Population Health Care Coordinator

Population Health Care Coordinator Monday-Friday, 40 Hrs/Wk Position Summary The Population Health Care Coordinator works to improve health outcomes and quality metrics for specific patient groups by analyzing data, closing care gaps, and coordinating preventative care.

Responsibilities

• Patient outreach: Contact patients via phone, email, or mail to schedule overdue preventative screenings, chronic care visits, or general health care.
• Care Gap Closure: Identify and address gaps in care using electronic health record registries, health information exchanges, health plan reports, and state databases.
• Quality and Value-Based Tracking: Support clinical metrics tied to value-based care, HEDIS, Integrated Behavioral Health Homes, Primary Care Health Care.
• Interdisciplinary Collaboration: Work alongside primary care providers, clinical teams, IT staff and payers to align workflows and report performance trends.
• Documentation and Auditing: Maintain accurate patient tracking, record keeping and assist with compliance or payer audits.
• Increase continuity of care by supporting effective mechanisms in transitions of care and managing relationships with secondary and tertiary care providers and referrals
• Increase patients’ ability for self-management and shared decision-making
• Establish relationships with relevant community resources, resulting in the connection of patients to these resources with the goal of enhancing patient health and well-being, increasing patient satisfaction and reducing health care costs
• Assist in identifying appropriate QI initiatives to improve health outcomes for general Primary Care and Behavioral Health Care
• Facilitate, implement and evaluate QI activities to improve chronic care management among care teams . Education/Experience
• High School/GED, Associate Degree or Bachelor’s degree in public health or related field -OR-
• 1 to 3 years healthcare experience, care coordination or quality management.
• Experience with quality metrics preferred
• Experience working with a diverse client population, including behavioral health, preferred Licensure/Certifications Valid drivers license and automobile insurance coverage NVCI CPR (BLS)/First Aid MHS provides CPR/First Aid and NVCI (CPI Blue) for all new staff, along with on-going education and on-the-job training opportunities. All MHS candidates are required to have an Ohio BCI check (FBI check required if you have lived in Ohio for less than 5 years, or for working with children), 5-panel drug screen and 2 step TB (or proof of prior TB) upon conditional offer of employment.