Luminis Health · 3 months ago
Advanced medical Assistant-MDPCP; Bilingual
Luminis Health is a healthcare organization that is seeking an Advanced Medical Assistant to join their Advanced Primary Care Team. The role involves coordinating patient care, providing outreach and education, and ensuring patients meet their treatment goals while performing various administrative and clinical tasks.
Health CareMedicalNon Profit
Responsibilities
Monitor and validate patient attribution to the practice and the care teams within the practice (known as empanelment)
Ensure patients identified as increased risk receive targeted, proactive, relationship-based (longitudinal) care coordination and/or care management
Pre-visit planning workflow for Annual Wellness Visits scheduled with the LPN Team and/or practice provider
Provide patient education and resources to engage the patient in his/her treatment plan and improve their overall health
Actively manages assigned panel of to develop relationship with patient as an integral member of team, provide follow-up contact with patient as indicated to ensure compliance with recommendations medications, lab/x-ray, specialist visits, PCP visits, dieticians, CDE, etc
Maintains access to all Value Based Payor portals for attestation of metrics and/or to pull appropriate care gap and utilization reports
Provides patient outreach for TCM/ED visits within required timeframe, i.e. within 48 hours inpatient discharge; within 7 days emergency room discharge
The Advanced Medical Assistant will schedule a follow up appointment with the patients primary care provider or Advanced Internal Medicine
Assist patients in setting SMART goals for self -management, teaching them how to do self-management tasks and report abnormal findings to their provider team
Assess barriers when patient has not met treatments goals, is not following treatment plan of care, or has not kept important appointments; refers patient to the Community Care Management Team (RN, LCSW, CHW) for intervention
Identify patient social and behavioral health needs, consult with clinician, as appropriate provide warm hand off to Ambulatory Care Management, social work, care navigation, and behavioral health services
Collaborate with providers, and other frequently used healthcare resources to develop effective timely communication between the patients care teams; and in assessing the patients progress toward individual health care goals
Oversees the development, procurement, and adoption of patient self-management educational resources used by the primary clinical teams
Ensure targeted patients who have received follow-up after ED, hospital discharge, or other triggering events receive short-term (episodic) care management if applicable
Contribute to a positive experience for patients and families through courteous telephone interactions and interview activities, accurate and expeditious routing, as well as referral to appropriate clinical staff when necessary
Recognize and report data inconsistencies to appropriate practice personnel, and facilitate appropriate data capture and reporting methodologies
Contribute to teamwork within and between departments. Regularly participate in meetings as deemed appropriate by leadership
Provide and receive constructive ideas, suggestions and feedback in a positive manner. Work collaboratively with co-workers to effectively resolve issues that impact departmental operations
Monitor and collaborate with practice to improve performance on key outcomes, including cost of care, electronic clinical quality measures, beneficiary experience, and utilization measures
Qualification
Required
Minimum of High School Diploma
Completion of accredited medical assistant training program preferred
Three years of experience as a Medical Assistant
Experience with Microsoft Office and Excel
Strong customer service skills
Basic math skills
CMA, RMA or AAMA (through an approved/accredited organization). Must maintain Certification or credentials while employed
CPR Certified
Benefits
Medical, Dental, and Vision Insurance
Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
Paid Time Off
Tuition Assistance Benefits
Employee Referral Bonus Program
Paid Holidays, Disability, and Life/AD&D for full-time employees
Wellness Programs
Employee Assistance Programs and more*Benefit offerings based on employment status
Company
Luminis Health
Luminis Health is a not for profit organization that provides exceptional health care services.
Funding
Current Stage
Late StageRecent News
Business – Baltimore Sun
2025-10-24
Fierce Healthcare
2025-10-09
Technically Media
2025-07-31
Company data provided by crunchbase