PATIENT ENGAGEMENT SPECIALIST

Christ Community Health Services•Memphis, TN

About The Position

The Patient Engagement Specialist supports and participates in the Patient Centered Medical Home (PCMH) concepts of care coordination and team-based care. The Patient Engagement Specialist will assess, plan, implement, coordinate, monitor, and evaluate healthcare options and services with the goal of increasing the likelihood of improvement to the health status of identified populations across the practice. In addition, this job is responsible for stratifying patient populations, applying the appropriate engagement tactics to support the stratified population to close care gaps, promote wellness screenings, ultimately minimizing potential health risks.

Requirements

Bachelor’s degree preferred
One to two years working in a healthcare setting and working with the underserved
Working knowledge of basic medical terms
Knowledge of and use Microsoft Word and Microsoft Excel
Proficient in data management and reporting
Certified Medical Assistant (CMA) certification

Responsibilities

Collect data on quality metrics and track as required for improvement efforts the assigned patient population listed below: 1. Hypertension
Diabetes
Asthma
Pediatrics
Behavioral Health
Women’s Health
HIV
Dental
Participate in process/quality improvement initiatives to achieve targets as defined by organizational goals and objectives
Directs outreach to targeted patients with the goal of meeting identified goals and targets for the stratified population
Track activities, outreach efforts, and care results and tracks in appropriate database
Makes multiple attempts to reach patients in specific patient populations and sets goals within scope of the engagement process
Creates and cultivates relationships in specific patient populations
Gathers and manages quantitative and qualitative patient data using Electronic Health Records, population registries, and evidenced-based assessment tools
Provide data management, coordination, and patient outreach as needed for specific target patient populations
Use internal and external resources (such as claims, Managed Care Organization patient registries, referrals, and pharmacy data) to identify accurate, successful modes of communication with unreachable or hard-to-reach members
Respond to inquiries from the practice regarding outcomes of outreach calls to patients
Identify, document, and mitigates patient barriers to improved outcomes
Prepares and submits reports on the progress of engagement efforts as directed
Other duties as required