Highland Hospital Data Coordinator in Geneseo, New York
679 - PC Home Care Program
Comprehensive Data Tracking and Monitoring
Monitors and tracks high risk referrals as identified by providers. This includes ensuring that appointments are made for and kept by the patients. This process includes sending appropriate notes, lab results, and other information for each patient’s referral as well as ensuring the practice receives results and consultation notes back in a timely manner.
Prepares and maintains data tracking tool for patients encouraged to schedule a screening test. Works closely with patients to help them schedule appointment(s) including follow-up calls to ensure appointment has been made and tracks results with providers as they are received.
Tracks the practices hospital admissions and discharges to ensures that patients have appropriate follow-up appointment(s) in the office within 5 calendar days of discharge or sooner if clinically appropriate.
In collaboration with the Care Manager, reviews the group and patient dashboard details to ensure up to date laboratory, preventive tests, and follow-up office visit(s) are being maintained. Communicates with patients who are overdue for laboratory and/or follow-up office visit(s) and monitors as appropriate so that the continuity of care is achieved
Plans for appointment ahead of time so the visit is as productive as possible, by contacting patients for necessary blood work and informing providers of preventive tests that are due.
Participates in daily “huddle” communication with physician and Care Manager to discuss specific patient needs and facilitate overall health care team collaboration
Has the ability to professionally and effectively manage daily tasks.
Population Health Management.
Has a knowledge of community resources and how to effectively communicate in regards to continuity of care
Utilizes electronic registries and clinical dashboard metrics to analyze, assess and track disease and preventive health management needs.
Continually updates Health Maintenance Plan in e-record to ensure documentation is accurate and current
Team Based Care
Collaborates with Providers and health care team for development and implementation of population-based strategies and work flows to close gaps in medical care.
Collaborates with Physicians and Care Manager to strategically identify and manage identified patient populations in order to improve outcomes and patient satisfaction i.e. high risk, “lost to follow up” patients, etc.
Supports Primary Care Network initiatives and completes other tasks as assigned
Auto req ID:
Education: An Associate’s Degree; or equivalent experience is required.
Experience: One year working experience in an outpatient primary care environment is preferred.
License/Certification Required: n/a
Establish and maintain professional interpersonal interactions with patients, families, physicians, supervisors and coworkers.
Maintain knowledge of practice operations and procedures with the ability to effectively answer questions.
Ability to use multi-line phone system, including transferring calls and paging.
Ability to speak clearly and loudly enough to be heard by callers and patients.
Ability to understand downtime procedures and notify as appropriate.
EMR skills (with training).
Basic proficiency with Microsoft Word and Outlook is required.
Intermediate proficiency with Microsoft Excel is required, advanced preferred.
Area of Interest:
The Hospital is committed to equal opportunity for all persons regardless of age, color, disability, ethnicity, marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other status protected by law.
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