Job description
Employment Type:
Full timeShift:
Day ShiftDescription:
GENERAL SUMMARY AND PURPOSE:
The SAHA Administrative Coordinator works in a team environment and supports the patient care management and coordination activities of the Alliance Clinical Team (ACT) as well as administrative support to one or more Director level and above leaders.
SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE :
Bachelor’s Degree required.
Minimum of five years of relevant experience preferably supporting manager or director level leaders. Minimum of 2 years of experience in data analysis required. Minimum of 1 years' experience within a healthcare related organization (e.g. health system, hospital, clinic, provider practice, health insurance company, pharmaceutical company, etc.) required.
Healthcare analytics experience preferred. Experience within Medicaid programs, an Accountable Care Organization (ACO), Clinically Integrated Network (CIN), progressive health system or medical group, state or federal healthcare agency, or progressive payer organization preferred. Experience with process improvement or lean philosophy preferred.
ESSENTIAL FUNCTIONS :
Meets Health System's Guiding Behaviors and Caring Standards including interpersonal communication and professional conduct expectations. Receives and screens visitors and telephone calls. Uses independent judgment to determine priority and sensitivity of inquiries and responses.
Prepares and/or supervises the preparation of correspondence, forms, reports and other written communications as required. Schedules/coordinates meetings, conferences, special events, appointments and travel arrangements. Maintains assigned calendar(s). Outreach to patients with no group assignment from either Payer or primary care provider claims for attribution.
Annual Wellness Visit and Preventive Care Visit outreach for members currently overdue for these encounters with providers Connecting patients with providers, scheduling appointments, and assisting patients with outreach, phone numbers and MyChart navigation. EPIC Super User status.
Care Coordination weekly mailings for “unable to contact,” patient education, and onboarding letters to patients. Editor of Alliance quarterly newsletter. Editor of patient stories for distribution to SAHS executives and SAHA governance. Develops and maintains a detailed knowledge of care management programs/care models including all relevant programmatic and regulatory requirements. Serves as an analytic resource in support of the SAHA’s care management program's strategic objectives and achievement of operational excellence.
Develops reports for meetings led by the Director, Alliance Clinical Team with SAHA’s contracted payers. Develops and manages patient engagement programs that involve telephonic or email contact with Alliance patients to help close quality of care gaps and arrange preventive health care visits.
Responsible for answering main clinical team phone line, appropriately triaging patient questions and needs to clinical staff; manage main clinical team email inbox and incoming program referral. Use standardized tools and scripting, performing outgoing patient phone calls aimed to screen, educate, motivate and enroll patients in care management, transition and/or coordination programs.
Obtain, review and screen patient lists for prioritization of outreach and necessity of clinical programs. Assist patients and/or care givers in scheduling patients' appointments and access services, as needed. Obtain ACT in locating and obtaining patient clinical records; enter pertinent information into patient internal and external medical records. Source medical supplies and equipment. Identify patients with care gaps and supporting their closure.
Meet and adhere to established confidentiality, productivity and quality standards. Coordinate incoming and outgoing information and other various administrative tasks needed to support the team. Originates, prepares, processes and edits personnel, financial or operational reports and documents.
Demonstrates compliance with health system safety policies and procedures. Assists with special projects and interdepartmental needs when appropriate. Other duties as assigned.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
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