Panel Management Coordinator (Temecula/Menifee)

Community health is about more than just vaccines and checkups. It's about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We're with you every step of the way, with the care you need for each of life's chapters. At Neighborhood, we are Better Together.

As a private, non-profit 501(C) (3) community health organization, we serve over 500,000 medical, dental, and behavioral health visits from more than 96k people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.

We have been doing this since 1969 and it is our employees that make this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If that sounds like an organization you want to be a part of, we would love to have you.

ROLE OVERVIEW and PURPOSE

The Panel Management Coordinator will coordinate panel management, outreach, and engagement efforts related to the residency program guideline requirements. This role will maintain data used to compile reports to ensure compliance with month-end/year-end goals and objectives.

RESPONSIBILITIES

• Stays abreast of Accreditation Council for Graduate Medical Education (ACGME) for family medicine residency program requirements related to residents assigned to member panels, including size, age/gender distribution goals, and risk levels

• Supports member distribution and assignments to residents to meet goals

• Works with Analytics Team to develop reports to support effective panel management and continuity, measure panel performance to ensure goals are met, and

• Facilitates transition of member panels with resident graduations and onboarding of new residents, including outreach and communication with members to assist with transition

• Conducts outreach activities to help members initially engage or maintain engagement in Neighborhood Healthcare services

• Registers members and schedules appointments to support continuity of members with resident physician/resident teams

• Communicates appointment information to member/family

• Follows up with members to document and ensure members kept their appointments

• Documents member medical records, including uploading letters/postcards and transferring efforts made to member account in eClinicalWorks (eCW)

• Provides Medicare eligible members information regarding enrollment/benefits and other services available at Neighborhood

• Provides outreach and scheduling support to other department/teams, as needed

• Tracks, reviews, and processes member actions, such as eligibility, telephone encounters and referrals in the designated logs and/or electronically via eCW

• Documents actions taken in member medical records in accordance with current clinic, ACGME, DHCS, and Health Plan regulations/guidelines

• Responds to member inquiries and provides enrollments instructions via MyPortal

• Attends required meetings, trainings, webinars, and other professional development opportunities

• Presents health concepts to individuals and small groups, including providing health center program information

• Solicits feedback from members experiences to improve access to health care

• Collaborates with manager to develop/enhance outreach strategies for members

• Monitors analytical dashboards to maintain department productivity, quality, and compliance standards

• Monitors and closes provider panels on a monthly basis, as assigned

• Cultivates relationships with referral sources and multi-disciplinary teams, including medical, dental, prenatal providers, case managers, outreach staff, call center staff, and community partners

• Distributes members to resident panels according to the ACGME guidelines.

• Provides operational administrative and schedule management support for providers to maximize clinic access to residency schedules

• Operates to instill confidence in our care and in our facilities to members, fellow employees, and other stakeholders

• Impacts member experience by demonstrating courteous and helpful behaviors and a commitment to accuracy

• Functions at highest level according to credentials and competencies for the role

• Stays informed of organizational activities and promotes the mission and goals

EDUCATION/EXPERIENCE

• High school diploma/GED required; bachelor's degree preferred

• Two years' healthcare patient services experience required; experience within community healthcare and social service programs preferred

• Bilingual (English/Spanish) or (English/Arabic) required

ADDITIONAL QUALIFICATIONS (Knowledge, Skills and Abilities)

• Excellent verbal and written communication skills, including superior composition, typing and proofreading skills

• Ability to interpret a variety of instructions in written, oral, diagram, or schedule form

• Knowledgeable about and experience with keeping details records

• Ability to use computers and Microsoft applications, such as Word, Excel, and Outlook

• Ability to successfully manage multiple tasks simultaneously

• Excellent planning and organizational ability

• Ability to work flexible schedule

• Ability to work as part of a team as well as independently

• Ability to work with highly confidential information in a professional and ethical manner

Physical Requirements

• Ability to lift/carry 50 lbs/weight

• Ability to stand for long periods of time

Neighborhood Healthcare offers a generous benefit plan that includes: Partially company paid Medical, Dental, and Vision Plans. Two plus weeks of vacation, Nine Holidays including two Floating Holidays of your choosing, Sick/Personal time, Volunteer Time Off (VTO), 403b Retirement plan (similar to a 401k), optional Health and Wellness events, and much more!

Pay range: $25.04 - $30.19 per hour, depending on experience.