Population Health Patient Coordinator

Advocate Health•Winston-Salem, NC

11d•$22 - $33•Onsite

About The Position

The Population Health Patient Coordinator serves as a resource for patients and community members navigating the healthcare system. The position provides education on healthy behaviors and works with patients and community stakeholders to reduce health-related risk behaviors in culturally sensitive and accepted ways. It recognizes the importance of social drivers of health in guiding, supporting, and empowering individuals to pursue healthier lifestyles. Under the direction of healthcare leadership, the coordinator works with medical providers, primary care teams, community-based organizations, and social service agencies to coordinate care and connect people with resources and support. The role includes tracking and contacting community members and referral agencies, meeting with clients in settings such as homes, hospitals, clinics, and schools, and adapting to frequently changing daily needs. This is an on-site, first-shift position scheduled 0800–1700, Monday through Friday, for 40 hours per week; evening or weekend work may periodically be required. The listed pay range is $21.85–$32.80.

Requirements

High school diploma or GED required.
One to two years of experience required.
Complete any required community health certifications or continuing education within the first year of employment.
In-depth knowledge of community resources and health services.
Ability to assess client needs and provide appropriate interventions.
Experience working with diverse populations.
Ability to engage medical providers, primary care teams, community-based organizations, referral navigators, and social service agencies.
Knowledge of the community and population served by related programs, and ability to work effectively with a wide range of constituencies in a diverse community and as a team member.
Strong interpersonal, communication, and literacy skills in person, by telephone, and in writing; ability to develop rapport as an active member of the care management team.
Valid driver's license, excellent driving record, and reliable transportation.
Ability to be flexible and adaptable as organizational needs change; evening and weekend work may periodically be required.
Self-directed, with strong time-management skills and attention to detail.
Knowledge of social drivers of health, community health, and health literacy principles.
Ability to navigate Epic or another electronic medical record (EMR).
Ability to navigate social care networks and platforms.

Nice To Haves

Bachelor’s degree preferred.

Responsibilities

Provide direct client services, including health education and prevention programs.
Collect and maintain client records while ensuring confidentiality.
Serve as a liaison between clients and healthcare providers.
Follow up with clients to ensure their needs are being met.
Conduct home visits and/or community events.
Educate community members on self-management of health conditions and support healthier habits and appropriate use of the emergency room, including information about alternatives.
Help community members understand care plans and instructions.
Facilitate access to community resources, including housing, food, clothing, prenatal classes, parenting support, life-skills instruction, and relevant mental health services.
Perform other duties as assigned.

Benefits

Paid time off programs.
Medical, dental, vision, life, and short- and long-term disability benefits.
Flexible Spending Accounts for eligible healthcare and dependent-care expenses.
Adoption assistance and paid parental leave.
Defined contribution retirement plans with employer match and other financial wellness programs.
Educational Assistance Program.
Competitive compensation, premium pay for eligible circumstances, incentive pay for select positions, and opportunity for annual performance-based increases.

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