Population Health Coordinator

Alcona Health Center • Lincoln, MI

1d • Hybrid

About The Position

The Population Health Coordinator provides clinical and operational leadership for care management, community health, and transition-of-care programs. This role ensures standardized workflows, high-quality patient outcomes, regulatory compliance, and optimal performance in value-based care initiatives.

Requirements

• Use of Electronic Health Records.
• Word & Excel.
• Care management, population health, or case management experience.
• Possesses a current State of Michigan driver’s license and valid automobile insurance.
• Possesses a current Basic Cardiac Life Support (BCLS) CPR certification or obtain within six (6) months of start of employment.

Nice To Haves

• Active RN license (preferred; equivalent experience considered if non-RN).

Responsibilities

• Clinical Oversight & Care Management: Ensure development, implementation, and documentation of patient-centered care plans, Provide clinical guidance for high-risk and complex patients, Oversee risk stratification processes and interventions, Conduct routine case reviews and interdisciplinary case conferences.
• Staff Supervision & Development: Direct supervision of day-to-day work and coaching, Competency assessments annually, Support onboarding and training of new staff, Monitor caseload distribution and productivity.
• Transitions of Care Management: Ensure completion of Care Management outreach and enrollment, Monitor and address readmission trends.
• Workflow & Program Standardization: Develop and implement standard operating procedures (SOPs), Ensure consistent documentation across EMR, Standardize CHW engagement and referral workflows, Improve cross-site consistency.
• Data, Reporting & Performance Improvement: Monitor and report on UDS clinical quality measures, HEDIS measures, Hospital admissions and readmissions, Emergency department utilization, Develop and maintain dashboards, Lead quality improvement initiatives.
• Compliance & Regulatory Oversight: Ensure documentation meets requirements for HRSA, Value-based contracts, Care management billing (CCM, TCM), Support internal audits and external reviews, Ensure adherence to the scope of practice and program integrity.
• Interdisciplinary Collaboration: Collaborate with Primary care providers, Behavioral health teams, Operations, Health Information, External partners (hospitals, ACOs, community organizations).

Benefits

• Numerous holidays
• generous vacation time
• sick days
• Low deductible Medical, Rx, Vision & Dental insurance at a minimal cost for employees.
• Retirement Savings Plan
• FSA
• Life, AD&D, & Short/Long Term Disability Insurance.
• Continuing Education Assistance program.
• Employment with AHC may also qualify you for student loan forgiveness under the Public Service Loan Forgiveness program.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed