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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.
• Communicates with member 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 workgroup.
• 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.

Experience and/or Education

Required

• Minimum 2 years of experience in a healthcare setting
• Fluency through language testing in a second language relevant to the population served

Preferred

• Minimum 2 years of 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 healthcare industry structure/dynamics and social service systems
• Understanding of the nature of consumer engagement and vulnerable populations

Skills and Abilities

• Ability to develop and implement processes and procedures
• Ability to present a positive and professional image
• Ability to read, write and verbally communicate effectively
• Ability to remain flexible in a dynamic work environment
• Ability to use motivation, persuasion, and encouragement in order to complete project
• Ability to build and maintain professional relationships with business, community and internal management groups with strong consensus building skills
• Ability to coordinate with a team of providers, RN’s, MA’s, Behavioral Health team members, etc.
• Ability to design presentations
• Ability to speak English, as well as a second language relevant to the population served
• Ability to work in an environment with diverse individuals and groups
• 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
• Ability to focus on and comprehend information, learn new skills and abilities, assess a situation, and seek or determine appropriate resolution, accept managerial direction, and feedback, and tolerate and manage stress
• Willingness/ability to occasionally work irregular hours (e.g., evening meetings and weekend activities)
• A “service orientation” in dealing with the CACs and its members
• Excellent listening skills
• Excellent organizational skills and the ability to manage multiple tasks from multiple sources
• Intermediate computer application skills including with MS Windows, Word, Excel, and Outlook with proficiency using Excel
• Refined interpersonal maturity/skills and a high level of emotional/social intelligence
• Strength in creative problem-solving skills
• 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, and perform repetitive finger and wrist movement for at least 6 hours/day
• Ability to hear and speak clearly for at least 3-6 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

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

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.