Outreach Coordinator

Jordan Valley HealthSpringfield, MO

About The Position

About Jordan Valley Health: Jordan Valley Health (JVH) is a mission-driven organization dedicated to improving the health of individuals and families in underserved communities. We provide comprehensive healthcare services including primary medical, dental, vision, and behavioral health. Our mission is simple: Improve our community’s health through access and relationships. By working collaboratively with partners and continually innovating, JVH strives to be a leader in providing essential healthcare for the underserved, ensuring everyone in our community has access to quality healthcare. Job Summary: The Outreach Coordinator will facilitate care coordination to patients and patients' families enrolled in care management services and assist with data management and reporting for care management services. The Outreach Coordinator will also assist in coordinating referrals to self-management education and support services and provide outreach for population health management.

Requirements

  • Minimum of two years’ clinical experience in case management, healthcare, or comparable position.

Nice To Haves

  • Bachelor’s Degree in a health related field preferred.
  • Medical Assistant or Licensed Practical Nurse license preferred.

Responsibilities

  • Data management for care management services. Maintain reports received from Mo HealthNet Primary Care Health Home (PCHH). Complete and submit monthly PCHH attestation.
  • Provide outreach to potential enrollees for PCHH and other care management services. Submit monthly enrollment, discharge, and transfer forms to Mo HealthNet PCHH.
  • Use care opportunity reports, health technology tools, and registries to provide outreach to patients and patients’ families enrolled in care management services. Provided proactive reminders to patient populations to address a variety of health needs.
  • Connect patients and patients’ families to community resources and internal services.
  • Communicate with patients and patients’ families in person (clinic or community), by phone, or through patient portal.
  • Facilitate or schedule medical/dental appointments. Determine transportation needs and assist in arranging transportation to medical/dental appointments.
  • Assist with patient(s) care transitions to primary care from hospitals, emergency departments, and other settings.
  • Identify individuals with high utilization of emergency rooms and/or inpatient care. Coordinate care with patients, families, and other healthcare team members to identify utilization patterns and provide intervention(s) to reduce inappropriate or preventable visits.
  • Promote individual and/or group health education and chronic disease self-management education. Coordinate logistics for patient education classes. Coordinate referrals to individual and group patient education.
  • Build relationships and interact professionally with community partnerships, health, and social service providers.
  • Document in electronic health record appropriately and in a timely manner.
  • All other duties as assigned.

Benefits

  • Medical and Prescription Drug Coverage: Three comprehensive plan options (Buy-up, Base, and High Deductible) through UnitedHealthcare's Choice Plus network, covering various deductibles and out-of-pocket limits. Includes access to telemedicine services via Teladoc.
  • Health Savings Account (HSA): Available for employees in the High Deductible Plan with employer contributions and tax advantages.
  • Flexible Spending Account (FSA): Options for both healthcare and dependent care FSAs, allowing pre-tax contributions for qualified expenses.
  • Dental and Vision Coverage: Dental insurance through Cigna’s DPPO network and vision coverage through EyeMed’s Insight network.
  • Retirement Plan: Pre-tax and Roth 403(b) retirement plans with a 5% employer match starting after 30 days of employment.
  • Life and Disability Insurance: Basic Life and AD&D insurance provided at no cost, with the option to purchase additional coverage. Long-term and short-term disability insurance are also available.
  • Employee Assistance Program (EAP): Free confidential support for personal and professional challenges, including counseling and crisis intervention.
  • Additional Voluntary Benefits: Options for critical illness, accident, hospital care, and pet insurance through MetLife.
  • Pay on Demand Available
  • Nine paid holidays per year.
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