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The Population Health Coordinator is responsible for providing outreach and education/training to drive quality outcomes and overall health status across the health care continuum.
Reviews Electronic Medical Record (EMR) (health maintenance) and other registries to ensure no gaps in care.
Update health maintenance in Athena.
Contacts patient as needed via phone, email, text as per patient preference.
Works with internal and external resources to facilitate to comprehensive care based on evidence-based guidelines.
Analyzes clinical data and identifies patients who have gaps in care and utilizes risk stratification intervention metrics for care coordination.
Assists in the evaluation of data collected to assure accuracy and reliability.
Prepares reports and performance reporting of quality data.
Develops and maintains relationships with registry affiliate, insurance carriers and other community networks.
Maintains confidentiality in accordance with HIPPA regulations.
Meets requirements related to utilization management and risk management.
Provides feedback in person and via reports to departments on trends and needed corrective actions.
Knowledge of National Committee for Quality Assurance (NCQA) structure and standards, Health Plan Employer Data and Information Set (HEDIS).
Knowledge of how to use computerized statistical methods in CQI context.
Skill in effective application of CQI teams, quality measures, clinical guidelines, and process management initiatives.
Skill in consistently meeting requirements of NCQA, HEDIS and other regulators and accreditors.
Skill in using computer capabilities effectively to produce needed trend and evaluation data and documentation.
Ability to work effectively throughout the medical practice by establishing effective working relationships with all departments and levels of staff.
Maintains establishes standards through Patient Centered Medical Home along with the ACO.
Ability to promote the importance of QI concepts as related to the medical practice’s mission and goals.
Actively seek ways to demonstrate a commitment to continuous improvement and participate in professional development opportunities
Performs other related duties as assigned or requested.
Completes annual educational requirements
Understands and adheres to compliance standards as they appear in LifePoints Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy.
Demonstrated proficiency in Microsoft Office applications.Exceptional human relations skills, effective oral, listening, and writtencommunication skills.Excellent training and presentation skills.Excellent organizational abilities.Demonstrated teamwork skills.Ability to deal with change.Demonstrates a positive attitude towards initiating continuous improvement.Ability to respond appropriately even in challenging situations.Ability to work without direct supervision.Ability to examine documents for accuracy and completeness.Assist with orientation and training of personnel an studentsPrepares periodic reports as requested.
Minimum EducationMinimum: Graduated from LPN or RN Program
Required SkillsRequires Critical thinking skills, decisive judgement, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.Preferred: Quality ImprovementLicense: Licensed Practical Nurse (LPN) or Registered Nurse (RN)Certifications: Basic Life Support Health Care Provider (BLS-HCP)
Minimum Work Experience3 years healthcare experience1 year in ambulatory care setting (Preferred)
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
Required
Preferred
Job Industries
- Other
