Quality Improvement Care Gap Coordinator

Brentwood, TN 37027

Posted: 10/11/2019 Category: Healthcare Job Number: 33271

Job Title: Health Service Coordinator

Location: Brentwood, TN

Pay: $18.00 -$20.00 Hourly

Schedule: Monday- Friday 8: 00am - 5: 00pm

Set up an Interview Screening today! Contact Ashley 877-782-3334 ext 210 or email akruger@alinestaffing.com

Summary:

Conducts telephonic outreach to members who are identified as needing preventive services in support of quality initiatives and regulatory/contractual requirements. Provides education to members regarding the care gaps they have. Assists in scheduling doctor appointments via three-way phone calls and assists in scheduling transportation services. if needed. Maintains confidentiality of business and protected health information.

Job Responsibilities
  • Conducts telephonic outreach to members to support Quality Improvement. regulatory and contractual requirements.
  • Educates the member and their family about preventive health screenings while identifying barriers to care.
  • Schedules doctor appointments for all household members with care gaps with the Primary Care Physician (PCP) and/or Specialist to access needed preventive care services and close gaps in care via a three-way phone call.
  • Informs providers about the care gap(s) member has and why they are seeing the provider.
  • Arranges transportation for members as needed.
  • Documents all actions taken regarding contact related to member.
  • Interacts with other departments including Customer Service to resolve member issues.
  • Refers to CM/DM as appropriate.
  • Completes special assignments and projects instrumental to the function of the department

Requirements
  • An Associate' s Degree in a related field Preferred---A Bachelor' s Degree in a related field Preferred
  • 1+ year of experience in member. provider and customer service or call center environment Required
  • Other Health coaching experience Preferred
  • Knowledge of medical terminology and/or experience with CPT and ICD-9 coding

Set up an Interview Screening today! Contact Ashley 877-782-3334 ext 210 or email akruger@alinestaffing.com

Keywords: Health Coach, Health Coordinator, quality improvement, health screenings, care gaps, PCP. Primary Care, medical terminology, telephonic out reach, member, provider, customer service, call center, data entry, medical receptionist, associate’ s degree. Computer skills, benefit verification, medical terminology, medical stay, hospital, acute care, chronic care, urgent care, family medicine, patient care, patient education,

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