About Our Family:
Established in 1978, Alcona Health Center (AHC) is a non-profit, Federally Qualified Health Center dedicated to making a lasting impact in the Northern MI communities we serve, offering medical, behavioral health, dental and pharmacy services. As a member of the AHC family, you will join a team of over 300 coworkers, all devoted to providing quality health care to all residents of our communities, regardless of their ability to pay.
Your Valued Contributions:
Works with patients to improve their health, wellbeing and self-care by educating patients on needed services. Facilitates patients in accessing care appointments, screening and tests to ensure health issues are proactively addressed.
- Patient Care Activities
- Checks external health information systems (examples: EPIC, Sunrise, GLHC ADT’s, Carespective, etc) as well as the ADT folder, for Alcona Health Center patients with recent emergency department discharges.
- Contacts patients with recent emergency department discharges, schedules follow-up visits with PCP as needed, educates on after hours, on-call, and walk-in services available
- Systematically works insurance gap reports; generates and monitors internal gap reports and needed services from the EMR.
- Educates patients on needed services including annual exams, recommended screenings, tests, and labs.
- Assists patients with scheduling of appointments to address gaps in care or needed services.
- Submits required documentation to insurance companies to close gaps that patient has already completed.
- Obtains diagnosis gap reports from insurances and addresses these with the patient’s PCP. Faxes completed documentation or reports online, per insurance reporting requirements, to close diagnosis gaps.
- Assessing patient attribution and completing provider change requests on patients when needed.
- Patient Centered Medical Home:
- Proactively supports PCMH initiatives related to care coordination.
- Proactive member of care teams in team based care initiatives.
- Communication and Documentation:
- Thorough and timely documentation of all contact or attempted contact with patients.
- Establish and maintain positive working relationships with insurance representatives for all insurances to ensure we have the most up-to-date requirements for closing gaps in care.
- Communicates gaps in care and needed services with care team through the EMR.
- Systematically tracks activities to ensure patient compliance.
- Assists with quality reporting as needed.
- Routinely speaks at site, MSS, and/or provider meetings to educate and remind staff of documentation needed for successful gap closures.
- To connect people in need to the right services or support, to improve health and wellbeing outcomes in a timely and appropriate way.
- Identifying patient health and wellbeing needs.
- Locating and guiding to local resources that can help patients to achieve identified health goals.
- Enabling and empowering individuals to seek early intervention and prevention services.
- Supporting and assisting individuals to contact; access and engage with local services to meet their healthcare needs.
Required Training & Experience:
- Use of Electronic Health Records
- Word & Excel
- Possesses a current Basic Cardiac Life Support CPR certification.
- Possesses a current State of Michigan driver’s license and valid automobile insurance.
