Population Health Navigator- Accountable Care Organization-Days-MFT
About The Position
The Population Health Navigator is responsible for promoting effective partnerships between patients/families and the health care team to facilitate care for patients and effectively manage the care transitions to facilitate a �shared goal model�. The Navigator will partner with the provider care team to complete annual wellness visits, assist to reduce the severity of chronic disease and prevent avoidable acute illnesses. The Navigator will provide effective clinical health coaching to assist patients with self-management of their chronic disease and lifestyle changes to mitigate health risk using care coordination activities and analytics in the ambulatory setting.
Requirements
- Experience in population health.
- Experience in accountable care organizations.
- Experience in care transitions.
- Experience in clinical health coaching.
- Experience with care coordination activities.
- Experience with analytics in the ambulatory setting.
Responsibilities
- Promote effective partnerships between patients/families and the health care team.
- Facilitate care for patients.
- Effectively manage care transitions to facilitate a 'shared goal model'.
- Partner with the provider care team to complete annual wellness visits.
- Assist to reduce the severity of chronic disease.
- Prevent avoidable acute illnesses.
- Provide effective clinical health coaching to assist patients with self-management of their chronic disease and lifestyle changes.
- Mitigate health risk using care coordination activities and analytics in the ambulatory setting.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
