Gainesville, FL, Provider Liaison- Medical Assistant Temporary

Medical Assistant (Temporary Position) Theoria Medical is a physician-led post-acute care organization delivering value-based care in the skilled nursing facility (SNF) setting. Instead of asking patients to come to us, we bring high-quality, patient-centered care directly to them. We are leading the charge in healthcare innovation, bringing multispecialty provider services and forward-thinking technology to skilled nursing facilities across the country.

We're looking for a Medical Assistant to join our post-acute care team on a temporary basis to serve as the vital connection between residents, providers, nursing staff, and families, coordinating care, facilitating telemedicine visits, and reinforcing patient education to drive better outcomes in a value-based care model.

What You'Ll Do

Provider Patient Visit Coordination Facilitate in-room telemedicine visits and schedule acute, follow-up, and routine provider appointments Prepare and support residents during provider visits, including positioning and documentation Update EHRs with medical histories to support care plans and visit encounters Care Coordination Support smooth transitions of care across the post-acute continuum, including referrals and follow-up appointments Facilitate prior authorizations and assist residents with ACO Voluntary Alignment forms Patient Education Reinforce provider instructions and educate residents on nutrition, fall prevention, medication reminders, and general wellness Distribute provider-approved materials and route clinical concerns to licensed staff or providers Documentation Administrative Support Maintain accurate documentation in the EMR and support regulatory compliance and quality initiatives Required Skills Competencies Fosters a culture of best-demonstrated practices, customer and peer service orientation, measurement, performance, accountability, and continuous improvement Manages the Transition of Care process from admission to transition home (i.e., admission, discharge planning, and follow-up) Monitors active patients across care settings (hospitals and SNFs) Visits facilities (hospitals and SNFs) on a routine basis Serves as a resource for the patient and their family to help solidify the discharge and treatment plan Facilitates and clarifies the patient’s goals of care with the facilities and attending physicians Assists with discharge planning from inpatient or skilled nursing settings Works collaboratively with the clinical coordinator to ensure discharge data is appropriately documented and transition-of-care visits are scheduled and verified with the patient/family Will collaborate with the Community Medical Director daily to review the appropriateness of discharge plans Reviews with the CMD the medical necessity of Home Health orders and DME orders, and follows up with those HH and DME agencies on their treatment plan Facilitates access for patients to verify their ancillary services (e.g., DME, Home Health, outpatient rehab) are in place and meeting their needs Attends Interdisciplinary Team (IDT) meetings and provides additional information on patients Serves as the face of [Company Name] in the hospital/SNF when physicians cannot be onsite (e.g., bringing in notes, POLST, etc.); patients recognize them as part of the [Company Name] program Assists physicians with communicating with the attending of record Arranges family meetings in the SNF and hospital Develops relationships in the admitting, ED, and Case Management departments in the facility setting Coordinates with the facility’s Case Management and Social Work teams on the discharge Develops relationships with SNF administrators Obtains access to clinical records in the facility setting, and reviews and facilitates medical-records transfer to [Company Name] May conduct home visits based on community team needs Ability to explain the [Company Name] care model and engage new members into the program Other tasks needed to accomplish the team’s objectives and goals Yo