This position is accountable to provide support to the care team by coordinating care to patients attributed to their clinic. The focus of the Panel Coordinator is closing care gaps, pre and post-visit planning related activities, engaging with health plan members to respond to inquiries related to the health plan, assist with risk adjustment preparation and review, and transitional care follow-up in coordination with the clinic nurse. In continuous partnership with patients and providers will promote excellent patient care and an optimal patient experience.

Per local, statewide or nationally determined protocol and physician peer-reviewed recommendations, or in compliance with those initiatives or regulations, the Panel Coordinator will have the following Primary Responsibilities:

Focus on closing care gap opportunities that support the group performance initiatives to include scheduling appointments throughout the healthcare system

Collaborate with care team to improve practice performance

Manage quality reports and metrics

Preparing medical records to ensure that quality measures are met and clinical staff has all tools prior to patient visit

Following all visits, directly assist patients with scheduling appointments, provide continuous motivation to close care gaps and obtaining reports of studies performed outside of the system

Facilitate and obtain appropriate documentation for any clinical conditions or procedures to support the appropriate severity of illness

Assist in identifying patients social determinants to care and connecting them with community resources or assisting the patient with completion of applications for programs for which they may be eligible

Assist with coordination of care management activities for assigned patient groups

The incumbent uses professionalism and diplomacy with interacting with patients of all ages, their families, physicians, physician office staff and other health care providers in the accurate collecting of demographic, clinical and financial information in person or via telephone

This position does not provide patient care

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Name

Description

Education:

Must have working-level knowledge of the English language, including reading, writing and speaking English.

MA license (CMA, RMA) or Certified Nursing Assistant (CNA) or Certified Pharmacy Technician, or a Bachelors degree in a health related field preferred. Substitutions will be made for experience on a year for year basis.

Experience:

Requires two (2) years of experience in a position involving customer service.

One (1) year of experience in a position directly or indirectly associated with group health benefits, or medical back office experience preferred.

Ability to speak Spanish preferred.

License(s):

None.

Certification(s):

None.

Computer / Typing:

Must possess, or be able to obtain within 90 days, the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.