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Estimated Hiring Range:

Bonus Target:

Current CareOregon Employees: Please use the internal Workday site to submit an application for this job.

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Essential Responsibilities

• Serve as an effective communication link between member and clinic staff by gathering information from members.
• Independently and proactively identify members in the practice by running panel reports for specific diagnosis and preventive care needs.
• Review and evaluate member records, based on Primary Care member standards, to identify members who need: preventive services, diagnostics, and follow up.
• Coordinate services for all members who are part of the assigned panel, focusing on gaps in care and clinic identified strategies for specified populations including those with serious, complex or chronic health problems or with psychosocial issues.
• Communicate with members directly to discuss preventative care needs and refers members with medical concerns to appropriate clinical staff.
• Serve as a medical home quality improvement team member; assist with improvement of workflows through PDSA Cycles and measurement of quality indicators.
• Track progress for assigned clinic on population performance of key clinical quality metrics.
• Review provider schedules and member charts to assist the care team in coordinating care for visits and identifying preventive healthcare needs (IF applicable at your clinic location).
• Schedule members for preventive care needs and follow up to ensure completion of services.
• Participate in team huddles and evaluation of team data for proactive panel management.
• Develop presentations to share with work group.
• Work with clinic team on developing standards, implementation, and maintenance of programs in chronic disease management for members.
• Participate in CareOregon Community of practice.
• Represent the CareOregon Medicaid members in team activities.
• Utilize knowledge of barriers to care such as language, transportation, ability to cope and self-advocate and bring these to the attention of the care team.
• Propose and implement process improvements.
• Meet deadlines for completion of workload.
• Maintain agreed upon work schedule.
• Demonstrate cooperation and teamwork.
• Provide cross-training on specific job responsibilities.
• Meet identified business goals that contribute to departmental goals.

Organizational Responsibilities

• Perform work in alignment with the organization’s mission, vision and values.
• Support the organization’s commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.
• Strive to meet annual business goals in support of the organization’s strategic goals.
• Adhere to the organization’s policies, procedures and other relevant compliance needs.
• Perform other duties as needed.

Experience and/or Education

Required

• Minimum 2 years relevant experience in a healthcare setting

Preferred

• Minimum 2 years’ experience in outpatient primary care and/or the care and service of patients with chronic disease
• Experience as a Certified Medical Assistant with an interest in population health care management

Knowledge, Skills and Abilities Required

Knowledge

• Understanding of the nature of consumer engagement and vulnerable populations
• Understanding of healthcare industry structure/dynamics and social service systems

Skills and Abilities

• Ability to read, write and verbally communicate effectively
• Excellent listening skills
• Intermediate computer application skills including with MS Windows, Word, Excel, and Outlook with proficiency using Excel.
• Strength in creative problem-solving skills
• Excellent organizational skills and the ability to manage multiple tasks from multiple sources
• Ability to work in an environment with diverse individuals and groups
• Ability to design presentations
• Ability to work independently and identify priorities absent explicit directions regarding what needs to be done, how to do it and learn quickly with the ability to independently make judgements with sound problem solving skills
• Refined interpersonal maturity/skills and a high level of emotional/social intelligence
• A “service orientation” in dealing with the CACs and its members
• Willingness/ability to occasionally work irregular hours (e.g., evening meetings and weekend activities)
• Ability to build and maintain professional relationships with business, community and internal management groups with strong consensus building skills
• Ability to use motivation, persuasion and encouragement in order to complete project
• Ability to remain flexible in a dynamic work environment
• Ability to present a positive and professional image
• Ability to develop and implement processes and procedures
• Employees in this position are subject to drug screening, as well as a physical and vaccination assessment
• Ability to coordinate with a team of providers, RN’s, MA’s, Behavioral Health team members, etc.

• Ability to work effectively with diverse individuals and groups

• Ability to learn, focus, understand, and evaluate information and determine appropriate actions
• Ability to accept direction and feedback, as well as tolerate and manage stress
• Ability to see, read, hear, speak clearly, and perform repetitive finger and wrist movement for at least 6 hours/day

Working Conditions

Work Environment(s):        ☒ Indoor/Office    ☐ Community      ☐ Facilities/Security     ☐ Outdoor Exposure

Member/Patient Facing:    ☐ No                          ☒ Telephonic        ☐ In Person

Hazards:  May include, but not limited to, physical and ergonomic hazards.

Equipment:  General office equipment and/or mobile technology

Travel:  May include occasional required or optional travel outside of the workplace; the employee’s personal vehicle, local transit or other means of transportation may be used.

Work Location: Hybrid-Office 2 days/week

Schedule:  Willingness/ability to occasionally work irregular hours (e.g., evening meetings and weekend activities)

We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package.  Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information.

We are an equal opportunity employer

CareOregon is an equal opportunity employer.  The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.