Population Health Assistant at Banner Health

Phoenix, Arizona, United States -

Full Time

Start Date

Immediate

Expiry Date

07 Aug, 26

Salary

0.0

Posted On

09 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Record Review, Medical Terminology, Patient Outreach, Care Coordination, EHR Proficiency, Chart Auditing, Patient Navigation, Data Collection, Clinical Support, Time Management, Communication Skills, Organizational Skills

Industry

Hospitals and Health Care

Description

Primary City/State: Phoenix, Arizona Department Name: Quality Improvement-STARS Work Shift: Day Job Category: Clinical Care Banner Health was recognized on Becker's Healthcare 2025 list of 150+ top places to work in healthcare. This recognition highlights our commitment to supporting team members through comprehensive benefits, opportunities for both personal and professional growth, inclusive and empowering work environments, and resources that promote a healthy work-life balance. Great careers are built at Banner. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including remote & hybrid work options. Apply today Recognized nationally as an innovative leader in health care, Banner Plans & Networks (BPN) integrates Medicare and private health plans to reduce healthcare costs while keeping our members in optimal health. Known for our innovative, collaborative, and team-oriented approach, BPN offers a variety of career opportunities and innovative employment options by offering remote and hybrid work settings. In the role of Population Health Assistant at Banner Plans & Networks, you will utilize your healthcare experience and comprehensive knowledge of medical terminology to review medical records. Your responsibilities include assessing medical records against measure steward criteria and closely examining claims to identify potential sources for requesting medical records that support these criteria. You will also participate in Health Plan Audits as needed. This position demands independence and meticulous attention to detail. The position is a hybrid role with occasional meetings at the Banner Corporate Center in Phoenix. Training will also follow a hybrid format. The work schedule is set for Monday to Friday, from 8:30 a.m. to 5:30 p.m., following the Arizona time zone. If this opportunity resonates with you, we encourage you to apply today! Banner Plans & Networks (BPN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BPN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs. POSITION SUMMARY This position provides a variety of clinical support functions to contribute to the overall improvement of healthcare quality of life as well as efficient use of resources. Also to ensure patients receive referrals or information about the right services needed at the right time, whether acute care or ambulatory. This position assists with setting up outpatient services or providing resources to help the patient maintain optimal care. This position monitors health plan members and patients from inpatient to ambulatory to ensure they are receiving services they need or are continuing to be offered services if there are any changes. Performs administrative tasks (indirect care) that support the care team in direct medical care and utilizes the EHR, external resources, and tools to provide a complete assessment of the patients health status which includes identifying care gaps. Utilizes specialized knowledge, judgment and communication skills to ensure the members get the indicated care when and where they need and want it. Patient outreach is a critical component to this position. CORE FUNCTIONS 1. Works with the patient to coordinate services into or out of a care setting in order to obtain appropriate services and benefits in collaboration with patients or clinical staff. Performs referrals or tasking other departments, coordinating home health care, confirming arrangements, making physician or outpatient appointments. 2. Reviews available information obtained by healthcare team members in one of many locations. Considers physical, cultural, psychosocial, spiritual and age specific and educational needs of the patient. Performs follow-up calls to patients and providers regarding their experience and issue resolution and reviews patient data/demographics etc. to reflect changing patient needs and provide input on updates as needed. 3. Assists with patient navigation through the healthcare system by connecting the member with information or services. Recognize issues with members health status and reports abnormalities or needs to a licensed professional. Promotes continuity of care by accurately and completely communicating with other care givers the status of the patient. Bridges gaps between the member and the clinical team including but not limited to the following, connection to services, needs, barriers etc. 4. Participates in departmental improvements, Banner initiatives and performs data collection for measurement of projects. Identifies any care gaps based on preventative and maintenance care guidelines as obtained through data review, dashboards, chart auditing etc. 5. Documents accurately and timely all interventions and necessary patient related activities in the correct medical record. Utilizes EHR to provide outreach for patients in respective preventative care or chronic care (high risk patients) and those not seen recently by a healthcare provider. Actively works reports to close care gaps and document findings. 6. Works collaboratively with team members; promotes collaborative relationships with vendors, community and referral resources. 7. May perform tasks such as may provide information on community resources/information or other tasks as related to clinical specialty. May perform secretarial/cross coverage where needed. 8. Works under general supervision. Confers with supervisor on any unusual situations.. Internal customers: All levels of nursing management and staff, medical staff, and all other members of the interdisciplinary health care team. External Customers: Home health agencies, nursing homes, insurance providers, volunteer services, county and governmental agencies and medical supply companies.. Licensed health professionals are available and indicate process for the oversight. For initial screening, the organization limits use of non-clinical administrative staff to the following; Performance of review of service request for completeness of information, Collection and transfer of non-clinical data, Acquisition of structured clinical data, Activities that do not require evaluation or interpretation of clinical information. The organization ensures that licensed health professionals are available to non-clinical administrative staff while performing initial screening. MINIMUM QUALIFICATIONS High school diploma/GED or equivalent working knowledge. The position requires a proficiency level typically achieved with three years of experience in healthcare as a Nursing Assistant, Medical Assistant, Health Unit Coordinator, Patient Care Tech, etc. Current CNA, CHW, MA certification, or LPN license in state of practice may be required. Requires an understanding of medical terminology including clinical technology, processes and EHR. Must demonstrate effective communication skills, human relations skills, strong organizational and time management skills and flexibility in responding to multiple demands PREFERRED QUALIFICATIONS Bilingual, preferred in some assignments. Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee. We are proud to offer a comprehensive benefit package for all benefit-eligible positions. Please visit our Benefits Guide for more information. EEO/Disabled/Veterans Banner Health supports a drug-free work environment. Privacy Policy This website contains the current Banner Health job openings. Applications submitted on this site will be securely submitted for consideration. Applying via our careers website is the only way to obtain employment with Banner Health. We will never ask you for personal or banking information, or for equipment to be purchased or sent to us as part of the hiring process. Job seekers should only respond to communication from Banner’s email domain, @bannerhealth.com. For questions or to report a scam visit our contact page.

Responsibilities

Review medical records and claims to identify care gaps and ensure patients receive appropriate services. Coordinate patient navigation, perform outreach, and document interventions within the EHR to improve healthcare quality.