Quality/ Population Health Advocate

SALARY: $21.00-$25.00/Hour

REPORTS TO: Quality Director

AREAS OF RESPONSIBILTY: The Population Health Advocate is responsible for creating and maintaining registries for MVHC’s patients. Population Health is defined as those activities related to tracking health outcomes and prevention activities for those identified patients. The Population Health Advocate is responsible for documentation, tracking, auditing and reporting of these measures. The Population Health Advocate is also a patient advocate to programs available to our clients within the Health Center, such as FPACT, CDP, EAPC, Healthy Families, etc.

QUALIFICATIONS: Prefer a nurse or experienced case manager. The Population Health Advocate must have excellent written and verbal communication skills. There is a great deal of communication via the telephone with patients relating to recall and follow up. The Population Health Advocate will continually maintain a professional and caring attitude toward staff and patients and must maintain confidentiality relating to MVHC’s personnel, patients, and information that could result in proprietary damage to MVHC. The position requires intense use of computer technology using the EHR, i2iTracks, the California Immunization Registry (CAIR2), Excel and other database programs. The Population Health Advocate must also possess time management and organizational skills, as well as, teaching ability. He/She must possess an automobile, current valid California or Oregon driver’s license and auto liability insurance.

REQUIREMENTS AFTER HIRE:
Maintain current CPR card.
Clean and appropriate business attire.

DUTIES AND RESPONSIBILITIES:
Develop recalls and tracking systems for pertinent preventative care and chronic diseases. Examples of these recalls include cervical cancer screening, immunization and routine well child care, colorectal cancer screening, diabetic tracking measures (labs and special exams), hypertensive tracking, monitoring patients on persistent medications (such as PT/INR recall, labs for patients on diuretics), etc.

Report monthly and meet with supervisor at minimum quarterly to track and identify program progress, outcomes, expectations and sustainability.

Become a super-user of current tracking software as relative to population health recalling, tracking and reporting.

Coordinate patient visits to ensure preventative screenings coincide with acute or chronic encounters, such as immunization recall may need piggybacked with an overdue well child visit.

Conduct semi-annual audits to monitor improvements with Managed Care Organizations Quality Improvement Programs, Meaningful Use Incentive Programs and Patient Centered Medical Home goals.

Work with QC team on program development to drive clinical outcomes and processes.

Ability to travel to various MVHC sites to seek paper chart documentation, or meet/train with patients/staff.

Be punctual in arriving at work so that all necessary duties can be accomplished by the end of the work day.

Inform supervisor of backlog of work, or any difficulty with recalls or tracking.

Cooperate and perform any other task that is asked as a MVHC team member.

CUSTOMER CARE: A core value of Mountain Valleys Health Centers’ is our dedication to high-quality customer care. As a Community Health Center, our patients are our vitality; therefore, every patient will be treated accordingly.

At MVHC a customer is defined as but not limited to a patient, vendor, contractor, granting agency, community business, and employee. Customers will be treated with the utmost dignity and respect regardless of their socio-economic status, insurance type, job position, and/or race, etc. Discrimination is unacceptable and is grounds for immediate termination.

Every employee of MVHC will adhere to the Accountability Measures outlined either at the onset of employment or at the date of this signed job description. Should these expectations not be upheld, the employee understands that disciplinary action will be taken which could lead to immediate termination.

By signing this job description, the employee commits to providing the highest quality customer care and will strive to make each patient feel as though they are the only one.

PHYSICAL REQUIREMENTS: Sitting, working on computer for extended periods of time, repetitive motion of hands, close eye work, listening, speaking in person or on the phone, reading, hand writing, and minimal lifting/carrying objects up to 30 lbs.