Population Health Quality Specialist — Care Coordination

Peoplefluent; East Lansing (MI); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Sparrow Health System benefits

Job summary

Sparrow Health System is seeking a Population Health Quality Specialist- Medical Assistant in East Lansing, MI to redesign care within the Population Health Service Organization (PHSO). The PHQS will manage contract performance, perform chart review, track quality metrics, and outreach patients needing annual visits across Sparrow Medical Group practices.

The role requires an MA credential, at least 1 year of medical or case management experience, strong EMR proficiency, and excellent

Qualifications

• Completion of a nationally or internationally accredited program in self-management support concepts and techniques within 12 months of assuming this position if not completed prior to being hired.
• Certified Medical Assistant - preferred Work Experience
• Minimum of 1 year of medical or case management experience
• High school diploma or GED; completion of a Medical Assistant (MA) program

Responsibilities

• Works with the internal Program Development team to understand prioritized tasks, participating in daily huddles
• Provides prompt outreach to the assigned patients, while thoroughly documenting the conversation for team updates
• Meticulously reviews the Electronic Medical Record (EMR) to assist in closing gaps in care
• Understands the basic principles of risk capture, clearly identifying opportunities around Hierarchical Condition Categories (HCCs)
• Coordinates care with the primary care practices for patients that need to be seen
• Problem solves with patients to maximize their ability to follow preventative recommendations
• Develops and maintains an effective professional working relationship with all patients, families, Physicians, Advanced Practice Providers (APPs) and additional care team members
• Arranges education and referrals as needed for patients and families
• Screens selected cases to identify needed services and interventions to deliver quality comprehensive care
• Identifies issues, which may impact medical outcomes based on comprehensive assessments that may include the patient’s medical condition, support systems, finances, living situation, housing, behavior cognition, function/abilities, and the patient’s choice and/or preference
• Collaborates with other members of the Sparrow Health System (SHS) team to collect, analyze, and utilize data for quality and process improvement activities
• Works with office staff as part of an Interdisciplinary Team, develops and implements a plan which addresses problems and needs identified in the assessment and ensures continuity of care
• Acts as the initial point of contact (POC) for the centralized team, as the group researches and implements new workflows to support the practices
• Supports the development of new policies/procedures to ensure documentation is in place for the remote work
• Pilots potential programming related to contract performance, closing quality gaps in care, capturing risk, and/or better supporting the practices utilizing a structured Plan, Do, Check, Act (PDCA) framework
• Attends mandatory department and SHS meetings or trainings

Skills

Clinical knowledge

Communication skills

Problem solving

Time management

EMR proficiency

Excel

Education

High school diploma or GED

Medical Assistant (MA) program

Tools

EMR system

Microsoft Excel

Job description

Sparrow Health System is seeking a Population Health Quality Specialist- Medical Assistant in East Lansing, MI to redesign care within the Population Health Service Organization (PHSO). The PHQS will manage contract performance, perform chart review, track quality metrics, and outreach patients needing annual visits across Sparrow Medical Group practices.

The role requires an MA credential, at least 1 year of medical or case management experience, strong EMR proficiency, and excellent