Outreach Specialist - Population Health

Population Health Outreach Specialist

Community Healthcare Network (CHN) is a not-for-profit organization providing more than 65,000 New Yorkers with primary and behavioral healthcare, dental, nutrition, wellness, and needed support services.

Our network is made up of 14 federally qualified health centers throughout Brooklyn, the Bronx, Queens, and Manhattan, along with a fleet of mobile vans that bring health services to underserved people in need throughout New York City. We provide judgment-free, high-quality healthcare, without regard to race, religion, orientation, gender identity, immigration status or ability to pay. We turn no one away.

Growth and development: Access to various healthcare professionals and benefits to deepen understanding and interest in the various disciplines involved in community health programming.

Supportive team culture: Be a part of an interdisciplinary environment where your ideas and work are valued and encouraged.

Comprehensive benefits: Including health, dental and vision insurance, retirement plans, employee assistance programming and more.

Job Function

The Population Health Outreach Specialist (Specialist) works within Community Healthcare Network's population health department to ensure that patients receive quality medical care that aligns with our quality indicators. The representative works closely with the interdisciplinary team to serve as a telephone liaison between patients and their care team.

Duties And Responsibilities

1. Contacts patients daily to facilitate patient compliance and quality indicators, such as required annual health screenings, and schedules appointments within appropriate time frames.
2. Contacts patients post-hospitalization and emergency room visits to ensure appropriate transition of care from the hospital back to the community.
3. Extracts data from internal and external data platforms to compile patient outreach lists, as directed.
4. Maintains consistent communication with patients, clinicians, and the care team to ensure timely care of patient's chronic illnesses.
5. Answers multiple telephone calls appropriately and ensure timely follow-up on return calls.
6. Receives incoming emails and faxes from laboratory, physician offices, hospitals, and diagnostic centers and assigns to appropriate parties.
7. Scans incoming medical documents, review images for quality and upload to the patients' medical record.
8. Reviews individual clinical records for presence of adequate and required documentation, using chart review tools.
9. Prepares weekly data collection and quality trending reports.
10. Involvement in Performance Improvement activities.
11. Facilitates related services for health center patients as assigned.
12. Performs other related duties as assigned.

Certificate/License required:

• High School diploma or equivalent
• Experience related area of medical records/quality assurance