GENERAL SUMMARY 

Coordinates and identifies care needs (gaps in care) for patients attributed to a primary care practice.

Responsibilities:

Identifies patients through the health plans gaps in care list, state immunization databases, the patient medical record and the use of a patient disease management registry. Collaborates with the providers and reviews care needs and validates these needs against the medical record. Reaches out to patients with validated gaps in care and facilitate meeting these needs. Supports quality outcomes and high reliability in the Patient Centered Medical Home.

 EDUCATION/EXPERIENCE

High School diploma equivalency OR 1 year of applicable cumulative job specific experience required Quality review and data abstraction experience for closing payer quality gaps in care preferred Experience with creating, formatting and analyzing Excel or Google spreadsheets preferred Experience with Microsoft 365 applications. Experience with Lean, Six Sigma, PDCA performance improvement methodology preferred Comfortable presenting to physicians and practice staff their own work and workflows/processes. Additional Information Organization: Henry Ford Ascension Medical Group MI Department: Total Quality Management 001 Shift: Day Job Union Code: Not Applicable