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1 Vacancy
High school diploma required.Bachelors degree strongly preferred
Minimum of 2 years experience in customer service or in a health care setting. Experience in promoting healthcare behavior change is desirable
Proficient in data management and reporting
Proven problemsolver with ability to multitask
Prior use of electronic health records and other health care information systems desirable
Ability to identify problems think creatively and devise innovative solutions.
Strong interpersonal skills
Highly organized proactive and attentive to details
Ability to work as member of a collaborative team
Ability to persuade influence and enlist others support in accomplishing objectives
Ability to work with large data sets with guidance from medically trained individuals
Excellent writing and oral presentation skills.
Spanish and other language fluency desirable
Working knowledge of computer software including MS Access Excel PowerPoint and Word.
WORKING CONDITIONS:
Massachusetts GeneralHospital is an Equal Opportunity Employer.
By embracing diverseskills perspectives and ideas we choose to lead. Applicationsfromprotected veterans and individuals with disabilities are stronglyencouraged.
The Performance Analysis & Improvement Unit (PAI) develops and implements populationbased efforts to monitor and improve clinical effectiveness through systemsbased strategies and interventions. Its goal is to improve the quality and cost effectiveness of health care by informing clinical decisionmaking processes changing patient and clinician behaviors enhancing the care choices of physicians other providers and patients and optimizing care tools and systems.
Massachusetts General Hospital (MGH) and the Massachusetts General Physicians Organization (MGPO) are launching a population health management (PHM) program to support our primary care practices to manage their patient populations. As health care delivery evolves from one based on reactive visitbased encounters this population health management program represents a new paradigm where an organized datadriven team proactively seeks to optimize preventive and chronic disease care.
The Population Health Coordinator supports the development of patientcentered teambased care. S/he will support primary care physicians (PCPs) and practices in managing their panel of patients using a registry population management informatics tool. By gathering and organizing patient data the Population Health Coordinator works to identify patients 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. The goal of the PHM program is to facilitate highvalue patientcentered care that improves timely access to and provision of preventive services and chronic disease treatment.
Key Areas of Responsibility:
Develops a keen understanding of primary care practice requirements for optimal coordinated population health
Works as an effective team member of the population health management program
Manages data collection using a registry prepares reports on findings and provides interpretations and recommendations to each practice
Contributes to quality improvement and care redesign of population health efforts
Principle Duties and Responsibilities:
Manage patient registries and provide the members of health care teams in designated practices with the data required to meet the health needs of the practice
Support practice staff to develop creative processes to proactively manage target populations
Provide data management coordination and patient outreach as needed for
specific target patient populations
Contributes to a positive experience for patients and families through courteous telephone interactions and interview activities accurate and expeditious routing as well as referral to appropriate clinical staff when necessary
Respond to inquiries from the practice regarding outcomes of outreach calls to patients
Synthesize sort format data and generate adhoc reports. Present data to each of their assigned primary care practices
Assist in process mapping and development of workflows for population health management at each of the designated primary practices.
Answer and/or research questions on problems the clinicians have identified
Recognize and report data inconsistencies to appropriate personnel
Contributes to the teamwork within and between departments. Regularly attends and participates in meetings with coworkers and practice staff. Provides constructive ideas suggestions and feedback in a positive manner. Works collaboratively with coworkers to effectively resolve issues that impact departmental or hospital operations
Perform all job functions in compliance with applicable federal state local and company policies and procedures
And other duties as assigned
Quality Improvement and Process Design
Collaborate with care teams to establish populationappropriate previsit and point of care processes
Provide data to the care teams to properly perform these processes
Monitor and correct patient attribution to the practice and the care teams within the practice
Required Experience:
Chief
Grant