Advocate Health Care · 1 day ago
Population Health Assistant
Oak Brook, IL
Full-time
Onsite
Senior Level
$24/hr - $36/hr
5+ years expAdvocate Health Care is seeking a Population Health Assistant to support the Care Coordination process. The role involves coordinating case intake, maintaining resources, facilitating new employer group implementations, and assisting in training new employees while managing various administrative duties.
Clinical TrialsDeliveryHealth Care
Responsibilities
Coordinates intake of cases on new and established assignments to expedite the Care Coordination process by facilitating the medical review process, verifying health plan eligibility, obtaining and assessing preliminary clinical and non-clinical data or needed additional data, determining appropriate case type, and triaging to the appropriate resource. Initiates and advances the Care Coordination plan, monitors status and advises regarding requirements, process and status
Researches, organizes and maintains the team's library of resources, guidelines and policies. Performs medical literature review searches to support the department
Facilitates implementation of new employer groups in collaboration with Onsite Nurse and sales staff. Insures adequate onboarding materials are available and interim reporting tools and processes are in place
Coordinates implementation of care gap outreach. Utilizes established criteria to generate lists of members requiring intervention and to process reminders according to established protocols. Verifies list accuracy and documentation of interventions
Assists in development and training of new employee department members in areas such as information system programs, individual health plans, and policies and procedures. Trains and educates provider office staff in referral/authorization process and procedures, contracts, standards, benefit plan limitations, and resource/contact liaisons
Develops and generates reports, as well as gathers, compiles and summarizes data for reporting and analysis by staff, management and external partners. Assists in monitoring, tracking and analyzing data
Coordinates development, ordering and stocking of materials to support Population Health activities. Initiates design based on branding guidelines and business needs
Oversees and/or maintains department files, binders, records, logs, etc. Identifies need of additional record keeping and establishes same
Performs a variety of routine and moderately complex administrative duties such as screening incoming telephone calls; open, sort and route incoming mail and faxes; typing letters, memos and reports; monitoring office equipment; purchasing/ordering of equipment or supplies
Qualification
Required
High School Graduate
Typically requires 5 years of experience in population health management, utilization management, claims, health insurance processing, clinical or care management/quality environment
Proficiency in the use of ICD-10, CPT and HCPCS coding preferred
Knowledge of medical terminology
Ability to manage data systemically
Demonstrates organizational ability and attention to detail and accuracy
Advanced skills and knowledge in the use of Microsoft Office (Excel, PowerPoint and Word), Internet explorer and similar products
Excellent organizational, interpersonal, and communication skills (written and verbal) with the ability to effectively communicate with a variety of individuals
Exercises independent judgment and demonstrate excellent problem-solving skills while able to still work well within a team
Ability to demonstrate self-direction in prioritizing and accomplishing job responsibilities
Ability to maintain a high degree of confidentiality
Must be able to sit, stand, walk, lift, bend, twist, crawl, kneel, climb, and reach above shoulders at various times in each workday
Must be able to occasionally lift up to 10 lbs
Must be able to continuously use a keyboard
Exposed to normal office environment
Operates all equipment necessary to perform the job
Company
Advocate Health Care
Advocate Health Care is an integrated healthcare delivery system based in Illinois, United States.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$18M2013-10-03Series Unknown· $18M
Leadership Team
Barbara Hancock
Executive Assistant to the President and Chief Operating Officer
David Rich
Clinical Practice Partner
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