Population Health Care Coordinator

Mental Health Services•Springfield, OH

About The Position

The Population Health Care Coordinator works to improve health outcomes and quality metrics for specific patient groups by analyzing data, closing care gaps, and coordinating preventative care. The role supports continuity of care, patient self-management, shared decision-making, and connections to relevant community resources to enhance patient health and well-being, increase patient satisfaction, and reduce health care costs. The position also supports quality improvement activities for primary care and behavioral health care and chronic care management among care teams. This is a Monday-Friday position at 40 hours per week. MHS provides CPR/First Aid and NVCI (CPI Blue) training for new staff, as well as ongoing education and on-the-job training opportunities. Candidates must complete the required background check, drug screen, and TB screening upon a conditional offer of employment.

Requirements

  • High school diploma/GED, an associate degree, or a bachelor’s degree in public health or a related field; alternatively, 1 to 3 years of healthcare experience, care coordination, or quality management.
  • Valid driver’s license and automobile insurance coverage.
  • Ohio BCI check; an FBI check is required if the candidate has lived in Ohio for less than five years or will be working with children.
  • Five-panel drug screen and two-step TB screening, or proof of prior TB screening, upon conditional offer of employment.

Nice To Haves

  • Experience with quality metrics.
  • Experience working with a diverse client population, including behavioral health.

Responsibilities

  • Contact patients by phone, email, or mail to schedule overdue preventative screenings, chronic care visits, or general health care.
  • Identify and address care gaps using electronic health record registries, health information exchanges, health plan reports, and state databases.
  • Support clinical metrics tied to value-based care, HEDIS, Integrated Behavioral Health Homes, and Primary Care Health Care.
  • Collaborate with primary care providers, clinical teams, IT staff, and payers to align workflows and report performance trends.
  • Maintain accurate patient tracking and records, and assist with compliance or payer audits.
  • Support effective mechanisms for transitions of care and manage relationships with secondary and tertiary care providers and referrals to increase continuity of care.
  • Increase patients’ ability to self-manage and participate in shared decision-making.
  • Build relationships with relevant community resources and connect patients to those resources to enhance health and well-being, increase patient satisfaction, and reduce health care costs.
  • Assist in identifying quality improvement initiatives to improve health outcomes in primary care and behavioral health care.
  • Facilitate, implement, and evaluate quality improvement activities to improve chronic care management among care teams.

Benefits

  • MHS provides CPR/First Aid and NVCI (CPI Blue) training for new staff.
  • Ongoing education and on-the-job training opportunities.
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