Summary
Based on direction from the Population Health Coordinator Supervisor, Administrative Director for Care Management, and Chief Population Health Officer, provide telephonic outreach to patients to support UMMG quality, utilization, and operational goals. This position will collaborate with and support the Care Connect and UMMG teams to improve population health performance and achieve quality metrics.
Works directly with ACU physician and administrative leaderships and health care staff to ensure they have the support, tools, and education to succeed in various population health initiatives and achieve organizational goals and objectives. It is expected that this will be achieved through the application of evidence-based best practices, data analysis, interpretation/identification of opportunities, communication and consistent follow-up and evaluation.
Mission Statement
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Responsibilities*
Essential Functions:
Note that these responsibilities are shared across all Population Health Coordinators (PHC) and each individual PHC may not be responsible for all responsibilities at a given time.
- Conduct timely proactive outreach by calling patients on the weighted gap list, payer lists, and other various lists/reports to schedule the patient back into the clinic either with Care Management or PCP.
- Complete appropriate documentation in MiChart within policy-established timeframes.
- Provide key performance metric reporting to clinics on a regular cadence. Meet with ACU leadership to provide insights and feedback on quality / utilization performance. Use reporting and metrics to identify and validate quality care gaps.
- Support transitions of care efforts through scheduling patients with the appropriate provider within the appropriate amount of time.
- Support financial sustainability of Care Connect and UMMG through supporting the transitions of care, Behavioral Health Collaborative Care, and Care Coordination billing processes.
- Provide operational support to Care Connect team, to include special project outreach and potentially scheduling support, which can include referral work queue management.
- Complete ad hoc responsibilities as assigned by UMMG.
- Billing for any billable services - new BCBSM guidelines allow for unlicensed care team members to bill 98966-68 telephonic codes and the care coordination codes (99487, and 99489).
Related Essential Functions:
- Provide quality service based on customer expectations and needs.
- Incorporate Michigan Medicine core values of respect, compassion, trust, integrity, efficiency and leadership into all work efforts.
- Practice effective time management.
- Participate in interdisciplinary meetings, task forces, and projects as appropriate.
- Collect outcome data to help improve the population health practice and demonstrate population health outcomes.
- Supports UMMG with the creation and presentation of educational materials.
- Supports at the ACU level with insights into opportunities for improvement on quality and utilization metrics.
Required Qualifications*
- High school diploma or GED required.
- Graduation from a medical assistant program or an equivalent combination of education and experience (3-4 years) is necessary.
- Knowledge of basic medical terminology.
- Previous experience working with multiple clinical teams.
- Experience in using Electronic Health Records, provider registry data, and exception reports.
- Strong knowledge of population health practice, strong analytical and critical thinking skills, detail oriented, ability to prioritize and identify process gaps.
- Excellent communication skills, with the ability to clearly communicate vision, mission, goals, themes, and key priorities that guide and focus the efforts of others.
- Ability to coordinate and balance requirements between clinical outcomes and administrative activities.
- Strong collaboration and influence capabilities.
- Proficiency with MS Word, Excel, and Power Point.
Desired Qualifications*
- Bachelor's degree in related field preferred.
- 3-5 years' experience in quality, clinical, care management, or equivalent experience.
- Previous Population Health, Care Coordination, Case Management, Home Health, or Behavior Health experience preferred.
Background Screening
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
Application Deadline
Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.
U-M EEO/AA Statement
The University of Michigan is an equal opportunity/affirmative action employer.