Current Employees:

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Department:

Population Health Shift/schedule:

Full Time (40 hrs/wk)

GENERAL SUMMARY

Works under the supervision of the Population Health LPN Nurse Manager. The Population Health CMA's primary function is to support Population Health through conducting proactive outreach to patients, closing care gaps, and coordinating services to improve quality of care. This role collaboratively works with Physicians, Advance Practice Practitioners, diabetic educators, pharmacy, social work, and payer-specific navigators to engage patients in preventive care, chronic disease management, and post-discharge follow-up. This position will serve all clinics and patients, regardless of payer.

Education:

High school diploma

Licensure:

Credentialed Medical Assistant (CMA) required

Experience:

2+ years medical office experience preferred Working knowledge of Microsoft Word, PowerPoint and Excel preferred Experience with data visualization tools preferred

JOB SPECIFIC DUTIES AND PERFORMANCE EXPECTATIONS

The following is a summary of the major job duties of this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. Conduct outbound and inbound patient outreach via phone, portal, and other communication methods to support value-based care programs. Identify and address care gaps related to preventive screenings, chronic conditions, and quality measures associated with Population Health. Answers phone calls to create appointments from patients and other staff members. Document outreach care gap information accurately in the EHR. Reviews charts and documentation to assist with coding gaps and appointment agendas. Cross-trained to perform MOA duties. Support quality improvement initiatives and audits as needed. Maintains accurate and risk-stratified patient panels for physicians and APPs, serving as an extension to the clinics. Serve as a coordinator to align the needs of the patient with appropriate members of the care team. Identify and assist the patient with support systems and community resources. Collaborates with and acts as a resource for other departments, physicians, advanced practice providers, nurses, and other clinicians for population health data. Performs other duties as assigned. Why SOMC? You Care for Our Patients, We Care for You At Southern Ohio Medical Center, our mission is to make a difference in the community we serve. We're committed to delivering exceptional care and that starts with our team members. When you join SOMC, you're not just starting a job. You're joining a mission. Compensation & Benefits Competitive pay with quarterly market analysis Performance-based annual increase and bonus eligibility Up to 4% employer contributions to retirement plans (403(b) and Cash Balance Pension) Comprehensive medical, dental, and vision coverage

• Medical and dependent care flexible spending accounts
• Earned Wage Access - get paid before payday Paid Time Off bank with 3 annual sick days Life insurance and disability coverage
• Tuition and certification assistance Club LC - discounted/free gym membership Employee discount and payroll deduct programs And many other benefit offerings!
• Available only to Full-Time and/or Part-Time Employees Compensation & benefit eligibility is determined by employment status, position type, and hours worked.

Offerings are subject to change and governed by SOMC's current plan documents and policies. Specific details will be reviewed upon hire as part of the onboarding process. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the position in accordance with applicable law. A full job description is available upon request. Thank you for your interest in Southern Ohio Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status Southern Ohio Medical Center is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, disability, ethnicity, gender identity, or expression, genetic information, military status, national origin, race, religion, sex, gender, sexual orientation, pregnancy, protected veteran status or any other basis under the law.