Presbyterian Healthcare Services
Quality Outreach Interventionist
Presbyterian Healthcare Services, Albuquerque, New Mexico, United States, 87101
Location Address : 9521 San Mateo NE, Albuquerque, New Mexico 87113‑2237, United States of America
Compensation Pay Range : Minimum Offer $45,136; Maximum Offer $68,931.20
Position : Quality Outreach Interventionist
Job Summary : Build your career and make a difference. Presbyterian is hiring a skilled Quality Outreach Interventionist to join our team.
Type Of Opportunity : Full time
Job Exempt : Yes
Job Is Based : Reverend Hugh Cooper Administrative Center
Work Shift : Days (United States of America)
Responsibilities
Develop and manage a panel of members assigned throughout the year specifically to Medicare Advantage first‑year enrollment. Collaborate with Clinical Operations and Presbyterian Medical Group to provide in‑home blood pressure readings and other screenings. Provide in‑home screening test results to appropriate providers and teams for follow‑up. Perform outreach to Medicare Advantage members to support quality outcomes related to CAHPS and HOS. Perform outreach and scheduling for Annual Wellness Visits (AWVs) in support of risk adjustment initiatives. Perform high‑level claims assistance during outreach interventions. Assign activities within internal systems to ensure timely follow‑up. Demonstrate flexibility by performing tasks from lower‑level roles when necessary to meet organizational metrics and member needs. Travel to members’ homes to provide telehealth or testing equipment for risk adjustment and quality gap closures. Perform bone density scans in members’ homes for the Medicare Stars osteoporosis measure. Assist with assignment of members to primary and specialty care providers. Speak with members in all lines of business and perform behavioral interviewing techniques (Motivational Interviewing) to determine social determinants of health. Qualifications
High school diploma required; associate degree preferred. Three years of healthcare experience required. Valid driver’s license and auto insurance required. Call‑center experience preferred. Knowledge of related medical terminology. Excellent driving record. Bilingual (English/Spanish) preferred. Benefits
All benefits‑eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short‑term and long‑term disability, group term life insurance, and other optional voluntary benefits. Employee Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well‑being. Earn gift cards and more by taking an active role in your personal well‑being by participating in wellness activities such as wellness challenges, webinars, preventive screenings and more. Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers’ markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not‑for‑profit healthcare system of nine hospitals, a statewide health plan and a growing multi‑specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees—including more than 1,600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and commercial health plans. Inclusion and Diversity
Our culture is one of knowing and respecting our patients, members, and each other. We capture this in our Promise and CARES commitments. AA/EOE/VET/DISABLED. PHS is a drug‑free and tobacco‑free employer with smoke‑free campuses.
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Develop and manage a panel of members assigned throughout the year specifically to Medicare Advantage first‑year enrollment. Collaborate with Clinical Operations and Presbyterian Medical Group to provide in‑home blood pressure readings and other screenings. Provide in‑home screening test results to appropriate providers and teams for follow‑up. Perform outreach to Medicare Advantage members to support quality outcomes related to CAHPS and HOS. Perform outreach and scheduling for Annual Wellness Visits (AWVs) in support of risk adjustment initiatives. Perform high‑level claims assistance during outreach interventions. Assign activities within internal systems to ensure timely follow‑up. Demonstrate flexibility by performing tasks from lower‑level roles when necessary to meet organizational metrics and member needs. Travel to members’ homes to provide telehealth or testing equipment for risk adjustment and quality gap closures. Perform bone density scans in members’ homes for the Medicare Stars osteoporosis measure. Assist with assignment of members to primary and specialty care providers. Speak with members in all lines of business and perform behavioral interviewing techniques (Motivational Interviewing) to determine social determinants of health. Qualifications
High school diploma required; associate degree preferred. Three years of healthcare experience required. Valid driver’s license and auto insurance required. Call‑center experience preferred. Knowledge of related medical terminology. Excellent driving record. Bilingual (English/Spanish) preferred. Benefits
All benefits‑eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short‑term and long‑term disability, group term life insurance, and other optional voluntary benefits. Employee Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well‑being. Earn gift cards and more by taking an active role in your personal well‑being by participating in wellness activities such as wellness challenges, webinars, preventive screenings and more. Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers’ markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not‑for‑profit healthcare system of nine hospitals, a statewide health plan and a growing multi‑specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees—including more than 1,600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and commercial health plans. Inclusion and Diversity
Our culture is one of knowing and respecting our patients, members, and each other. We capture this in our Promise and CARES commitments. AA/EOE/VET/DISABLED. PHS is a drug‑free and tobacco‑free employer with smoke‑free campuses.
#J-18808-Ljbffr