Ambulatory Care Coordinator

GBMC HealthCareJonestown, TX
$17 - $25

About The Position

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.

Requirements

  • High School Graduate or higher
  • 3 years Medical Office experience
  • Experience navigating the healthcare system
  • Knowledge of medical and insurance terminology
  • Skill in oral and written communication
  • Skill in problem solving using available resources
  • Customer service skills
  • Computer and personal productivity skills (EMR, e-mail, internet, word processing, spreadsheets, presentation, database)
  • 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
  • Knowledge and understanding of patient and workforce safety as it relates to job duties
  • Demonstrates competency in the delivery of care and applies the knowledge to meet age-specific needs if applicable.

Responsibilities

  • Ensuring compliance with quality goals and metrics.
  • Assisting in the design and implementation of population health management reports.
  • Generating and reviewing patient reports from the EHR to identify gaps in care.
  • Targeting patient care coordination outreach efforts.
  • Promoting population health management and quality performance through data and reporting.
  • Overseeing coordination of care activities for patients in need.
  • Linking patients to health care services, community resources, and social supports.
  • Collaborating with the Practice Manager, Lead Physician, RN Care Manager, Behavioral Health Consultant, and other care team members.
  • Serving in a back-up role to Care Coordinators in the primary care setting.
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