Care Gaps Coordinator

The Care Gaps Coordinator will support the mission of the Ozarks Community Health Center. Our mission is to provide greater access to quality, compassionate, and professional healthcare through our comprehensive health system and community partnerships. Work within the Care Team to facilitate patient goals and connect patients with needed resources in the
surrounding community.

This position will perform patient outreach to close care gaps and gather data to report to payers. They will perform daily functions related to providing care to patients of the community; actively and consistently contributes to department operations and communication. They are able to work from home when approved by a manager.

Job Responsibilities

  • Provides patient outreach for QI measures and gaps in care, including medication adherence, preventive visits, screenings, and chronic conditions


  • Works with Missouri Health Plus, insurance plans, QI team, and Health Home Coordinator to implement Value Based Care practices


  • Communicates with providers and care team about care gap education, changes, or other needs


  • Monitors payments received from Value Based contracts and works to maximize amount earned


  • Meets regularly with health plans to determine quality performance and opportunities for gap closures, and follows through on next steps identified


  • Contacts patients to obtain medicals records for services and screenings previously completed


  • Regularly submits supplemental data to insurance companies to close care gaps


  • Manages health plans’ patient PCP panels, and provides patient outreach to alter member assignment when necessary


  • Participates in QI activities, mapping, and data collection


  • Other duties as assigned



Education & Training

High School Diploma or Equivalent required


Licensure & Certifications

  • Family and Friends CPR within 6 months of employment


Healthcare experience preferred


Reports to

Health Home Coordinator

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Or call — 417-745-0103

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This health center receives HHS funding and has Federal PHS deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.