POPULATION HEALTH CARE COORDINATOR FT MondayFriday 40HRS/WK The Population Health Care Coordinator works in collaboration and partnership within an interdisciplinary team to manage integrated healthcare conditions for patients with behavioral health and physical health/primary care needs. This role will focus on Patient Centered Care quality improvement comprehensive care management services value based care and closing care gaps. The Population Health Care Coordinator will ensure transparent whole person care and will support patient activation in care improved population health outcomes and increased health literacy. Duties of the population Health Care Coordinator include: - Promote timely access to appropriate and encompassing care in compliance with standards set forth through HRSA and The Joint Commission.
- Promote adherence to a care plan developed in coordination with the patient primary care provider and care team
- Cultivate and support primary care and specialty provider comanagement with timely communication inquiry followup and integration of information into the care plan
- 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 selfmanagement and shared decisionmaking
- Establish relationships with relevant community resources resulting in the connection of patients to these resources with the goal of enhancing patient health and wellbeing increasing patient satisfaction and reducing health care costs
- Assess patient health literacy and utilize effective strategies to increase understanding and activation in care
- Anticipate and meet or exceed all patient needs.
- Collect and analyze population health outcomes and provide feedback for the improvement of the Care Coordination Program
- 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
- Increase efficiencies through the use of improved workflows and integration of service delivery to address complexity of chronic disease management.
Qualified Applicant will have: - High School Diploma or equivalent with 23 years related experience
- Bachelors Degree in Public Health Administration or related field (preferred) OR
- LPN/RN license with 23 years of administrative experience
- Evidence of leadership communication and counseling skills
- Experience with Quality Improvement and change management preferred
- Experience working with a diverse client population
- Have own transportation valid OH drivers license with an acceptable driving record and meet agency auto insurance requirements
MHS provides CPR/First Aid and NVCI (CPI Blue) for all new staff along with ongoing education and onthejob 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) 5panel drug screen and Residential candidates must have a 2 step TB (or proof of prior TB) upon conditional offer of employment.
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