Outreach Specialist

Corewell Health • Southfield, MI

2d • Hybrid

About The Position

Make a meaningful impact on the health and well-being of your community as a Patient Outreach Specialist! In this highly visible role, you’ll connect with patients across multiple communities, helping them stay on track with preventive care and chronic disease management. By building trusted relationships, coordinating access to important healthcare services, and partnering closely with providers and care teams, you'll play a vital role in improving health outcomes and closing gaps in care. If you are passionate about patient engagement, enjoy collaborating with others, and thrive in a mission-driven environment where every interaction can make a difference, we encourage you to apply and join our team. 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.

Requirements

• High School Diploma or equivalent
• Minimum of 2 years of experience as a medical assistant in a physician clinical practice, a clinical nursing program, or in a population health related role.

Nice To Haves

• EPIC experience
• Completion of an accredited Medical Assistant program or LPN, EMT, ER Tech, or equivalent of education and relevant experience.

Responsibilities

• 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.

Benefits

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance
• Traditional and Roth retirement options with service contribution and match savings

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED