Population Health Worker
FTE – Full-time
Location – Houghton, MI
The Population Health Worker will assist with clinical quality improvement and population health of all service areas including medical, behavioral health and dental.
POSITION ACCOUNTABILITIES AND COMPENTENCIES:
- Pulls reports as directed from Electronic Health Record (EHR) or other clinical patient information registry to identify patient gaps in care
- Navigates through the EHR to verify the patient gaps in care or identify documentation to satisfy patient gaps in care
- Documents in the EHR or other clinical patient information registry appropriately to satisfy patient gaps in care
- Utilizes professional communication and telephone skills to contact patients with gaps in care to schedule appointment with appropriate primary care provider or specialty care provider
- Utilizes motivational interviewing and provides patient education as needed
- Completes required documentation to track progress through PDSA (plan-do-study-act) cycles as related to quality work plan measures
- Prepares monthly reports on quality work plan measures as directed
- Coordinates large scale outreach efforts through the EHR regarding a relevant clinical quality measure
- Assists clinic nursing staff with following up on outstanding tests and referrals
- Maintains established organizational policies and procedures, objectives, performance improvement program, safety, environment of care, management of information, and infection control standards
- Complies with federal and state law, regulations, accrediting and licensing agencies at all times
- Provides patient support and assures the provision of emotions and physical care of patients of all ages, including: promoting positive relationships between patients, staff, families and visitors; assessment of the effects of cultural, social, economic, and religious influence of patients
- Works cooperatively with providers and personnel to carry out the goals and objectives of the Upper Great Lakes Family Health Center (UGLFHC)
- Establishes and maintains effective working relationship with appropriate personnel and agencies.
- Performs safe emergency techniques according to clinic/department policies/procedures
- Performs other related duties as assigned or requested.
Education, Training, Licensing and Credentialing
High School diploma or equivalent
Experience or training in health care field
Experience and Skills:
Computer skills including Microsoft suite, including Excel and prior electronic health record experience.
Well developed verbal and written communication skills in English.
Experience and ability to maintain confidentiality under HIPAA standards.
The ability to exercise a high degree of diplomacy and tact; excellent customer services and interpersonal communication skills; Cultural sensitivity and demonstrated ability to work with diverse individuals and groups.
Organizational and administrative skills with meticulous attention to detail.
Ability to work independently with minimal supervison.
Possesses flexibility and willingness to handle a variety of tasks.
Knowledge of medical terminology.
Knowledge and work experience in quality/process improvement.
Computer skills including data reporting tools and data management systems.
Knowledge in Federally Qualified Health Center (FQHC) standards of practice, legal and ethical codes and regulations applicable to FQHC’s.
Knowledge of PCMH model of care.
Clinical experience in outpatient setting.