Care Coordinator for Population Health

The Care Coordinator for Population Health is responsible for ensuring compliance with the quality goals and metrics set forth by the health system and various insurance carriers. This individual will assist in the design and implementation of population health management reports related to monitoring for gaps in care and care coordination activities. The Care Coordinator for Population Health will also be responsible for generating and reviewing patient reports from the organization's electronic health record system to identify gaps in care and target patient care coordination outreach efforts. The Care Coordinator for Population Health's primary responsibilities are to promote population health management and robust quality performance through data and reporting, to oversee coordination of care activities for patients in need, and to link patients to health care services, community resources, and social supports. The Care Coordinator will work collaboratively with the Practice Manager, Lead Physician, RN Care Manager, Behavioral Health Consultant and other care team members within the ambulatory primary care setting to best serve the needs of the identified patient panel. The Care Coordinator of Population Health may also serve in a back-up role to Care Coordinators embedded in the primary care, Patient Centered Medical Home, setting.

Education :

High School Graduate or higher

Experience :

3 years Medical Office experience and experience navigating the healthcare system

Skills :

• Knowledge of medical and insurance terminology
• Skill in oral and written communication to address inter- and intradepartmental concerns, solve problems and address conflict.
• Skill in problem solving using available resources in innovative ways.
• Customer service
• Computer and personal productivity skills to enable effective use of EMR, e-mail, the internet, word processing, spreadsheets, presentation and database packages.
• Analytical skills necessary to prepare and interpret reports
• Navigating the health care system and providing resources to patients.
• Demonstrate problem solving skills and the ability to research and evaluate innovative ways to use community resources

Patient & Workplace Safety :

Employee has knowledge and understanding of patient and workforce safety as it relates to job duties.

Patient Population :

Demonstrates competency in the delivery of care and applies the knowledge to meet age-specific needs if applicable.

Principal Duties and Responsibilities :

Promote utilization of timely preventative care and work with the care team to prevent unnecessary Emergency Department visits and Hospital Admissions through the following :

Coverage of care coordination work in the ambulatory primary care practice setting will include, but not be limited to :

All roles must demonstrate GBMC Values :

Respect

I will treat everyone with courtesy. I will foster a healing environment.

Treats others with fairness, kindness, and respect for personal dignity and privacy .

Listens and responds appropriately to others' needs, feelings, and capabilities .

Excellence

I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.

Meets and / or exceeds customer expectations .

Actively pursues learning and self-development .

Pays attention to detail; follows through .

Accountability

I will be professional in the way I act, look and speak. I will take ownership to solve problems.

Sets a positive, professional example for others .

Takes ownership of problems and does what is needed to solve them .

Appropriately plans and utilizes required resources for various job duties .

Reports to work regularly and on time .

Teamwork

I will be engaged and collaborative. I will keep people informed.

Works cooperatively and collaboratively with others for the success of the team .

Addresses and resolves conflict in a positive way .

Seeks out the ideas of others to reach the best solutions .

Acknowledges and celebrates the contribution of others .

Ethical Behavior

I will always act with honesty and integrity. I will protect the patient.

Demonstrates honesty, integrity and good judgment .

Respects the cultural, psychosocial, and spiritual needs of patients / families / coworkers .

Results

I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.

Embraces change and improvement in the work environment.

Continuously seeks to improve the quality of products / services.

Displays flexibility in dealing with new situations or obstacles .

Achieves results on time by focusing on priorities and manages time efficiently .

Pay Range

$16.79 - $24.37

Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

COVID-19 Vaccination

All applicants must be fully vaccinated against Covid-19 or obtain a GBMC approved medical or religious exemption prior to starting employment at GBMC Healthcare, to include Gilchrist and GBMC Health Partners.

Equal Employment Opportunity

GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.