What are the responsibilities and job description for the Population Health Coordinator position at High Country Community Health?
Description
Immediate Supervisor Title: Quality Improvement/ Risk Management (QI/RM) Director
This position is responsible for gathering and organizing patient data. The Population
Health Coordinator works to identify patient’s unmet needs, engage patients in their own
care, gather summary information for treatment interventions, and enhance
ongoing communication between the patient and her/his care team. This position
collaborates with the QI/RM Director and Chief Medical Officer (CMO) to ensure
provider and patient needs are met.
Essential Job Responsibilities:
1. Contacts our patients who have been identified as having unmet needs in their
care.
2. Empower and educate patients to have knowledge of screenings gaps.
3. Encourages patients to schedule doctor visits to close these gaps with their PCP.
4. Provides the information necessary to overcome concerns, fears and barriers that
might be keeping the patient from closing their gaps in care.
5. Makes appropriate appointments based on what gaps each patient needs closing
based of QI reports.
6. Follows appropriate scripts when calling patients about scheduling their
appointment.
7. Aid in the optimization of clinical workflows.
8. Outreach in the community for patient engagement and community support.
9. Look for possible grant opportunities that would assist the closing of gaps for our
patient population.
10. Other duties as assigned.
Requirements
Education/Experience: Experience (years): Required: 1-2 years
Education: Degree in Public Health, Healthcare Administration or healthcare related field required or equivalent
Experience with quality improvement programs, integration and informatics related to planning and population health management and involving:
Knowledge of NCQA recognition program PCMH, patient engagement surveys and EMR based reporting. Skill in interacting and communicating with patients, physicians and case managers.
Knowledge/Skills/Abilities:
- Knowledge of medical office/electronic health record software
- Excellent verbal communication skills
- Ability to be flexible and work with changing priorities in a fast paced environment
- Requires excellent problem solving and critical thinking skills
- Must be able to interact with individuals of all cultures, education, and levels of authority
- Must be able to function as part of a team
- Basic medical terminology required
JOB FACTORS:
Physical Requirements: Requires extended periods of sitting. Some lifting less than 25 pounds. Must be able to work within and on a computer system for extended periods of time.
