Bilingual Patient Care Advocate

Position Summary:

The primary purpose for this position is to serve as an outreach channel through Quality promotional initiatives, coordinating Health Coach Wellness visits, phone calls and report inquires to improve the patients’ health outcomes and quality of care. This position also works with the TAPM QI Team to close GAPs in care, and assists the organization in meeting Quality Improvement goals.

Job Responsibilities:

• The qualified candidate will work with our Quality Improvement department as a representative that provides patient outreach to our most vulnerable populations to assist TAPM to improve patient outcomes and quality of care.
• Navigate population health platforms to assess Patient Care gaps, create worklists, submit clinical data to insurance payers and health plans.
• Will perform outgoing phone calls to ensure medication and appointment compliance
• Serve as the main point of contact for patient portal inquiries
• Retrieves information from patient charts for lab and diagnostic test for payer initiatives following HIPAA protocol.
• Assist in collection of data for Patient Centered Medical Home Certification, Uniformed Data System (UDS) and other governing bodies as needed
• Conduct chart audits for clinical quality measures
• Will work closely with Clinical Liaisons’ and/or nursing department to ensure patients are seen in a timely manner following hospital discharges to prevent re-admissions.
• Leads and participates in TAPM QI initiatives as directed by the QI/Risk Manager.
• Seeks innovative ways to assist TAPM patients in reaching their healthcare goals
• Trains New and existing staff on PCMH (Patient Centered Medical Home)
• Participates in multidisciplinary groups
• Monitors and helps providers achieve UDS and Meaningful use measures
• Assist other departments as needed
• Performs other duties as assigned.

Preparation and Training:

Certified Medical Assistant preferred. Understanding of general medical terminology is essential. Excellent written, and verbal communication skills are a must.

Experience:

Professional and or volunteer-related experience with elderly and patients and/or patients form underserved areas. Experience with excel and data management is highly preferred. Excellent time management and the ability to multi-task are required.

Analytical Ability:

Repetitive or routine duties, which involve the use of various procedures and the application of clearly prescribed standard practices, requiring the making of minor decisions and the use of some judgment when following medical records protocol.

Independent Judgment:

Under immediate supervision, whereby the assignment of work is very standardized and performance can be measured at regular and frequent intervals.

Interpersonal Contacts:

Involves regular inside and outside contact with patients/family, school, hospitals, clinics, pharmacies, insurance payers, interpreters and other departments of TAPM when furnishing or obtaining information. This position requires tact to avoid friction and obtain cooperation. Improper handling may affect results, whereby tact, judgment, and proper behaviors are required to avoid friction or dissatisfaction, and maintain harmonious relationships.

Confidential Information:

Works with some confidential data of major importance, such as patient medical records, insurance, and billing information, which if disclosed, may be detrimental to the organization’s interests.

Working Conditions:

Normal office working conditions in an office environment, with some outside travel required in the physical transportation of medical records, setting up or breaking down health fair displays. This position has minimal exposure to communicable diseases. Must be able to work and deal effectively with changing situations, varying workloads, interruptions, etc. Will assist with varying payer initiatives which can change frequently must be willing and able to adapt to fluctuating workflows.

Mental Attention or Visual Demand:

Continuous mental and visual attention required. Usually repetitive work requiring constant alertness. Must have visual perception for Patient Care and record keeping requirements. Must be able to communicate via telephone. Normal or corrected vision is required in order to visualize computer screens and medical record forms as needed.

Safety:

Triad Adult & Pediatric Medicine require that all employees work in a safe manner with regards to themselves, their co-workers, patients and other internal and external customers. Any unsafe acts or condition are to be reported immediately.

Quality Improvement

Must understand and help enforce the meaning of quality improvement:” The combined and unceasing efforts of everyone-healthcare professionals, patients, and their families, researchers, payers, planners and educators-to make the change that will lead to better patient outcomes, better system performance and better professional development.” (Batalden, 2007). Committed to promoting TAPM as a medical home and incorporating the core components of a Patient Centered Medical Home into your position on a daily basis.

1. Patient Centered
2. Comprehensive care
3. Team-based
4. Coordinated
5. Accessible
6. Focusing on Quality and Safety

The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.