Population Health Assistant

About the role

Population Health Assistant at Banner Plans & Networks, serving as a key resource for members by conducting high-volume telephonic outreach and connecting individuals to appropriate healthcare and community resources. The role is hybrid with occasional on‑site meetings at the Banner facility in Phoenix; training is on‑site. Located in Phoenix, Arizona, within the Quality Improvement‑STARS department, day shift, clinical care category.

Responsibilities

• Conduct high‑volume telephonic outreach to members.
• Connect members to appropriate healthcare and community resources.
• Accurately document interactions in the electronic health record (EHR) system.
• Coordinate timely follow‑up activities to support member needs and close care gaps.
• Perform referrals, task other departments, coordinate home health care, confirm arrangements, make physician or outpatient appointments.
• Review information from healthcare team members across locations.
• Consider physical, cultural, psychosocial, spiritual, age‑specific and educational needs of patients.
• Perform follow‑up calls to patients and providers regarding experience and issue resolution.
• Assist with patient navigation through the healthcare system.
• Recognize health status abnormalities and report to licensed professionals.
• Promote continuity of care by communicating patient status to other caregivers.
• Bridge gaps between members and the clinical team (services, needs, barriers).
• Participate in departmental improvements, Banner initiatives, and data collection for project measurement.
• Identify care gaps based on preventative and maintenance care guidelines via data review, dashboards, chart auditing.
• Document all interventions and patient‑related activities accurately and timely in the correct medical record.
• Utilize EHR for outreach to preventative or chronic care (high‑risk) patients and those not recently seen.
• Work reports to close care gaps and document findings.
• Collaborate with team members, vendors, community and referral resources.
• May provide information on community resources or perform secretarial/cross‑coverage tasks as needed.

Requirements

• High school diploma/GED or equivalent working knowledge.
• Proficiency 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.
• Understanding of medical terminology, clinical technology, processes and EHR.
• Effective communication skills, human relations skills, strong organizational and time management skills, flexibility to respond to multiple demands.
• Must reside in the State of Arizona to be considered.

Preferred Qualifications

• Bilingual (preferred in some assignments).
• Additional related education and/or experience.

Schedule

Monday to Friday, 8:30 a.m. to 5:30 p.m.