Patient Outreach & Compliance Specialist

The Patient Outreach & Compliance Specialist plays a crucial role in improving patient health outcomes by improving consistent appointment compliance, fostering patient engagement in care, supporting medication management, assisting with pharmacy benefits and programs, and providing guidance in navigating healthcare resources within our integrated care model. This position is responsible for building strong, trust-based relationships with patients to enhance their overall care experience.

The Specialist will collaborate closely with healthcare teams to monitor patient progress, identify barriers to care, and empower patients to take an active role in managing their health. Through personalized outreach, education, and resource support, the Specialist will help patients stay on track with their treatment plans, contributing to better health outcomes and patient satisfaction.

Key responsibilities include leveraging data for proactive outreach to patients regarding appointments, medication assistance, refills, care plan adherence, and providing timely resources or referrals for additional services. The role requires a compassionate and patient-centered approach to help individuals overcome obstacles to their care, ensuring a seamless and supportive healthcare journey.

The Patient Outreach & Compliance Specialist supports the Prisma Community Care mission of providing affirming and inclusive services to promote well-being and advance health equity for diverse communities and all those seeking compassionate care - especially people of color, 2

SLGBTQIA+ and Queer individuals, and those affected by HIV.

What your day will look like at Prisma Community Care:

Care Coordination

• You will facilitate appointment coordination & care continuity by:
  • Providing proactive outreach and reminders to patients on appointments and care plans.
  • Monitoring appointment no-show rates and cancellations.
  • Implementing strategies to minimize missed appointments to improve patient engagement and care continuity.
• You will encourage patient engagement & relationship building by:
  • Developing and maintaining trust-based, supportive relationships with patients.
  • Encouraging active participation in health management and care decisions.
• You will provide medication management support by:
  • Assisting patients with medication adherence, refills, and understanding prescriptions.
  • Providing support with navigating of pharmacy benefits, discount programs, and access to necessary medications.
• You will monitor care plans & provide support by:
  • Collaborating with healthcare teams to track patient progress and care plan compliance.
  • Identifying barriers to care and collaborate with patients to overcome them.
• You will give personalized outreach & education by:
  • Conducting individualized outreach to educate patients on their health conditions and treatment plans.
  • Providing clear and compassionate guidance tailored to patient needs.
• You will provide resource navigation & referrals by:
  • Helping patients navigate available healthcare resources and connecting them to needed services.
  • Providing timely referrals to community or clinical support programs.
• You will utilize health care data to identify care gaps and initiate targeted communication regarding:
  • Missed appointments, medication needs, and health plan follow-through.
• You will provide patient advocacy & barrier resolution by:
  • Advocating for patients by addressing social, logistical, or financial obstacles to care.
  • Maintaining a patient-centered approach to problem-solving and support.

Data & Compliance

• You will provide data reporting and analysis while:
  • Leveraging EMR and available resources to extract and analyze project-specific data.
  • Maintaining and collaborating on data-driven dashboards provided to leadership for decision-making.
• You will conduct compliance monitoring by:
  • Performing regular 340B Program audits to maintain compliance with HRSA.
  • Reviewing and maintaining 340B program compliance documentation for audit preparedness.
  • Collaborating with healthcare teams to implement regular compliance & QI processes.

We've got great benefits:

• 200 hours of PTO per year
• Up to 13 paid holidays per year
• Medical, dental, and vision insurance
• Basic life, short-term, and long-term disability insurance paid by Prisma Community Care
• Employee Assistance Plan (EAP)
• Retirement savings

Who we're looking for:

• You have 2 or more years of experience as a Medical Assistant, Patient Care Coordinator, Referral Coordinator, or other closely related healthcare experience.
• You have earned your high school diploma or equivalent.
• You must be professional, flexible, caring, and compassionate while exhibiting a congenial and sensitive attitude toward patients.
• You have demonstrated the ability to establish rapport and maintain effective communication with culturally diverse populations from a wide range of life circumstances and backgrounds.
• You have excellent computer skills with proficiency in Microsoft Office (Word, Excel, Power Point, Outlook) and EHR software.
• You are a highly…