday, May 29, 2026 and applicants will be referred on an 'as needed' basis thereafter. Announcement will remain open through 08/...
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