Medical Assistant/Scribe - House Calls Program - Rockford/Dekalb Area

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

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.

Company Description

The mission of Oak Street Health is to rebuild healthcare as it should be. We are a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare. The Oak Street model integrates outstanding clinical expertise, technology, and teamwork to deliver improved care quality and cost savings. These cost savings are then reinvested into care in our communities, creating a virtuous cycle of improving community health. 

We are a national organization serving over 100,000 patients and we are growing rapidly. We are a diverse team of care providers, service team members, technologists, community outreach experts, business professionals, and more -- all dedicated to our Oaky Values and motivated by our mission. We’re looking forward to getting to know you!  For more information, visit www.oakstreethealth.com.

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 discus