Nurse Practitioner Licensed in Florida

CCM/RPM 

The medical assistant works in collaboration and continuous partnership with chronically ill patients and their family/caregiver(s), clinic/hospital/specialty provider and staff, and community resources in a team

We are seeking a full-time, bilingual, and remote Medical Assistant (MA) to join our rapidly growing team at Preventel Health performing Chronic Care Management and Remote Patient Monitoring (RPM) by telephonically delivering health and wellness calls to assigned patients.

Responsibilities:

• Remotely providing basic patient coaching and care to improve patient outcomes.
• Coaching and educating patients on improving their Chronic Conditions, preventive care and physician directives
• Updating and managing patient care plans based on assessment of patients’ needs and physician directives
• Schedule appointment scheduling on behalf of physicians
• Telephone outreach to English and Spanish-speaking patients
• Facilitate CCM program enrollment
• Facilitate RPM- remote patient monitoring enrollment
• Monitor patients outcomes
• Clear explanation of the benefits of chronic care management
• Patient eligibility verification
• Concise and accurate documentation
• Cultivate and support the primary care providers with timely communication, inquiry follow-up, and integration of information into the care plan regarding transitions-in-care and referral

·      Serve as the contact point, advocate, and information resource for patients and their care team.

·      Work with patients to plan and monitor health and social needs

·      Develop a care plan with the patient, family/caregiver(s) and provider

·      Monitor adherence to care plans, evaluate effectiveness, monitor patient progress in a timely manner and facilitate changes as needed

·      Create ongoing process for patients and family/caregiver(s) to determine and request the level of care coordinates support they desire at any given point in time

Requirements:

• Medical Assistant certification
• Fluent in Spanish
• Knowledgeable using Excel spreadsheets
• Computer with internet 

COMPENSATION: Based on a base plus incentive model.