Quality Engagement Advisor I

University Clinical Health, Inc.; Memphis (TN); On-site; USD 42,000 - 55,000; Full time

Job summary

University Clinical Health, Inc. is seeking a Quality Engagement Advisor I in Memphis, TN. You will conduct initial health risk assessments and provide information and guidance to patients, providers, and caregivers through inbound and outbound calls.

You will collaborate with Care Management and Behavioral Health teams to assign patients to Care Coordinators and support planning, scheduling, and transportation needs while ensuring strict confidentiality and adherence to regulatory requirements.

Qualifications

• High school diploma required.
• Medical Assisting Certification (CMA) preferred.
• At least 1 year of experience in a health-related field.
• Experience working with Medicaid population preferred.

Responsibilities

• Conducts initial health risk assessments for patients.
• Provides information and guidance to patients, providers and caregivers via inbound and outbound calls.
• Assists with assigning patients to Care Coordinators.
• Supports care management and behavioral health teams.
• Assists with patient scheduling and transportation needs.
• Maintains patient confidentiality and HIPAA compliance.
• Supports process improvement initiatives to enhance care delivery.

Education

High school diploma required; Medical Assisting Certification (CMA) preferred

Job description

Who We Are:

As the only independent and physician-led faculty practice plan of the University of Tennessee Health Science Center, University Clinical Health (UCH) offers best-in-class clinical care through a network of 175 providers across 19 specialties to meet the healthcare needs of the Mid-South community. UCH is a not-for-profit, non-tax-supported group practice and is here to serve the community while providing medical excellence to our patients.

Position Summary:

The Quality Engagement Advisor I specializes in conducting initial health risk assessments for patients and providing information/support to patients when needed. In this role, the Quality Engagement Advisor provides information and guidance to patients, providers, and caregivers through inbound and outbound calls. In addition, the Quality Engagement Advisor is an essential part of the Care Management and Behavioral Health teams in assisting with assigning patients to their Care Coordinators.

Key Results Areas (KRAs):

• Conducts an initial health risk and needs assessment.
• Serve as a resource by assisting with plan of care activities and providing direction to patients
• Guides patient toward maintenance of contact regularly to interdisciplinary care team members
• Acts in accordance with laws and procedures regarding patient confidentiality and release of information, Americans with Disabilities Act, and other laws protecting rights
• Participates in the development, implementation, evaluation, and ongoing revision of initiatives to improve quality, continuity, and cost effectiveness of care Works collaboratively with other departments and services to define and investigate areas of inefficiency and participates in process improvement initiatives.
• Ensures consistent data capture to identify trends/problems related to the delivery of care and potentially avoidable hospital readmissions.
• Assist with patient scheduling and transportation needs
• Maintains strict confidentiality of client, company, and personnel information
• Demonstrates a strong commitment to the mission and values of the organization
• Performs other duties as assigned

Core Competencies:

• Demonstrates an ability to develop business relationships through close collaboration, partnership, engagement, and communication
• Demonstrates a strong commitment to the mission and values of the organization
• Exceptional organizational ability, speed, efficiency, and ability to function with high call volumes
• Analytic skills toaccomplish outreach calls and coordination/prioritization of tasks
• Demonstrate effective willingness to engage in process/quality improvement initiatives to achieve targets as defined by organizational goals and objectives

Education and Experience:

A minimum of a high school degree is required; Medical Assisting Certification (CMA) preferred. At least 1 year of experience working in a health-related field. Experience working with Medicaid population preferred.