Clinical Outcomes Specialist

Role Overview

At Hackensack Meridian Health, our team members are the heart of what makes us better. We help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

The Clinical Outcomes Specialist acts as a subject matter expert for key EMR clinical workflows, ensuring all clinical staff are competent and efficient in their use. This clinical resource will partner with the Ambulatory Quality and Patient Safety (AQPS) Team. This role is also responsible for actively managing and closing gaps in care for the practice patient population, navigating a patient’s Social Determinants of Health (SDOH) opportunities through existing organizational relationships, and coordinating follow‑up appointments for preventive screenings and ongoing chronic disease management.

This position is vital to our quality improvement initiatives and directly impacts patient outcomes.

• EMR and Clinical Workflow Management:
  Work closely with the assigned AQPS Practice Facilitator and act as a superuser in the clinical location. Become competent in key workflows and provide independent EPIC EMR clinical support within six months of hire. Serve as the clinic’s primary resource and subject matter expert for key quality EMR clinical workflows, conduct competency assessments, provide training, troubleshoot issues, and stay current on EMR updates.
• Population Health Management and Quality Improvement:
  Proactively manage and close gaps in care for targeted populations (e.g., breast cancer screening outreach, colorectal cancer screening outreach, transition of care management). Use EMR reporting and dashboards to identify patients needing intervention, track progress on quality metrics, and support the clinic’s quality improvement initiatives.
• Patient Navigation and Community Resource Coordination:
  Serve as a navigator for the patient population, connecting them with essential community resources related to SDOH (housing, food security, transportation). Educate patients on accessing these resources and document all navigation activities and outcomes in the EMR.
• Other duties and/or projects as assigned.
• Adhere to HMH organizational competencies and standards of behavior.

• High School diploma, general equivalency diploma (GED), and/or GED‑equivalent program.
• Graduate of an accredited Medical Assistant program or LPN program.
• Minimum of 3–5 years of experience as a CMA, preferably in a hospital or ambulatory practice setting.
• Excellent written and verbal communication skills.
• Proficient computer skills, including Google Suite and/or Microsoft Office platforms.

• Experience with NCQA PCMH standards and the accreditation process.
• Experience with HEDIS, MIPS, and other value‑based care quality measures.

• Licensed Practical Nurse or Certified Medical Assistant.
• Valid driver’s license from a U.S. state.

• Patient‑Centered Medical Home Certified Content Expert.

The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate.

The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non‑discriminatory factors:

• Labor Market Data:
  Compensation is benchmarked against market data to ensure competitiveness.
• Experience:
  
  Years of relevant work experience.
• Education and
  
  Certifications:
  
  Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
• Skills:
  
  Demonstrated proficiency in relevant skills and competencies.
• Geographic
  
  Location:
  
  Cost of living and market rates for the…