- Conduct patient outreach calls to understand root causes of barriers to medication non-adherence and offer solutions
- Conduct patient outreach calls to connect patients with important care and services to close critical gaps in care
- Follow up with patients' care team on findings from patient conversations, when necessary
- Review medical records to find evidence of clinical gap closure and prepare it for submission to payer · Prepare educational materials and learning sessions for external provider partners on themes and findings from patient calls and medical record review
- Perform other duties as assigned
- Licensed Practice Nurse, Certified Nursing Assistant, Emergency Medical Technician, Pharmacy Technician license or certification required. Similar or equivalent licenses or certifications may be considered
- 3+ years experience in a role for which closing HEDIS measures and Star Rating gaps were primary responsibilities
- Experience complying with Health Insurance Portability and Accountability Act (HIPAA)
- Inpatient or outpatient clinical experience, including strong EMR experience preferred
- Ability to manage deadlines and handle multiple tasks simultaneously
- Detail orientated, organized and self-motivated
- Ability to handle sensitive and/or confidential material and information appropriately
- Strong verbal and written communication skills
- Ability to collaborate with personnel at various levels of the organization to gather and provide information
- Ability to work with large files and data sets
- Proficient in Microsoft Office Suite with intermediate level skills: PowerPoint for presentations, Excel for mathematical formulas, charts, tables; Word and Outlook for communication to patients, healthcare insurance companies and internal company personnel
- As a full-time team member, you will benefit from Honest's exceptional total rewards package, including competitive base pay with bonuses, paid time off starting at 4 weeks for full time employees, 12 paid holidays per year, reimbursement for continuing medical education, 401k with match, health, dental, and vision insurance.
- As a part-time team member, you will benefit from Honest's total rewards package, including competitive base pay with bonuses, pro-rated paid time off, paid holidays, reimbursement for continuing medical education, 401k with match.
- Family friendly policies that support paid parental leave and flexible work arrangements
- As a team member you'll be supported by our robust commitment to training and development that starts with onboarding and continues throughout your career with Honest
- You will collaborate with like-minded healthcare professionals who, like you, understand the importance and value of Honest's high-quality, value-based, care model.
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Quality Outreach Specialist - Nashville, United States - Honest Medical Group
Description
Job Description
Job DescriptionWho You AreYou are devoted, compassionate, and enjoy being on the front lines in healthcare, changing the lives of your patients. You are passionate about getting to the root cause of a patient's conditions, removing social determinants of healthcare, and ensuring the highest possible quality of life for those in your care. You don't want to sacrifice quality over quantity, and you aim to provide the same level of care and commitment to your patients that you would to your own family member.
Does this sound like you?If so, we should talk.
Who We AreWe are Honest Medical Group, a groundbreaking team of health care professionals focused on making a major impact in health care. At Honest, we align every aspect of our company to support patients and providers. We are devoted to purpose and inspired by innovation. We embrace our communities and lead with kindness. We drive health improvements, create a seamless member experience, and eliminate unnecessary cost. We listen to the needs of our patients and our employees—continually working to push beyond the status quo.
For us, it's all in an Honest day's work.
Your RoleThe Quality Outreach Specialist will be a key part of improving Star Ratings and the ACO REACH quality programs by removing barriers to achieving high quality health outcomes. As the Quality Outreach Specialist, you will identify and remove patient barriers to accessing and receiving care, like patient medication adherence outreach, connecting patients with care providers and available services, and medical record review to identify gaps in care. Additionally, you will work with the quality team to develop educational materials for our providers, patients, and internal market teams.
Primary Functions Include:You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities.
Honest is an equal opportunity employer that is committed to inclusion and diversity. We take affirmative action to ensure equal opportunity for all applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics.
Honest is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email for assistance. Reasonable accommodation will be determined on a case-by-case basis.
Honest Medical Group contacts candidates via various platforms, including Honest's recruiting platform and/or email or text message. If working with candidates directly, Honest will contact candidates using an email address. For reference, the recruiting process will always include a live phone call and/or real person interview prior to making a formal offer of employment. Honest will never ask for an individual's confidential personal information or financial account information (i.e., social security number or bank account and/or routing number) prior to a formal offer and will never ask for transfers of money or financial information by email, text, Venmo, or other social media. Further, Honest will never request financial account security information (i.e., PIN number, password, or security access information). We encourage all candidates to be diligent in their job search and to verify the contact information of individuals they are working with. If there are any questions as to whether a communication is coming from Honest, candidates may reach out to
Quality Outreach Specialist professionals in Nashville
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Lacey Houston
Senior Recruiter
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Brithany Gavidia
Grad Student