Patient Outreach Specialist

Corewell Health • Southfield, MI

22h • Onsite

About The Position

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. As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. Corewell Health is committed to cultivating and investing in its team members, fostering a culture of collaborators, leaders, and innovators dedicated to improving health, instilling humanity, and inspiring hope. It is a nationally recognized health system with an ambitious vision of continued advancement and excellence. Corewell Health is committed to providing a safe environment for its team members, patients, visitors, and community, requiring a drug-free workplace and compliance with specific vaccine requirements for on-site or hybrid roles. The organization supports prospective team members requiring reasonable accommodations due to disability, pregnancy, or sincerely held religious belief, and grants equal employment opportunity without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. Corewell Health fosters an interconnected, collaborative culture where all are encouraged to bring their whole selves to work, advocating for equity in patient care, community engagement, and internal interactions through workshops and inclusion resource groups. Corewell Health is a not-for-profit health system with over 60,000 dedicated people, including more than 11,500 physicians and advanced practice providers and over 15,000 nurses, providing care and services in 22 hospitals, 300+ outpatient locations, and several post-acute facilities. It also includes Priority Health, a provider-sponsored health plan serving over 1.2 million members. Through experience and collaboration, Corewell Health is reimagining a better, more equitable model of health and wellness.

Requirements

• High School Diploma or equivalent
• 2 years of relevant experience
• Minimum of 2 years of experience as a medical assistant in an outpatient setting or a primary care setting

Nice To Haves

• Completion of an accredited Medical Assistant program or LPN, EMT, ER Tech, or equivalent of education and relevant experience.
• EPIC experience
• CRT-Medical Assistant, Certified (CCMA) - NHA National Health career Association Upon Hire

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, pet insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status

What This Job Offers

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