Transition Assistant
Westwood-NJ-07675-United States
**Certified Medical Assistant Certification Desire**
The Transition Assistantworks closely with Care Coordinators, Quality Improvement Specialist, Applications Analyst Manager, physicians and staff in coordinating and communicating gaps in quality care metrics for all CPC+attributedpatients. They assist with low risk patient navigation and preventative screening compliance. The Transition Assistant works independently to audit clinical data and assist in educating CPC+providers and staff. This promotes workflows that support quality patient care and compliance with documentation and clinical outcome metrics. The Transition Assistant will communicate with the healthcare team to assist patients in transitions of care across the healthcare continuum. Finally the Transition Assistant is accountable along with the care coordinator for training and continually updating CPC+practice staff to meet clinical quality guidelines and facilitate high quality safe patient care.
- Audit clinical records for gaps in quality care metrics and create corrective plan with CPC+ practice to facilitate collections and reporting of required quality metrics.
- Train, educate and update CPC+physicians and staff on payer program metrics.
- Assist in workflow design that promotes compliance to CPC+ standards and clinical quality metrics.
- Provide monthly reports to practice to assist with quality metric performance that will maximize shared savings opportunities.
- Work with providers, care coordinators and office staff to ensure safe patient transitions.
- Accountable for preventative care metric documentation.
- Contacts CPC+ patients to make appointments for outstanding provider follow ups, labs and diagnostics as directed by CPC+providers.
- Performs both internal and external audits for Medicare, Aetna, Horizon, Qualcare and other payers. Communicates gaps in quality metrics to providers and CPC+ management on a monthly basis.
- Assist practice in scheduling appointments and referrals which improves accessibility of office services and patient satisfaction.
- Travel to assigned CPC+ offices to ensure compliance with CPC+ policies and procedures as directed by CPC+ management.
- Work with management and care coordinators to utilize CPC+ software to create and report on CPC+ outcome measures such as ER, inpatient and sub-acute usage.
- Audit medical records to ensure documentation conforms to CMS standards for inclusion and exclusionary clinical guidelines.
- Other office responsibilities, assigned by supervisor or Physician, as deemed necessary.
PI272997331
