Coordinator, Panel

SACRAMENTO NATIVE AMERICAN HEALTH CENTER INC•Sacramento, CA

6d•$21 - $23

About The Position

Panel management is an organized, population-based, data-driven multi-disciplinary team approach, in which the primary care teams manage patient care using registry tools to identify patients’ unmet care needs, gather summary information for care interventions, and communicate with patients. As an extension of the patient-centered medical home, the Panel Coordinator identifies patients in need of preventive and chronic disease management services, performs outreach through multiple methods, and tracks improvements in population metrics. The Panel coordinator has accountability for monitoring and presenting quality scores and performance metrics and participating in quality initiatives that impact performance. This role will have an assigned primary location but may be required to work at or travel to different locations as needed.

Requirements

Experience with ambulatory primary care practice
Excellent customer relation skills and ability to communicate professionally and effectively with health center staff and patients
Working knowledge of HEDIS and PQRS quality metric specifications
Familiarity with Electronic Medical Record Systems
Knowledge of CPT, ICD, and HCPCS coding
Medical assistant certification or associates degree in healthcare-related field
Thorough understanding of HIPAA regulations and compliance with practice and organizational policies surrounding the access and handling personal health information

Responsibilities

Accesses patient medical records, health plans, and patient registries for the sole purpose of identifying patient-level gaps in care.
Accesses practice schedule to identify upcoming appointments for patients with gaps in care.
Manages daily patient schedule, assesses availability, and triages work-ins as needed to meet care guidelines.
Oversee Gaps in Care, ER Follow-up appointments, new Medicare-eligible patient in-reach / outreach efforts, and Initial Health Assessment care coordination.
Prepares and provides written, verbal, and electronic communication to patients on behalf of the assigned clinician, physician, and/or care team.
Conducts telephone outreach to patients to facilitate care gap closure and uses scheduling tools to accommodate patient scheduling requirements.
Documents outreach efforts and gap closures in medical records and/or registries.
Prepares reports to track patient interventions in order to demonstrate the effectiveness and value of panel management and outreach activities.
Identifies and refers appropriate patients for higher-level case management.
Acts as liaison between clinical departments and Health Plans, and Managed Care Organizations.
Actively participates in internal quality improvement teams.
Works with members proactively to support quality improvement initiatives in accordance with the mission and strategic goals of the organization, federal and state laws and regulations, and accreditation standards
Comply with all state and federal laws and regulations, as they pertain to the position including HIPAA, sexual harassment, Scope of Practice, OSHA, SCAR reporting, etc.
Other duties as assigned.