Cardiovascular Clinical Guide

Job Overview

Support members in managing hypertension through a virtual care platform, providing remote monitoring, medication management, and disease education to improve cardiovascular health and prevent complications.

Responsibilities

• Screen members for eligibility in the Hypertension Clinic.
• Provision BP monitors, assess proper measurement technique, and reinforce accurate self-monitoring practices.
• Conduct comprehensive hypertension assessments, including review of medical history, medications, adherence patterns, and lifestyle habits.
• Deliver intensive lifestyle and nutrition counseling focused on sodium and alcohol reduction, weight management, increased physical activity, and smoking cessation support.
• Identify barriers to healthy behaviors and coach members toward realistic, sustainable health goals.
• Utilize motivational interviewing skills to influence positive sustained behavioral changes.
• Maintain accurate and timely documentation of all member interactions.
• Schedule follow-up appointments as needed.
• Connect members with resources to troubleshoot clinical or care-coordination issues.
• Coordinate multidisciplinary care with various teams including Specialty Care NPs, Clinical Pharmacists, Social Workers, and others.
• Serve as the member’s primary point of contact and guide them through the care journey.
• Synchronize and communicate care plans with PCP or other providers.
• Conduct outreach calls to members as needed.
• Identify and close applicable Stars measure gaps during member visits.

Qualifications

• Experience as a Medical Assistant or in a clinical/healthcare setting.
• At least 2 years of work experience in longitudinal chronic disease management (e.g., primary care, specialty care, etc.).

Desired Skills

• Spanish bilingual.
• Experience caring for Medicare patients.