Our Certified Medical Assistant Care Coordinators are highly valued in our organization, as they are the heart and glue at the core of our success!

The Patient Care Coordinator's primary responsibilities center around establishing trusting, supportive,collaborative relationships with patients and their families assisting them with enrollment and education of the Circle of Care plan in order to attempt to slow down the progression of chronic kidney disease and help prevent hospitalizations. CMA Care Coordinators work alongside physicians, advance practice providers, and other nephrology care team members in a collaborative, empathetic fashion to build these patient relationships. Certified Medical Assistant Care Coordinators drive communication with the entire care team to facilitate and organize appropriate patient education, nutrition, vascular access, and transplant referrals.

Responsibilities

• Patient enrollment into the Circle of Care Program.
• Patient education the patient regarding the benefits of the program.
• Develop realistic goals for the patient to succeed in and monitoring them.
• Create, review, and revise the nephrology patient's plan of care.
• Documentation of the patient's lab values, vitals, blood results, diet/nutrition, etc.
• Facilitate customized care plans and guidelines for managing chronic conditions.
• Oversee patients progress with care plan goals acting as a patient advocate and information resource.
• Provide patient education on chronic kidney disease (CKD) and other related illnesses.
• Outline a plan for healthy lifestyle choices and healthy behaviors important for optimal CKD management including, blood pressure and blood sugar control, weight management and appropriate exercise, smoking cessation, medication management, nutrition modifications, and compliance with medical appointments.
• Apply principles of personalized chronic care management, shared decision making and patient coaching.
• Daily review of hospital discharges to ensure new and established patients are scheduled for follow-up appointments.

Qualifications

• Completion of an accredited Medical Assistant program preferred
• At least (2) two years of relevant medical assistant experience in a physician clinic with broad
• Software- Proficient in Internet Navigation, Microsoft Word, Outlook, EHR/EMR, (AthenaNet preferred)
• Nephrology clinic or dialysis experience (preferred)
• Comply with all HIPAA, OSHA, Compliance, and IT standards and policies.
• Spanish/ English fully Bilingual (preferred)
• Certified Medical Assistant (preferred)
• 2-3 years' experience (required)
• Experience working remotely (required)
• Experience with Epic, and Cerner (preferred)
• Tech Savvy (Excel, Microsoft teams, or similar apps) (required)
• Patience, compassion, and understanding (required)