Description
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.
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 frequenc y
- 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 plansEmbody Planetree philosophies in all interpersonal interactions, prioritizing person-centered careFollow standardized scripting for verbal outreach attempts and outcome documentation to ensure consistent messaging across outreach agents and clinicsCare Coordination and Support
Facilitate seamless communication between patients, providers, and other healthcare professionalsProvide patients with education about their health conditions, treatment options, and available resourcesAssist patients with appointment scheduling, including reminder calls and pre-appointment instructionsIdentify and address barriers to care such as transportation, financial concerns, or language barriersFollow standardized patient triage guidelines to identify and escalate medical issues requiring immediate attention with appropriate documentationDocumentation and Compliance
Maintain accurate and confidential patient records, documenting all interactions and outreach activitiesEnsure strict HIPAA compliance in all interactions involving protected health informationGenerate reports on outreach activities and campaign outcomesSupport quality improvement initiatives and ACO incentive program requirementsRequired Qualifications
High school diploma or equivalent required; Associate degree preferredPrevious experience in healthcare, customer service, or patient relationsStrong verbal and written communication skillsProficiency with electronic health records (EHR) systemsKnowledge of HIPAA regulations and patient privacy requirementsAbility to work independently and manage multiple prioritiesStrong attention to detail and organizational skillsComfortable with technology and data entry systemsPreferred Qualifications
Experience with ACO programs or quality measuresBackground in healthcare outreach or care coordinationFamiliarity with Athena, Expanse, or Crisp systemsKnowledge of Planetree patient-centered care philosophyBilingual capabilities (specify languages based on patient population)Experience with patient triage and identifying urgent medical needsWork Environment
Office-based position with extensive phone and computer workMay require occasional travel to clinic locationsMonday through Friday schedule to match office hoursCollaborative team environment with regular interaction with clinical staff and providersThis position directly supports our organization's commitment to improving patient outcomes and maximizing value-based care incentives while maintaining the highest standards of patient-centered care.
Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities
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