Medical Assistant - Lead Care Coordinator – GUIDE & PCM Programs

Job Overview

NeuroVision Imaging is hiring a Lead Care Coordinator – GUIDE & PCM Programs (Medical Assistant) to support patients enrolled in the GUIDE dementia care model and Principal Care Management (PCM) services through BrainHealth. This is a fully remote, non-face-to-face patient support role focused on patient and care-partner outreach, care coordination, documentation, support of clinician-directed care plans, and day-to-day support of the Medical Assistant team.

This is a remote position; however, candidates must currently reside and work from one of the following approved states: Mississippi, Alabama, Louisiana, Arkansas, West Virginia, Oklahoma, Texas, Florida, Georgia, North Carolina, Ohio, or Kentucky.

The Lead Care Coordinator will support GUIDE and PCM patients by assisting with follow-up, care coordination, documentation, and escalation of questions or concerns to the appropriate clinical team member. This role will also help train and support Medical Assistants, review care-management documentation and time tracking, and help ensure established workflows are followed consistently.

Responsibilities

• Serve as a primary coordination contact for GUIDE-enrolled patients and their care partners
• Conduct phone and electronic outreach to patients enrolled in GUIDE and PCM services
• Communicate with authorized caregivers or family members when HIPAA authorization is on file
• Manage ongoing GUIDE patient and care-partner touchpoints based on clinician-directed care plans and support levels
• Coordinate scheduled provider follow-up visits
• Send approved educational materials and questionnaires to patients and care partners
• Collect questionnaires and other requested information for clinician review
• Prepare and send care summaries to referring providers or partner organizations as directed
• Help patients follow clinician-directed care-plan steps
• Coordinate appointments, referrals, labs, imaging, and outstanding orders
• Coordinate with PCPs, labs, imaging centers, and outside providers as needed
• Identify and document logistical or social barriers to care
• Document care-management activities and time in the patient record
• Support PCM billing documentation for CPT 99426/99427
• Review GUIDE and PCM care-management documentation and time tracking for completeness and accuracy
• Train and support Medical Assistants on workflows, documentation standards, and escalation procedures
• Serve as a resource for Medical Assistant workflow and documentation questions
• Track escalations to the supervising clinician and follow up to confirm resolution
• Identify workflow gaps and recommend improvements to outreach, documentation, and task-management processes
• Escalate clinical questions, symptoms, medication questions, or concerns to the supervising clinician
• Maintain accurate, timely, and professional documentation

Important Scope Limitation

This is a patient support, care coordination, and team leadership role. This position does not provide independent medical advice or clinical judgment.

• No medical advice, diagnosis, or treatment recommendations
• No medication changes or recommendations for medication changes
• No independent medical opinions
• No scoring or interpretation of questionnaires
• No interpretation of test results, biomarker results, genetic information, labs, or imaging
• No independent clinical decision-making

Qualifications

Required:

• Active CMA or RMA certification
• At least 2 years of experience as a Medical Assistant
• Experience in care management, care coordination, PCM, CCM, or a similar patient-support program
• Experience training, mentoring, or serving as a resource for other staff
• Strong phone communication and patient service skills
• Comfortable working remotely and using electronic health systems
• Strong documentation skills and attention to detail
• Familiarity with care-management documentation and time-tracking requirements
• Ability to manage recurring patient tasks and follow-up schedules
• Ability to follow clinician-directed workflows and escalation protocols
• Ability to handle confidential patient information professionally
• Working knowledge of HIPAA and patient privacy requirements
• Reliable internet connection and a quiet remote work environment

Preferred:

• Experience supporting patients with dementia, cognitive impairment, or neurological conditions
• Experience working with caregivers or care partners
• Familia…