What are the responsibilities and job description for the Empanelment Specialist position at Tanana Chiefs Conference?
Description
Job Title
Empanelment Specialist
Location
Fairbanks, AK, US
Organization Name
Health Services
Job Summary
Job Summary: Job incumbent provides support to the Medical Division through maintenance of provider patient panels and development of management of reports, spread sheets and communications related to patient panels.
Adhere to the TCC Ch'eghwtsen' model of service and guiding principle which requires providing timely and effective service along with the ability to interact with others in a way that inspires trust and demonstrates respect, compassion and empathy
Adhere to the TCC Ch'eghwtsen' model of service and guiding principle which requires providing timely and effective service along with the ability to interact with others in a way that inspires trust and demonstrates respect, compassion and empathy
Essential Functions
Essential Functions: This list is ILLUSTRATIVE ONLY and is not a comprehensive listing of all functions and tasks performed by incumbents. Incumbent(s) may not be required to perform all duties listed and may be required to perform additional, position-specific duties.
Representative Duties: Under the direct supervision of the Medical Division Practice Manager, job incumbent responsibilities will include, but are not limited to, the following representative duties:
1. Responsible for production and distribution of weekly provider empanelment reports.
2. Determine and designation of open or closed Provider patient panel status based on patient census.
3. Responsible for transition of existing providers panels to new providers/teams.
4. In coordination with Central Scheduling assists with appropriate assignment of patients without a Primary Care Provider (PCP) or patients that need a new PCP.
5. In Athena, reviews charts and manages/maintains unconfigured user work queues (“buckets”).
6. In coordination with provider and CMA Team Leads, draft and dispatch letters for notification of Provider change.
7. Direct responsibility for mailing all written communications relating to patient empanelment.
8. Manages monthly empanelment meeting with Central Scheduling manager, Medical Practice Division Manager, Primary Care Nurse Manager, Clinical Staff Office Director and IT.
9. Works closely with Family Medicine and the Pediatric Program to monitor all pediatric age -related patients that are ready to transfer out of Peds and transition into adult panels.
10. Creation and implementation of a maturity age provider panel transition letter containing information on providers and medical teams.
11. Procurement and provision of quarterly empanelment reports to the Senior Medical Director, Primary Care Medical Director and Medical Division Practice Manager.
12. Weekly review of empanelment spread sheet for PCP/most qualified Provider team assignment. Make necessary changes as appropriate and notify the patient.
13. Regular, accurate, communication with providers regarding panel changes.
14. Reviews and manages PCP Pending report.
Other Responsibilities:
1. Performs other job-related duties as assigned.
Representative Duties: Under the direct supervision of the Medical Division Practice Manager, job incumbent responsibilities will include, but are not limited to, the following representative duties:
1. Responsible for production and distribution of weekly provider empanelment reports.
2. Determine and designation of open or closed Provider patient panel status based on patient census.
3. Responsible for transition of existing providers panels to new providers/teams.
4. In coordination with Central Scheduling assists with appropriate assignment of patients without a Primary Care Provider (PCP) or patients that need a new PCP.
5. In Athena, reviews charts and manages/maintains unconfigured user work queues (“buckets”).
6. In coordination with provider and CMA Team Leads, draft and dispatch letters for notification of Provider change.
7. Direct responsibility for mailing all written communications relating to patient empanelment.
8. Manages monthly empanelment meeting with Central Scheduling manager, Medical Practice Division Manager, Primary Care Nurse Manager, Clinical Staff Office Director and IT.
9. Works closely with Family Medicine and the Pediatric Program to monitor all pediatric age -related patients that are ready to transfer out of Peds and transition into adult panels.
10. Creation and implementation of a maturity age provider panel transition letter containing information on providers and medical teams.
11. Procurement and provision of quarterly empanelment reports to the Senior Medical Director, Primary Care Medical Director and Medical Division Practice Manager.
12. Weekly review of empanelment spread sheet for PCP/most qualified Provider team assignment. Make necessary changes as appropriate and notify the patient.
13. Regular, accurate, communication with providers regarding panel changes.
14. Reviews and manages PCP Pending report.
Other Responsibilities:
1. Performs other job-related duties as assigned.
Minimum Qualifications
Minimum Qualifications:
1. Associates Degree in any Health related field, Business, or IT. Two years equivalent experience accepted in any of these areas.
2. IHS experience preferred
3. Data Management and Reporting preferred.
4. Must pass background check pursuant to the State of Alaska and federal Indian Child Protection and Family Violence Prevention Act requirements.
Knowledge, Skills and Abilities:
1. Familiarity with Electronic Health Record Software.
2. Computer knowledge of MS Office such as Word and Excel with the ability to type forty (40) wpm.
3. Ability to establish and maintain clinical data spreadsheet and databases.
4. Ability to operate standard office equipment.
5. Ability to maintain patient confidentiality, interact effectively with patients and fellow staff and communicate clearly.
6. Make independent clinical judgments and work well under pressure with multi-tasking capability.
7. Must possess excellent problem solving, verbal and written communication skills accompanied by a strong sense of analytical ability.
8. Must be dependable, prompt, motivated, and able to work under minimum supervision.
Supervision: This position does not have any supervisory responsibilities.
1. Associates Degree in any Health related field, Business, or IT. Two years equivalent experience accepted in any of these areas.
2. IHS experience preferred
3. Data Management and Reporting preferred.
4. Must pass background check pursuant to the State of Alaska and federal Indian Child Protection and Family Violence Prevention Act requirements.
Knowledge, Skills and Abilities:
1. Familiarity with Electronic Health Record Software.
2. Computer knowledge of MS Office such as Word and Excel with the ability to type forty (40) wpm.
3. Ability to establish and maintain clinical data spreadsheet and databases.
4. Ability to operate standard office equipment.
5. Ability to maintain patient confidentiality, interact effectively with patients and fellow staff and communicate clearly.
6. Make independent clinical judgments and work well under pressure with multi-tasking capability.
7. Must possess excellent problem solving, verbal and written communication skills accompanied by a strong sense of analytical ability.
8. Must be dependable, prompt, motivated, and able to work under minimum supervision.
Supervision: This position does not have any supervisory responsibilities.
Supervision
Physical demands: Position is mostly sedentary with extended periods sitting at desk/computer. Position requires recurring bending, stooping, kneeling, crawling, climbing and balancing. Job incumbent must be able to lift and carry up to fifty (50) pounds in support of equipment and supplies. Incumbent must be able to work efficiently, in a sometimes stressful environment in a clinical setting with shared office space.
Work environment: Work is performed in a clinic responsible for treating patients with a wide variety of medical problems. The employee may be exposed to communicable disease during performance of duties.
Work environment: Work is performed in a clinic responsible for treating patients with a wide variety of medical problems. The employee may be exposed to communicable disease during performance of duties.
Summation
Summation: Skills necessary to succeed in this position include excellent communication and problem-solving, data management, versatile troubleshooting and interact effectively with others.