Quality Outreach Specialist - Full Time

At Griffin Hospital we are dedicated to providing personalized humanistic consumer-driven healthcare in an exceptional healing environment. We strive to make all people feel valued and appreciated. We provide safe high-quality person-centered care and we build and sustain partnerships within our organization and in the communities we serve.

We believe that every employee is a caregiver and that every employee makes a difference. Caregivers are empowered to be actively involved in the well-being of all our patients and to be leaders in providing access to preventive health information and education to improve the overall wellness of the community we serve.

We understand that employee satisfaction leads to patient satisfaction and are committed to caring for our caregivers and their families with programs and benefits designed to improve their physical nutritional emotional and financial well-being. Our culture of teamwork professionalism and respect combine to make Griffin Hospital a place where both patients and caregivers thrive.

Benefits:

• 6 Federal Holidays Off!
• Paid Time Off
• Medical Dental Vision
• 403b Retirement Benefit
• Tuition Reimbursement
• Free Parking

Position Summary

The Quality Outreach Specialist plays a critical role in connecting patients with essential healthcare services and resources while supporting ACO incentive program compliance. This position focuses on identifying and addressing care gaps improving patient engagement and ensuring positive healthcare experiences through proactive outreach and care coordination. The specialist will work to maximize compliance with quality measures while prioritizing person-centered care and effective communication.

KEY RESPONSIBILITIES

Patient Identification and Outreach

Identify and contact patients with open care gaps and quality measure opportunities to assist with scheduling appointments accessing services and managing health conditions.

Conduct comprehensive chart reviews using Athena Expanse Crisp and other EHR systems to ensure viability of outreach targets

Document all outreach attempts and outcomes in EHR and external data tracking systems to facilitate collaborative task completion

Demonstrate understanding of quality measure parameters including denominator inclusion/exclusion criteria numerator inclusion criteria and measurement frequency

Mitigate scheduling errors and other barriers that could impact campaign success

Relationship Building and Patient Engagement

Establish rapport and trust with patients to encourage engagement and adherence to care plans

Embody Planetree philosophies in all interpersonal interactions prioritizing person-centered care

Follow standardized scripting for verbal outreach attempts and outcome documentation to ensure consistent messaging across outreach agents and clinics

Care Coordination and Support

Facilitate seamless communication between patients providers and other healthcare professionals

Provide patients with education about their health conditions treatment options and available resources

Assist patients with appointment scheduling including reminder calls and pre-appointment instructions

Identify and address barriers to care such as transportation financial concerns or language barriers

Follow standardized patient triage guidelines to identify and escalate medical issues requiring immediate attention with appropriate documentation

Documentation and Compliance

Maintain accurate and confidential patient records documenting all interactions and outreach activities

Ensure strict HIPAA compliance in all interactions involving protected health information

Generate reports on outreach activities and campaign outcomes

Support quality improvement initiatives and ACO incentive program requirements

Required Qualifications

High school diploma or equivalent required; Associate degree preferred

Previous experience in healthcare customer service or patient relations

Strong verbal and written communication skills

Proficiency with electronic health records (EHR) systems

Knowledge of HIPAA regulations and patient privacy requirements

Ability to work independently and manage multiple priorities

Strong attention to detail and organizational skills

Comfortable with technology and data entry systems

Preferred Qualifications

Experience with ACO programs or quality measures

Background in healthcare outreach or care coordination

Familiarity with Athena Expanse or Crisp systems

Knowledge of Planetree patient-centered care philosophy

Bilingual capabilities (specify languages based on patient population)

Experience with patient triage and identifying urgent medical needs

Work Environment

Office-based position with extensive phone and computer work

May require occasional travel to clinic locations

Monday through Friday schedule to match office hours

Collaborative team environment with regular interaction with clinical staff and providers

This position directly supports our organizations commitment to improving patient outcomes and maximizing value-based care incentives while maintaining the highest standards of patient-centered care.

Required Experience:

Unclear Seniority