Care Navigator - Medical Assistant (Chronic Care Management) - HealthDrive

The medical assistant plays a vital role coordinating care for patients with chronic conditions, collaborating with healthcare providers, and ensuring the delivery of high-quality, patient-centered services.  This position is located in our corporate office in Framingham, MA.  

• Engage/enroll eligible patients, educate them on the value of our CCM services, and obtain verbal consent for services
• Gather and document medical history, chronic conditions, functional abilities, and psychosocial needs from various sources
• Schedule appointments, referrals, and diagnostic tests as directed by healthcare providers and follow up on patient referrals and orders
• Serve as the primary point of contact for patients, caregivers, and healthcare providers, facilitating communication and coordination of care
• Advocate for patients' needs and preferences within the healthcare system, addressing any barriers to care or access to services
• Monitor patients' health status, medication adherence, and progress towards treatment goals through regular check-ins and follow-up appointments
• Follow up with patients between appointments to assess their progress, address any concerns or questions, and reinforce care plans
• Proactively identify any changes or concerns in patients' health status and notify care team.
• Maintain accurate and up-to-date documentation of patient assessments, care plans, interventions, and outcomes in electronic health records (EHR) or other documentation systems.
• Prepare reports, summaries, and quality improvement data for review by healthcare leadership and regulatory agencies as required
• Communicate clearly and professionally with patients, families, and caregivers to ensure understanding of treatment plans and instructions

• Strong communication, interpersonal, and organizational skills
• Knowledge of medical terminology, HIPAA regulations, and electronic health records (EHR) system
• High school diploma or equivalent required
• Certification as a Medical Assistant (CMA) or Registered Medical Assistant (RMA) preferred
• Previous experience in a healthcare setting, preferably in a role involving patient care and chronic disease management

Employee must be able to perform the essential functions of this position satisfactorily, with or without a reasonable accommodation. Employer retains the right to change or assign other duties to this position.