Post Acute Care Surveillance Specialist (Hybrid - Troy, MI) - Populance
🔍 Troy, Michigan
GENERAL SUMMARY:
Under the direction of the manager of PAC Surveillance is an integral member of the Value Based Care team, working with the purpose to improve health outcomes via access to services, detailed coordination when care is transitioning from one facility to another and/or from a facility to home. Develops positive working relationships with preferred status Skilled Nursing Facilities and Preferred status Home Health Care agencies. Responsible for tracking multiple and varied process measures for quality assurance and regulatory purposes.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Maintains appropriate documentation of contacts, communications, coordination efforts and activities, interventions and outcomes.
- Utilizes payer and ACO data to coordinate transitions of care for health plan enrollees. Utilizes designated points of contact and positive relationships with Skilled Nursing Facilities and Home Health Care agencies to ensure these ACO member facilities are providing the required and agreed upon levels of service to ACO patients.
- Updates medical record data as appropriate.
- Extract data, perform appropriate verification, and provides reports to providers/clinical designee as requested, including ACO Preferred Providers and
Facilities beyond the spectrum of traditional HFHS staff and facilities. - Promotes collaborative teamwork within a multidisciplinary environment.
- Collaborate with and maintain open communication with all departments, ACO providers and ACO facilities as appropriate and facilitates excellent continuity of care.
- Communicates, collaborates and coordinates with customers, internal and external.
- Utilizes self-motivation, open minded thinking and a process and systems approach to the team’s work to improve effectiveness. Utilizes critical thinking to problem solve.
- Adapt to change fluidly as the ACO Surveillance rapidly grows and expands its volume.
- Attends provider meetings as scheduled and participates as a multi-disciplinary member.
- Performs other related duties as assigned.
EDUCATION/EXPERIENCE REQUIRED:
- Bachelor’s Degree in a health related field.
- Two (2) years of work experience in a health care setting.
- Customer service experience is strongly preferred.
- Experience using personal computers.
- Excellent skills, Windows-based software, including Excel, Access, PowerPoint.
- Experience or familiarity with community support services strongly preferred.
- Excellent interpersonal skills.
- Excellent verbal and written communication skills.
- Excellent organizational skills Demonstrated ability to work in team setting.
- Demonstrated ability to work under limited supervision.
- Strong quantitative and analytical skills.
- Demonstrated aptitude for fast paced environments.
- Ability to remain flexible and meet short deadlines.
- Aptitude for computer-based systems.
- Quality oriented.
Overview
HAP is a Michigan-based, nonprofit health plan that provides health coverage to individuals, Â Â Â Â Â companies and organizations. A subsidiary of Henry Ford Health System, we partner with doctors, employers and community groups to enhance the overall health and well-being of the lives we touch. With more than 1,100 dedicated and passionate employees, our goal is to make health care easy for our members.
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Under the leadership of President and CEO Robert G. Riney, Henry Ford Health is a
$6 billion integrated health system comprised of six hospitals, a health plan, and 250+ sites
including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and
other healthcare retail. Established in 1915 by auto industry pioneer Henry Ford, the health system
now has 32,000 employees and remains home to the 1,900-member Henry Ford Medical Group, one
of the nation’s oldest physician groups. An additional 2,200 physicians are also affiliated with the
health system through the Henry Ford Physician Network. Henry Ford is also one of the region’s Â
major academic medical centers, receiving between $90-$100 million in annual research funding and
remaining Michigan’s fourth largest NIH-funded institution. Also an active participant in medical
education and training, the health system has trained nearly 40% of physicians currently practicing
in the state and also provides education and training for other health professionals including nurses,
pharmacists, radiology and respiratory technicians. visit HenryFord.com.
Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Â Henry
Ford Health System has a new approach for its employee benefits program - My Choice
Rewards. Â My Choice Rewards is a program as diverse as the people it serves. Â There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. Â As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness
and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other
benefits and services. Employee's classified as contingent status are not eligible for benefits
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.