Patient Outreach Specialist
Job
Corewell Health Corporate
Southfield, MI (In Person)
Full-Time
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Job Description
Job Summary The Population Health Specialist is responsible for outreach to patients with gaps in chronic disease management and preventive care. This role serves to support health status improvement through access to services, education, wellness support and reinforcing the importance of the patient/primary care provider relationship.
Counties covered:
Newport, Oxford, St. Clair Shores, Novi, and portions of Dearborn. Essential Functions Utilizes the Medical Home model to provide targeted outreach to identified patients. Includes current and new patients. Working on site in up to 15 clinics, in the surrounding area. Utilizes EMR Systems, registries, health maintenance data, opportunity reports, payer portals and other data as available to validate gaps and conduct outreach activities as assigned. Maintains tracking of outreach and gap closure. Using EMR tools, initiates outreach via EMR portal messages, phone calls, and/or via letters. Updates EMR Systems and payer portals as appropriate. Supports supplemental data submission process for plans without electronic supplemental feeds. Collaborates with Practice Transformation Team on the identification of quality care improvements. Shares findings of identified concerns/issues/quality care improvements related to gap closure, ordering process and documentation of care with quality team so that they may be addressed and/or implemented efficiently and effectively. Prepares reports as needed. Collaborates with practice staff to provide additional information and coordination of practice level phone calls. Performs special focused projects/audits as assigned. Complete all scheduled eye exams at ambulatory clinics, updating portal information, and ensure practices receive results for all patients. Traveling to ambulatory sites. Investigation of community resources/assistance needed for patient population; ensure an agency guest and/or information is available monthly to support the development of the material provided to the clinics. Outreach to outside clinics and health systems for results and quality data needed for improvement of practice scores. Perform quarterly quality measure audits to ensure practices compliance with documentation requirements. Qualifications Required High School Diploma or equivalent 2 years of relevant experience Minimum of 2 years of experience as a medical assistant in an outpatient setting or a primary care setting Preferred Completion of an accredited Medical Assistant program orLPN, EMT, ER
Tech, or equivalent of education and relevant experience. EPIC experience CRT-Medical Assistant, Certified (CCMA)- NHA National Health career Association Upon Hire About Corewell Health As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities.
- to improve health, instill humanity and inspire hope.
- Corewell Health Southfield Center
- 26901 Beaumont Blvd Department Name Arvon CIN
- Corporate Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 8:00 a.
N/A CURRENT COREWELL HEALTH TEAM MEMBERS
- Please apply through Find Jobs from your Workday team member account.
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