Essential Functions/Responsibilities:

Essential functions are the duties and responsibilities that are essential to the position (not a task list). Do not include if less than 5% of work time is spent on this duty. Be specific without giving explicit instructions on how to perform the task. Do not include duties that are to be performed in the future. Duties should be action oriented and avoid vague or general statements.

% of Time

(annually)

Care-Op Report

·Contact patients identified on monthly care op reports to close health maintenance gaps to include scheduling routine care, ordering missing tests or updating patient PCP status.

·Provide regular and consistent follow-up with provider/nurse teams regarding patients who have barriers to care or are scheduled for care and have an identified gap.

·Demonstrates competence in the use of Excel and Microsoft teams.

·Contact outside clinics, labs and imaging centers to retrieve outstanding studies that have been performed and enter data into Epic to close care gaps.

·Communicate and round at primary care clinics to communicate ongoing health maintenance work with provider/nurse teams.

·Work closely with interdisciplinary team including quality partner, referral management and provider/nurse to update care op reports with

·Maintain responsibility and accountability for the knowledge of conditions of assigned patient populations.

·Engage in process improvement work and quality initiatives to ensure efficient, high quality multidisciplinary care is provided.

80%

Health Maintenance

·Coach and educate patients regarding importance of health maintenance and screening.

·Work with patients and families to identify barriers to care and health maintenance including education and transportation difficulties and work with care team to remove barriers.

·Provide monthly updates via care op reports, virtual and in person meetings with care team regarding efforts at closing care gaps.

·Review incoming medical records for health maintenance and enter into EHR.

·Proactively assist providers and other healthcare team members as patient advocate, ensuring progress toward goal attainment.

10%

Basic UPH Performance Criteria

·Be aware of what is happening in clinic/department and the organization by attending clinic/department meetings, reading emails and regularly checking information on the organization’s intranet site.

·Maintain regular and consistent attendance at work.

·Maintain compliance with CLIA, OSHA, Safety and Risk Management guidelines.

·Maintain compliance with Personnel policies and procedures.

·Monitor environmental conditions in order to secure protected health information.

·Behave in a manner consistent with all Corporate Compliance and HIPAA policies and procedures.

·Demonstrate initiative to improve quality and customer service by striving to exceed customer expectations.

·Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.

·Employee maintains current licenses and/or certifications required for the position.

·Practices and reflects knowledge of HIPAA, TJC, DNV, OSHA and other federal/state regulatory agencies guiding healthcare.

·Completes all annual education and competency requirements within the calendar year.

·Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse.Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff.Takes appropriate action on concerns reported by department staff related to compliance.

10%

Minimum Requirements

Identify items that are minimally required to perform the essential functions of this position.

Preferred or Specialized

Not required to perform the essential functions of the position.

Education:

·Graduate of an accredited program for Licensed Practical Nurses or Registered Nurses.

·Meets educational/competency requirements per policy

Experience:

·Previous clinical experience in a medical office

·Previous process improvement experience

·Previous experience in Care Coordination

License(s)/Certification(s):

·Current license to practice in the state where care is provided

·BLS

·Valid driver’s license when driving any vehicle for work-related reasons

Knowledge/Skills/Abilities:

·Demonstrate flexibility and adaptability, priority setting, problem solving, conflict resolution, decision-making, work delegation and organization.

·Must be highly motivated and self-directed.

·Must be able to communicate effectively with people of diverse professional, educational and lifestyle backgrounds.

·Ability to understand and apply protocols, policies and procedures.

·Ability to work independently and assume responsibility for timely completion of assigned functions.

·Strong computer skills, interpersonal skills, clinical proficiency and ability to work as part of a multi-disciplinary team.

Other:

Use of usual and customary equipment used to perform essential functions of the position.