Hedis-Hcc Outreach Interventionist

Overview

Now hiring a HEDIS-HCC Outreach Interventionist

Summary:This position is responsible for assisting in closing gaps in care for Medicare STARS and closing gaps in Medicare HCCs through measure-specific outreach. Mainly, HEDIS and HCC outreach is done telephonically by outreach to members to schedule home bone density screenings and annual health risk assessments. Position will perform bone density screenings at members home and deliver cued i-Pads to the members home to complete annual health risk assessments. Reports to Chief Actuary or leadership reporting to Chief Actuary.

How you belong matters here.

We value our employees' differences and find strength in the diversity of our team and community.

At Presbyterian, it's not just what we do that matters. It's how we do it - and it starts with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.

Why Join Us

• Full Time - Exempt: Yes

• Job is based Rev Hugh Cooper Admin Center

• Work hours: Weekday Schedule Monday-Friday

• Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more for FT employees.

Qualifications

• High School Diploma

• Medical office experience 1-2 years

• Knowledge of related medical terminology

• Excellent driving record

• Preferred:

• Associate Degree

• Bilingual (English/Spanish)

Responsibilities

• This position includes the following tasks/functions:

• Manage member-specific lists of members for outreach.

• Document daily work into EPIC/AHWA/Excel tracking systems and outbound/inbound calls and appointments made and completed.

• Educate members about getting bone density screenings and annual health risk assessments and provide appointment scheduling.

• Communicate/engage with providers as needed.

• Perform bone density screenings at members home and deliver cued i-Pads to the members home to complete annual health risk assessments

• Organize and distribute test results to Quality PHP Performance Improvement Department.

• Attend and collaborate with team on community events.

• Work with peers, leadership and other departments to optimize closures in gaps of care and HCCs. Provide leadership in developing and implementing marketing of deliverable services.

• Follow HEDIS and CMS technical and compliance specifications.

• Utilize standard office equipment and field equipment, such as, i-Phones, i-Pads and bone density scanners.

• Other duties as assigned (may include functions such as administrative support for Risk Adjustment Department).Job Requirements

• 3-4 hours of phone contact daily

• Effective time management

• Logistical/Technical trouble-shooting

• Track daily work electronically

• Represent department at community events as needed

• Understand and implement department procedures

• Track and measure outcomes of member contact/education

• Use appropriate office application in support of all activities

• Must provide own vehicle and related insurance

• CPR training

• Performs other functions as required

Benefits

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

Why work at Presbyterian? As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

Inclusion and Diversity Our culture is one of knowing and respecting our patients, members, and each other. We capture this in our Promise and CARES commitments.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

Maximum Offer for this position is up to

USD $32.17/Hr.

Compensation Disclaimer

The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.