Panel Coordinator

** This position is for Canton & Saline Primary Care. This is a hybrid position (2 days a week at the practice, 2 days a month at Central in Ann Arbor, and 2–3 days remote per week.)**

The Panel Coordinator I supports the division in outreach to patients with gaps in chronic disease management and preventive services. The Panel Coordinator I provides administrative, operational and patient support activities for divisional panel assignments including scheduling, requesting and obtaining outside medical records, and then uploading into our medical record, placing orders for preventive services and updating history with surgical exclusions, as appropriate.

Supports and promotes the success of quality and population health programs and care coordination activities.

• Systematically reviews health plan eligibility lists/new patient registries and invites patients into IHA for services through initiative of a welcome package per protocol.
• Monitors scheduling of new patients and works with Quality team to identify and report patients who do not establish care.
• Provides systematic monitoring of chronic disease management and prevention registry. Using the registry reports functions, identifies patients in need of appointments, tests or labs. Schedules appointments for services as needed per protocol.
• Utilizes EMR Systems, registries, health maintenance data, opportunity reports, payer portals and other data as available to validate gaps in care and conducts outreach activities as assigned.
• Coordinates with physicians, care managers and/or clinic staff to develop customized patient outreach correspondence and schedule needed tests and appointments.
• Uses software applications to produce custom reports from administrative databases; extracts data, performs appropriate verification, prepares and distributes reports to customers.
• Reviews health plan performance reports monthly in coordination with the IHA Quality team; ensures that services delivered have been captured appropriately in the EMR.
• Maintains tracking of patient outreach and gap closure.
• Using EMR tools, initiates patient outreach via MyChart messages, phone calls, and/or via letters.
• Requests and obtains outside medical records.
• Updates appropriate sections of the EMR as determined. Updates Health Maintenance and Chronic Disease protocols, non-interfaced lab module, as needed.
• Communicates with patients on chronic disease management and preventive services that are needed prior to an office visit; ensures coordination of these services with the office care team.
• Tracks and informs patients of laboratory/diagnostic test results as directed by the provider and according to IHA/office protocols; communicates with patient regarding provider instructions based on test results received.
• Utilizes critical thinking skills within the scope of the role to assess if patient information requires higher level follow up.
• Takes and relays accurate, comprehensive, dated and signed messages in a timely manner.
• Responsible for the follow-up and communication with patients to ensure patients receive appropriate tests and preventive services as ordered by the physician; provides education on the importance of preventive services and reinforcing the importance of the patient/primary care provider relationship.
• Provides patient/family education as directed by healthcare provider.
• Refers to Care Managers and/or community resources for patients needing support as determined by ability to actualize treatment plans.
• Routinely meets with office staff and presents updates on Quality performance.
• Actively works to improve practice performance on Quality incentives including but not limited to Provider Performance Dashboard, PCMH, and Health Plan Incentives such as BCN Physician Recognition Program, BCBSM Clinical Quality and Priority Health Physician Improvement Plan.
• Serves as a liaison between patient and healthcare provider when necessary. Ensures timely and courteous follow-up regarding patient questions.
• Supports other offices, attends required meetings and training, and participates in committees, as requested.
• Performs other duties as…