Healthcare Coordinator

1 week ago


National City, California, United States OpSam Health Full time
Job Summary

The Health Navigator plays a critical role in ensuring compliance with health plan requirements and improving member relationships and preventative care outcomes through face-to-face member engagement. This position coordinates with different health plans to ensure compliance issues are addressed, prepares reports on HEDIS measures, and communicates the results to stakeholders. The Health Navigator also visits clinics to collaborate with Patient Care Coordinators, monitors projects funded by health plans, and assists in planning and implementation of projects to improve delivery of services and quality of care.

Key Responsibilities

Comply with department policy and procedures
Obtain needed data from health plans regarding HEDIS measures
Collect medical records, conduct reviews, and ensure accuracy of documentation for reporting
Assist in planning and implementation of projects to improve delivery of services and quality of care
Perform patient outreach and scheduling to close care gaps
Understand the principles of HEDIS and HIPAA
Provide in-service training to providers regarding HEDIS and CMS Star Measures
Generate and maintain accurate reports as required
Attend to health plan, provider, and interdepartmental calls

Requirements

Bachelor's in Public Health, Health Education, Social Work, or closely related field preferred
One-year experience providing medical information and dissemination
Reliable transportation, clean driving record, and car insurance as required by the state

OpSam Health

OpSam Health is a Federally Qualified Health Center (FQHC) serving the San Diego County community. Founded in 1973, OpSam Health has evolved into a diverse community health center with services available in multiple locations. We provide primary care, dental, behavioral health, family planning, integrative health and wellness, healthy eating, civic engagement, and other health-related services to the uninsured, underinsured, and underserved families of all income levels regardless of their ability to pay.

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