Coordinates and identifies care needs (gaps in care) for patients attributed to a primary care practice.
MISSION, VALUES and SERVICE GOALS
- MISSION: We deliver outstanding care, inspire health, and connect with heart.
- VALUES: Trust. Respect. Integrity. Compassion.
- SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.
Responsibilities:
- Identifies patients through the health plans gaps in care list, state immunization databases, the patient medical record and the use of a patient disease management registry.
- Collaborates with the providers and reviews care needs and validates these needs against the medical record.
- Reaches out to patients with validated gaps in care and facilitate meeting these needs.
- Supports quality outcomes and high reliability in the Patient Centered Medical Home.
ORGANIZATIONAL RESPONSIBILITIES
Associate complies with the following organizational requirements:
- Attends and participates in department meetings and is accountable for all information shared.
- Completes mandatory education, annual competencies and department specific education within established timeframes.
- Completes annual employee health requirements within established timeframes.
- Maintains license/certification, registration in good standing throughout fiscal year.
- Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
- Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
- Adheres to regulatory agency requirements, survey process and compliance.
- Complies with established organization and department policies.
- Available to work overtime in addition to working additional or other shifts and schedules when required.
Commitment to Beacon's six-point Operating System, referred to as The Beacon Way:
- Leverage innovation everywhere.
- Cultivate human talent.
- Embrace performance improvement.
- Build greatness through accountability.
- Use information to improve and advance.
- Communicate clearly and continuously.
Education:
- High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
- Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.
Working Conditions
- Works in an office environment.
Physical Demands
- Requires the physical ability and stamina (i.e., to lift, hold, carry or transfer items weighing up to 30 pounds, etc.) to perform the essential functions of the position.

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