Value Clinical Data Specialist

The Value Based Clinical Data Specialist role at Adelante Healthcare is a key support between Adelante Healthcare and the patient population attributed through Value Based Contracts with all lines of Business under the Value Based leadership. The person in the position will develop and maintain strong relationships with our patients and help schedule patients for care and be responsible for achieving the team based and individual goals as outlined for the Value Based Care team.

The Value Based Program Clinical Specialist will help support patients and increase engagement, overcome barriers and act as additional support to our provider teams and work to achieve the Value Based incentives as outlined in Adelante’s contracts. In addition, this position also helps address and close gaps in care and other care coordination efforts for a patient centric experience.

Every Adelante Healthcare employee will strive to maximize their performance and contribution to Adelante Healthcare and the community we serve every day. Employees are expected to work in a manner that demonstrates a commitment to quality, patient safety, employee engagement, innovation, and the highest standards of personal integrity, professionalism, and competence.

• Compassion
• Excellence
• Integrity
• Learning
• Respect
• Sustainability

ESSENTIAL

SKILLS AND EXPERIENCE:

• Two (2) or more years’ experience in a clinical setting
• High school diploma or GED from an accredited institution
• Graduation from an accredited medical assistant program
• Certification to perform cardiopulmonary Resuscitation for the Health Care Professional (CPR) and AED through courses that follow the guidelines from the American Heart Association and Red Cross (cognitive and skills evaluations)
• Certification to perform cardiopulmonary Resuscitation for the Health Care Professional (CPR) and AED through courses that follow the guidelines from the American Heart Association and Red Cross (cognitive and skills evaluations)
• Demonstrated understanding of clinical methods and techniques used in record keeping systems
• Demonstrates continuous attention to detail
• Effective communication demonstrated by ability to read, interpret, comprehend and comply with written and verbal communication
• Ability to communicate effectively with patients, co-workers, and our communities both in person and over the phone
• Ability to multi-task and work effectively in a high-stress and fast-moving environment
• Exceptional customer service, communication skills, problem solving and organizational skills
• Previous call center experience strongly preferred
• Strong computer efficiency in Microsoft Office suite (Word, Excel, PowerPoint, Outlook) and experience in Electronic Healthcare Records (EMR)
• Works independently to meet deliverables and performs a variety of assignments requiring independent judgment.
• Provides and accepts support in a collaborative manner
• Able to meet the organization’s immunization requirements

• Participate in Value Based Care team meetings and improvement initiatives, staff meetings, in-service meetings, or other required meetings
• Engage patients and promotes health care gaps compliance through health and disease patient education
• Extensive outreach efforts for well visits, high-risk patients, preventative screenings, and/or other populations as needed.
• Obtain patient records through various sources such as external portals or using our internal medical record request process.
• Reconcile medical records to and from the Electronic Health Record to ensure patient data is up to date within our EHR and the insurance provider.
• Ensure that patient documentation is available for uploads to reflect accuracy.
• Promote clear communication and ensures patient needs and requests are handled efficiently by communicating to the patients care team through our EHR and scheduling of patient initial and follow up appointments as needed
• Perform administrative tasks like (but not limited to) Portal Uploads, Release of records, Referral Notes for any open active orders (3-6months), confirming appointments, etc.
• Help manage high-risk patient care, including management of patients…