Medical Assistant/Scribe House Calls, York

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As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Program Overview

Oak Street Health@HOME delivers high-quality primary care to Medicare patients in their home. The @HOME program takes a team-based approach to providing outstanding patient care. Our Care Teams - consisting of a Provider, Medical Assistant/Scribe (CIS/MA), Behavioral Health Specialist (BHS) and Mobile Operations Coordinator (MOC) - build individual relationships across a panel of about 75 patients, seen monthly. The Care Team is responsible for delivering excellent, high-touch primary care, and coordinating the care of our patients throughout the healthcare delivery system.

Role Description

The House Calls Medical Assistant/Scribe (CIS/MA) fulfills a crucial role for our in-home care teams; supporting logistics, clinical care, and documentation in our innovative home-based care program. The CIS/MA works directly with a House Calls Provider on a daily basis to help prepare patient visits,  document visits in the EMR accurately, identify and bridge gaps in care, and advocate for patients and families when patients return from the hospital or experience other challenges.

Responsibilities

• Prepare daily visit schedules, including routing and logistics planning

• Accompany House Calls Provider on home visits

• In accordance with state regulations, check vital signs, administer vaccinations, perform point of care tests, blood draws for lab testing

• Assist in reconciling patient medications

• Support patient and family education

• Document Patient Encounters in a structured note 

  • Include the history of the present illness, assessment, plan, and physical exam

  • Assign appropriate CPT and ICD-10 codes

  • Prepare After Visit Summaries

  • Consult with provider to ensure accurate and specific documentation

• Improve Clinical Documentation, as appropriate

  • Request and review medical records 

  • Leverage Oak Street’s population health tools to support clinical documentation improvement in a value-based care model

  • Prepare for and support Daily Huddles and Clinical Documentation Reviews 

  • Consult with provider on clinical documentation opportunities

• Administrative support for provider and care team

  • Process and manage orders and referrals, including follow-up calls

  • Address tasks

• Maintain supplies and equipment, including routine quality control checking (i.e. infection control measures and logs, recruitment and checks for expired medication and supplies)

• Participate in daily huddles and weekly interdisciplinary team meetings to discuss patient care and program operations

• Other duties as assigned

What we’re looking for

• Genuine passion for primary care and reaching vulnerable patients

• Comfort navigating visits in patient homes

• Demonstrated ability to collaborate effectively in a team setting

• Willingness to learn and be accountable for visit documentation and workflows

• Excellent communication, follow-up, teamwork, and problem-solving skills

• Desire to be a part of a fast-paced, innovative, quality-driven organization

Required Qualifications

• State or national Medical Assistant certification (as required by state), or graduation from an accredited medical assistant course

• CPR or BLS Certification