• Panel Coordinator - 30146

    Department
    Family Medicine -South Hillsboro-96123
    Req #
    2018-4932
    Job Type
    Full Time (80 hours per pay period)
    Job Locations
    US-OR-Hillsboro
    Shift
    Days
    # of Openings
    1
    Classification
    Non-Exempt
    Budgeted Hours Per Pay Period
    80
  • Summary of Duties

    The Panel Coordinator role provides complex and diversified coordination, analytical, and administrative support through a team-based approach to patient care within their primary care medical provider’s office. This highly patient-centered delivery of care is vital to the implementation of the innovative Patient Centered Medical Home model at the Tuality Medical Group primary care practices.  This continuous learning approach contributes significantly to proactively gathering data, analyzing current processes (i.e. developing "intelligence"), identifying steps for improvement, and developing procedures, forms and educational materials that translates the "intelligence" into language best understood by all team members - in the interest of optimal patient involvement and team performance. 

     

    Panel Coordinators:

    • Serve as an effective communication link between patient and clinic staff by gathering information from patients
    • Independently and proactively identify patients in the practice by running panel reports for specific diagnosis and preventive care needs
    • Evaluate and analyze patient records, based on Primary Care patient standards, to identify patients who need: preventive services, diagnostics, and follow up
    • Coordinate services for all patients who are part of the assigned panel, focusing on gaps in care and clinic identified strategies for specified populations including those with serious, complex or chronic health problems or with psychosocial issues
    • Communicates with patient directly to discuss preventative care needs and refers patients with medical concerns to appropriate clinical staff
    • Track progress for assigned clinic on population performance of key clinical quality metrics
    • Review provider schedules and patient charts to assist the care team in coordinating care for visits and identifying preventive healthcare needs
    • Schedule patients for preventive care needs and follow up to ensure completion of services
    • Work with the Medical Home team on developing standards, implementation, and maintenance of programs in chronic disease management for patients
    • Have knowledge of barriers to care such as language, transportation, ability to cope and self-advocate and bring these to the attention of the care team
    • Have knowledge of different health plan requirements for pre-authorization of treatments and coverage limits
    • Help to optimize revenue for the practice, especially regarding pay-for-performance reimbursements and grant related revenue.

    Panel Coordinators will work closely with the Medical Home Specialist(s) to support the continuing development and changing requirements of the program and need to keep an eye on the big picture of what is going on in their team at all times, to set up the entire clinical team to be able to "work at the top of their scope of practice", and they are also trained to provide backup as appropriate for other members of the team who may be absent. 

    Hiring Competencies

    a)     Education.  High school graduate or GED required; AA or BS in Business, or Health Care related field preferred.

    b)     License: Current Healthcare provider BLS certification or within 90 days of hire.

    c)     Certification:  American Association of Medical Assistants (CMA) or certification as a Registered Medical Assist (RMA) by American Medical Technologies or certification as a Certified Clinical Medical Assistant (CCMA) by the National Healthcare Association or certification as a Nationally Certified Medical Assistant (NCMA/NCCT) by National Center for Competency Testing highly preferred.

    d)    Bilingual:  Spanish and English highly preferred.

    e)     One year of experience in a medical office setting, including high-volume direct patient contact, scheduling of appointments

    and obtaining managed care authorizations.  Prior experience working in a Patient-Centered Medical Home preferred.

    f)    Excellent customer service and listening skills and use of effective communication skills taking into consideration body

          language, filters, listening, paraphrasing, questions with customers of diverse ethnic and cultural backgrounds.

    g)     Excellent verbal and written communications skills. Strong customer service orientation. Demonstrated effectiveness in confrontational customer interactions.

    h)     Previous use of EPIC, Solutions, Business Objects, Crystal Reports and basic computer skills including word processing, Windows applications, on-line scheduling, and a preference for data-base skills.

    i)       Knowledge of medical terminology, CPT and ICD-10 CM coding methodology

    j)       Demonstrates knowledge of managed care insurance plan requirements.  Understanding of age specific preventive health

    maintenance indicators and disease specific standards of care for those prevalent in underserved family medicine population.

    Overview

    At Tuality Healthcare, an OHSU Partner, it's an honor and a privilege to serve those near us. That's why since our beginnings in 1918, and as we expand our strong network of services through our clinical affiliation with OHSU, we continue to be committed to providing the best health care possible and a valued community partner.  Our affiliation with OHSU brings the advanced medical resources of Oregon’s only academic health center, which allows local providers to receive guidance from some of the country’s top specialists and pass that expertise on to Tuality patients where they can be cared for in their community. 

     

    Tuality’s many awards showcase our position as one of the Portland metro area’s premier healthcare providers, including 5th straight year in Top 10 Healthiest Employers in Oregon from The Portland Business Journal, Tuality’s 6th straight Gold Plus Award from the American Heart Association, and 2016 #1 Nationwide Best Hospital IT Department to work for according to Healthcare IT News.

     

    Here at Tuality our employees care about making a difference.  In fact, they care so much that in our most recent employee satisfaction survey we had an 80% participation rate!  Tuality is truly unique because of the relationships we build and as individuals we are seen and heard.  Come be part of our team, and let your voice be heard!

    Additional Posting Information

    Tuality Healthcare believes in providing equal employment opportunities for all qualified individuals. Recruitment, hiring, promotions, transfers, working conditions, training, and compensation will be based on qualifications without regard to race, color, sex, sexual orientation, gender identity, religion, age, creed, national origin, marital status, family relationship, veteran status, genetic information, physical or mental disability, or any other status or characteristic protected by applicable law. We further commit ourselves to continuing the practical application of this policy in our daily business conduct.

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