Preventative Care Engagement Specialist

Christ Community Health Services•Memphis, TN

About The Position

The Preventative Care Engagement Specialist plays a critical role in advancing population health and quality outcomes by supporting Patient-Centered Medical Home (PCMH) initiatives through proactive patient outreach, care gap closure, and preventive service coordination. This role is responsible for identifying and stratifying patient populations based on risk and quality metrics, implementing targeted engagement strategies, and coordinating preventive care services to improve health outcomes. The specialist utilizes data from electronic health records (EHR), payer reports, and population health tools to drive interventions focused on closing care gaps, increasing compliance with preventive screenings, and reducing avoidable health risks across assigned populations.

Requirements

Certified Medical Assistant (CMA)
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

Nice To Haves

Bachelor’s degree preferred

Responsibilities

Collect data on quality metrics and track as required for improvement efforts the assigned patient population listed below:
Identify and prioritize patients with gaps in care related to preventive services (e.g., Annual Wellness Visits, cancer screenings, chronic disease management).
Conduct targeted outreach to patients to schedule, coordinate, and complete preventive services.
Support organizational performance on quality measures (e.g., HEDIS, UDS, payer-specific metrics).
Execute high-volume, strategic outreach using phone, text, EHR messaging, and other communication methods to engage patients.
Make multiple outreach attempts and document all interactions accurately in the EHR and tracking systems.
Build and maintain relationships with patients to increase engagement, trust, and adherence to care plans.
Utilize culturally competent communication strategies to effectively reach diverse populations.
Collect, track, and analyze data related to outreach efforts, care gap closure, and patient outcomes.
Utilize EHR systems, payer reports, and population health tools to monitor performance and identify opportunities for improvement.
Maintain accurate documentation of outreach activities, patient responses, and completed services.
Prepare and submit reports on engagement outcomes, productivity, and quality performance as directed.
Identify and address barriers to care such as transportation, scheduling challenges, health literacy, or social determinants of health.
Collaborate with clinical teams, care coordinators, and external partners to ensure patients receive appropriate preventive services.
Facilitate referrals and follow-up care to ensure continuity and completion of recommended screenings and services.
Participate in quality improvement initiatives aimed at improving preventive care outcomes and patient engagement.
Collaborate with internal departments (clinical, operations, managed care) to align outreach efforts with organizational goals.
Use internal and external data sources (claims data, Managed Care Organization registries, pharmacy data) to refine outreach strategies and improve patient contact success rates.
Support departmental and organizational initiatives related to preventive care and population health.
Perform other duties as assigned.