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Certified Medical Assistant- Population Health

Job in Lancaster, Coos County, New Hampshire, 03584, USA
Listing for: Northcountryhomehealth Hospice
Full Time position
Listed on 2026-01-26
Job specializations:
  • Healthcare
    Medical Assistant
Salary/Wage Range or Industry Benchmark: 35000 - 45000 USD Yearly USD 35000.00 45000.00 YEAR
Job Description & How to Apply Below
Position: Certified Medical Assistant- Population Health (Full Time)

Job Summary:

The medical assistant is responsible for the care and treatment of clients in a medical office as directed by a physician. They work under the supervision of the provider, to ensure that quality care is provided to adult and pediatric patients.

Essential

Qualifications:

Graduate from an accredited school of medical assisting with knowledge of new trends and techniques in medical assisting. Certified or Registered Medical Assistant preferred; BLS required. Previous experience is also preferred.

  • Patient Outreach & Engagement: Conduct outreach to patients for chronic disease management and preventive services. Assist patients with healthcare navigation and access to community resources.
  • Care Gap Closure: Utilize population health dashboards to identify and address care gaps in coordination with providers and nursing staff.
  • Chronic Disease Support: Monitor patient registries and follow protocols for disease management, documenting outreach and follow-ups accurately in the EHR.
  • Data & Documentation: Enter patient data into EHR/population health platforms. Assist with chart reviews and report on outreach activities and outcomes.
  • Quality Improvement Support: Participate in quality improvement projects and help implement workflows to improve clinic performance measures.
  • Clinical Support (Within MA Scope): Assist with standing orders for labs and provide patient education on self-management tools.
  • Social Determinants of Health (SDoH): Conduct screenings, document needs, and coordinate referrals to community resources, ensuring closed-loop referrals.
  • Team Collaboration
    :
    Collaborate closely with care team members, participating in huddles and meetings to support patient outcomes.
  • Other duties as assigned
  • About WMC:

    The major strength of Weeks Medical Center is found in the ability of our physicians and staff to offer extensive services utilizing state-of-the-art technology while maintaining the personalized care of a community hospital. Weeks is a 25-bed critical access hospital offering medical, surgical, and intensive care services. In addition, a wide variety of outpatient services are available, including cardiac and physical rehabilitation;

    a fully-staffed oncology department; 24-hour emergency care; a fully equipped laboratory; and an extensive radiology department. Weeks is blessed with strong leadership and a dedicated community that allows us to meet the ever-changing requirements of today’s healthcare environment.

    About North Country Healthcare (NHC):

    North Country Healthcare is a non-profit affiliation of four medical facilities in the White Mountains Region of New Hampshire. NCH includes numerous physicians and medical providers at multiple locations. This leading comprehensive healthcare network which employs hundreds of highly-trained individuals delivers integrated patient care through three community hospitals, specialty clinics, and home health and hospice services. NCH remains committed to the health and well-being of the communities we serve.

    Member organizations include Androscoggin Valley Hospital in Berlin, Upper Connecticut Valley Hospital in Colebrook, Weeks Medical Center in Lancaster, and North Country Home Health and Hospice Agency in Littleton. NCH is proud to be the largest employer in the North Country.

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