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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.
Utilizes the Medical Home model to provide targeted outreach to identified patients. Includes current and new patients.
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.
Required
Preferred
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. We are committed to cultivating and investing in YOU. Our topnotch teams are comprised of collaborators leaders and innovators that continue to build on one shared mission statement to improve health instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.
Comprehensive benefits package to meet your financial health and work/life balance goals. Learn more here.
Ondemand 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
Primary Location
SITE Beaumont Service Center 26901 Beaumont BlvdDepartment Name
Accountable Care OrganizationEmployment Type
Full timeShift
Day (United States of America)Weekly Scheduled Hours
40Hours of Work
8:00 a.m. to 4:30 p.m.Days Worked
Monday to FridayWeekend Frequency
N/ACURRENT COREWELL HEALTH TEAM MEMBERS Please apply through Find Jobs from your Workday team member account. This career site is for NonCorewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members patients visitors and community. We require a drugfree workplace and require team members to comply with the MMR Varicella Tdap and Influenza vaccine requirement if in an onsite or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process to perform the essential functions of a job or to enjoy equal benefits and privileges of employment due to a disability pregnancy or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons 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.
An interconnected collaborative culture where all are encouraged to bring their whole selves to work is vital to the health of our organization. As a health system we advocate for equity as we care for our patients our communities and each other. From workshops that develop cultural intelligence to our inclusion resource groups for people to find community and empowerment at work we are dedicated to ongoing resources that advance our values of diversity equity and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
Required Experience:
Unclear Seniority
Full-Time