Job Description & Responsibilities:
Generate a recall list of patients using the eClinical EHR system and other lists sent by the insurance companies, Data Analysis on UDS miss opportunities detail report that are due for preventative services monthly and make contact with the patients for appointment scheduling. Collecting and tracking of data/creating reports. See attached QI Measures. Utilize the ACO roster to contact Traditional Medicare members who had a visit to AAPHC in the last 12 months to assess all ACO Quality Indicators. Those lacking on any of the ACO QI required measures will be contacted for appointment scheduling. Also contact patients that are on the chronic ER list for the ACO program to get an appointment scheduled. Assist in appointment reminders for Walk Ins, and No-Shows for AAPHC Clinic locations. Related to Walk- In visit type; ensure follow up appointment is kept to ensure all QI measures are address at next appointment type. Related to No-shows; ensure patients with Hospital/ER, Well Child Check, PAPs, Medicare Wellness, and Immunizations patient visit types have follow up appointment within the last 12 months to ensure all Quality Indicators are met. Collecting and tracking of data/creating reports. Assist with the navigation and coordination of care for patients being discharged from the hospital and/or emergency room by working with the Case Manager at the hospital. Work with the Ptient Navigator/QI High Risk Coder to coordinate care and schedule appointments for patients enrolled in the different HMO’s (Peach State Care Source, Humana, United Health Care, Blue Cross Blue Shield, Aetna, etc.) on care opportunities lists to get patients back into care before the end of the calendar year. Generate a list of patients daily to review in morning huddle on care gaps/ care opportunities for patients being seen the following day (i.e. QI measures, Referrals, Hospital/ER discharge notes, etc.) List will be reviewed in huddle daily to update staff on care gaps/care opportunities. Collecting and tracking of data/creating reports. Assist with the activation and initiation of the various Messenger campaigns in the electronic health record to get patients back in to care, remind patients to get flu vaccines yearly, remind patients of the annual Medicare Wellness exams, etc. Complete Reason for out of Care form monthly detailing how many patients were contacted for what type of services, how many patients were scheduled, how many patients were not reachable, etc. Report findings to Quality Improvement team as directed. Assist with patient navigation process for each clinic that is Patient Centered Medical Home (PCMH) qualified in order to achieve and keep the PCMH recognition for AAPHC. Perform other related duties as assigned.
Qualifications:
Excellent verbal and written communication skills. Excellent collaboration skills required for community relationship building. Automated office and PC experience required including proficiency in Microsoft Office (Word and Excel). Understands health office routines and community resources. Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components. Strong communication skills (oral and written) and negotiation skills. Experience with navigation of an Electronic Medical Records (EMR). Health insurance knowledge preferred. Ability to speak and understand the English language.
How To Apply:
Salary:
Depending on Experience
Contact:
Employer: Albany Area Primary Health Care
Location: Leesburg, GA
Link: https://www.indeed.com/cmp/Albany-Area-Primary-Health-Care-1/jobs?jk=3a7db01ab1237ddc&start=0