Job Description
GENERAL SUMMARY
Schedule:
Full Time, Monday-Friday Location:
Detroit, MI-hybrid position with meetings in offices around Detroit Position Summary The Care Coordination & Quality Specialist plays a key role in improving patient outcomes by identifying and addressing gaps in care for patients attributed to a primary care practice. This position works collaboratively with providers, care teams, and patients to support preventive care, chronic disease management, quality performance initiatives, and Patient-Centered Medical Home (PCMH) standards. The ideal candidate is highly organized, detail-oriented, and skilled in using healthcare technology and Microsoft Office applications to drive quality improvement and practice transformation efforts. Key Responsibilities Identify and monitor patient care needs and gaps in care using health plan reports, state immunization registries, electronic medical records (EMR), and disease management registries. Collaborate with providers and clinical staff to review, validate, and prioritize identified care gaps based on clinical documentation and patient history. Conduct proactive outreach to patients by phone, electronic communication, or other approved methods to facilitate completion of recommended preventive, chronic care, and wellness services. Coordinate care activities and connect patients with appropriate resources to ensure timely closure of identified care gaps. Support quality improvement initiatives by tracking performance metrics and contributing to strategies that improve clinical outcomes and patient engagement. Promote and support high-reliability practices and quality outcomes within the Patient-Centered Medical Home (PCMH) model. Utilize Microsoft Office applications and healthcare information systems to analyze data, maintain accurate records, generate reports, and monitor quality measures. Participate in practice improvement and transformation activities designed to enhance patient care, operational efficiency, and value-based care performance. Maintain compliance with organizational policies, regulatory requirements, and quality program standards. CERTIFICATIONS/LICENSURES REQUIRED
Current BLS-C upon hire or successful completion by end of orientation EDUCATION/EXPERIENCE REQUIRED
High school diploma or G.E.D. equivalent Population health experience preferred Ambulatory practice support, HEDIS/gap closure, and EHR documentation workflow experience preferred Microsoft 365 experience needed Additional Details This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above. Overview Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services - from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the Future of Health:
Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers. Benefits The health and overall well-being of our team members is our priority. That's why we offer support in the various components of our team's well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits. Equal Employment Opportunity/Affirmative Action Employer Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws.
