Patient Outreach & Compliance Specialist at Prisma Community Care

Phoenix, Arizona, United States -

Full Time

Start Date

Immediate

Expiry Date

14 May, 26

Salary

25.0

Posted On

13 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Patient Outreach, Compliance Monitoring, Appointment Coordination, Medication Management, Patient Engagement, Resource Navigation, Data Utilization, Patient Advocacy, EMR Software, 340B Program Audits, Critical Thinking, Interpersonal Skills, Cultural Competence, Time Management, Data Reporting, Self-Starter

Industry

Hospitals and Health Care

Description

Description 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, 2SLGBTQIA+ 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 Requirements 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 organized, meticulous self-starter with excellent critical thinking skills and the ability to assess organizational needs. You will also need to be able to establish priorities and multi-task effectively while maintaining a cheerful outlook. You have strong people skills to serve a variety of people and the proven ability to work independently while collaborating with others. All agency employees must be able to work effectively in a mission-driven agency whose clients and staff exhibit significant diversity with respect to race, ethnicity, sex, gender identity, sexual orientation, socio-economic status, nationality, and religion. We'd love to see you apply if you have these preferred qualifications too: You have graduated and received a certificate of completion or diploma from an approved and accredited (CAAHEP or ABHES) medical assisting training program. You have experience in Integrated Care settings. You have experience working in eClinicalWorks. You have experience working with Microsoft PowerBI. You possess a current 340B ACE Certification. You are bilingual in Spanish and English demonstrating Speaking & Listening skill. Environmental Factors and Conditions/Physical Requirements Work primarily in a climate-controlled environment with minimal safety/health hazard potential. Occasional evening shifts may be necessary. Office environment, exposure to computer screens for lengthy periods of time. Travel outside of the Phoenix region approximately 10% of the time. Compliance Requirements Currently have, or be able to obtain within 90 days of employment, a valid Fingerprint Clearance Card Currently have, or are able to obtain within 7 days of employment, a clear TB test Currently have, or are able to obtain within 7 days of employment, a current flu vaccination Currently have, or are able to initiate within 7 days of employment, a Hepatitis-B primary vaccination series Currently have, or are able to obtain within 14 days of employment, a CPR certification Equal Employment Opportunity Prisma Community Care is an equal opportunity employer and we value a healthy work environment free from harassment and discrimination based on race, color, religion, sex, gender identity, sexual orientation, national origin, age, disability or genetic information. Prisma Community Care provides an inclusive and respectful working environment that represents a wide range of backgrounds, cultures, identities, and experiences. We attract applicants who have the cultural awareness to navigate and celebrate these differences. Our employees are Individuals who have respect for the communities where they live and work and are committed to utilizing culturally and linguistically appropriate strategies and skills in a collaborative environment. Reasonable Accommodations Applicants requesting a reasonable accommodation to apply or participate in the interview process for this position should email hr@prismacare.org.

Responsibilities

The specialist improves patient health outcomes by ensuring consistent appointment compliance, fostering engagement, supporting medication management, and guiding patients through healthcare resources within an integrated care model. Key duties involve leveraging data for proactive outreach regarding appointments, refills, and care plan adherence, while building trust-based relationships with patients.