PRIMARY FUNCTIONS: Under the supervision of the Quality Manager, the preventive care coordinator will play a vital role in supporting the Neighborhood Health’s quality improvement initiatives by identifying and engaging patients who are overdue for care. This position is responsible for outreach to patients, scheduling necessary appointments, providing education on the importance of preventive and chronic care services, and ensuring follow-through to close care gaps. The role supports improved health outcomes, patient satisfaction, and compliance with value-based care metrics. Data and outreach will be reported out to the Neighborhood Health Quality Committee, and Neighborhood Health Leadership team.

Demonstrates commitment to Neighborhood Health’s mission of improving health and advancing health equity in Alexandria, Arlington, and Fairfax by providing access to high quality primary care regardless of ability to pay.

DUTIES/ RESPONSIBILITIES: (Essential Functions: Duties and responsibilities noted with bullets are considered to be the essential functions of the job).

Conduct outbound outreach to patients with open care gaps such as screenings, immunizations, chronic care management, etc. through phone calls, text messages, and letters.
Educate patients on the importance of recommended services and how they contribute to overall health.
Schedule appointments with appropriate providers or services to address care gaps.
Track patient progress and follow up to ensure completion of scheduled services.
Document all outreach and follow-up activities accurately in the electronic health care record (EHR)
Partners with the care team to ensure patients receive the highest quality care needed based on preventative services and chronic illness management.
Foster positive relationships with all Managed Care Organizations to ensure patients have a medical home and clinical care gaps are addressed
Meet routinely with supervision team to report on project progress and troubleshoot issues
Ability to exercise independent judgment when appropriate.
Employee will regularly navigate medical systems and correspond with clinic staff regarding clinical care gaps
Displays a high level of organization and time management skills to ensure patients have adequate follow-up and reported data is accurate.
Employee will be asked to perform additional duties and take on other responsibilities by events and circumstances

QUALIFICATION/EDUCATION and/or EXPERIENCE REQUIREMENTS:

High school diploma required, college degree in related field preferred
Experience in healthcare, preferably in care coordination, quality improvement, and/ or patient outreach strongly preferred
Ability to use electronic medical record
Proficient in Microsoft Office including Excel and Word
Excellent written and communication skills
Strong organizational skills with the ability to manage numerous projects and priorities at once
Positive, service-oriented attitude with the skill to foster and maintain relationships
Ability to thrive in a fast-paced environment
Ability to work independently or as part of a team
Ability to educate and motivate patients in a compassionate and culturally sensitive manner.

Neighborhood Health

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Preventative Care Coordinator