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Trinity Health Population Health Outreach Specialist- FT-Remote in DES MOINES, Iowa

Employment Type:

Full time

Shift:

Description:

The Population Health Outreach Specialist works as an integral part of an interdisciplinary team to proactively identify patients due or over-due for specific health services. The Outreach Specialist contacts patients, motivates patients to complete recommended health care services and assists in scheduling appointments. The Outreach Specialist supports Population Health patients by closing gaps in recommended clinical care, performing chart reviews, and managing the disease registry.

Your best life. Our one purpose.

At MercyOne, we understand elevating patient-centered care comes from the efforts of all colleagues. We imagine and embrace bold new ideas to revolutionize health care.

What we offer:

We care about your well-being, both physical and mental, which is why our benefit package includes:

  • Wellness programs

  • Education reimbursement

  • Personalized health insurance plans including dental and vision

  • Paid time off

  • Long- and short-term leave

  • Retirement planning

  • Life insurance coverage

What you will do:

  • Utilizes standardized tools and scripting to conduct patient outreach to patients to schedule and coordinate preventative health care services such as Annual Wellness Visits, cancer screenings, immunizations, and chronic disease interventions.

  • Conducts pre-visit chart review focusing on closing gaps in care and complete, accurate risk coding.

  • Manages CMS web interface quality reporting annually. Supports additional quality reporting requirements of PHSO contracts as needed.

  • Conducts outreach to patients with medication adherence deficits utilizing the PHSO’s standard medication adherence patient assessment.

  • Identifies and refers high risk patients to the PHSO ambulatory care management team for care coordination services.

  • Practices motivational interviewing to support health behavior change.

  • Requests documents from outside facilities needed to support care gap closures.

  • Oversees the PHSO’s disease registry assuring the database is up to date, accurate and conducting manual data entry when required.

  • Accepts referrals from care management team members to assist with the above position expectations.

  • Answers patient questions regarding appointments and/or testing. Addresses potential barriers to care and collaborates with Provider to answer patient questions and concerns that fall outside of scope.

  • Documents all patient interactions in the patient’s health record or care management documentation system immediately after the call or meeting is completed. The maximum allowable time from interaction to documentation is one business day.

  • Supports and participates in PHSO quality improvement activities at the direction of the quality manager.

What we are looking for:

Education: Associates degree preferred.

Experience: Minimum of 3 years health care experience. Varied clinical experience preferred.

Certifications & Licenses: Iowa state licensure as a Licensed Practical Nurse (LPN) or Certified Medical Assistant (CMA).

  • Ability to deal with confidential and sensitive information, requiring ongoing discretion and management of secure information.

  • Strong communication (verbal/written) and organizational skills and ability to interact effectively with providers, clinic staff, and care management team members across the care continuum.

  • Demonstrated capacity to problem solve and prioritize in complex situations.

  • Adaptability to performing a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure.

  • Ability to function effectively in a team based environment.

  • Basic Excel and Word skills.

  • Ability to understand and apply guidelines, policies and procedures.

  • Obtain Certificate of Competency in Population Health Care Management within 12 months of hire.

  • Proof of completion of Mandatory Reporter within three months of hire.

About MercyOne and Trinity Health

We are MercyOne: a connected system of health care facilities and services dedicated to helping you and your community live your best life so you can get well—and stay well. With 420 care locations, our clinics, medical centers and affiliates are never too far from home, allowing us to improve the lives of individuals and communities across the state of Iowa and beyond. MercyOne Western Iowa is a member of Trinity Health

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.

Our Mission:

We, Trinity Health, serve together in the spirit of the gospel, as a compassionate and transforming healing presence within our communities.

Our Core Values:

  • Reverence

  • Commitment to Those Who are Poor

  • Safety

  • Justice

  • Stewardship

  • Integrity

Our Vision:

  • We will be the most trusted health partner for life.

Our Actions:

As a Trinity Health colleague, I will:

  • Listen to understand.

  • Learn continuously.

  • Keep it simple.

  • Create solutions.

  • Deliver outstanding service.

  • Own and speak up for safety

  • Expect, embrace and initiate change.

  • Demonstrate exceptional teamwork.

  • Trust and assume good intentions.

  • Hold myself and others accountable for results.

  • Communicate directly with respect and honesty.

  • Serve every person with empathy, dignity and compassion.

  • Champion diversity, equity and inclusion.

Our Promise:

  • We Listen.

  • We Partner.

  • We Make it Easy.

MercyOne Siouxland Medical Center and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, physical disability or any other classification protected under local, state or federal law.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

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.

EOE including disability/veteran

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