GENERAL SUMMARY:

The Population Health Coordinator is a member of the patient-centered care team responsible for collaborating with integrated case managers to provide support to patients and their families that optimize health outcomes. Interfaces with insurance companies, community agencies, clinical entities and specialized programs to support accurate communication and operational transactions. Coordinates and identifies care needs (gaps in care) for patients attributed to a primary care practice.

RESPONSIBLITIES:

Identifies patients through the health plans gaps in care list, state immunization databases, the patient medical record and
the use of a patient disease management registry. Collaborates with the providers and reviews care needs and validates
these needs against the medical record. Reaches out to patients with validated gaps in care and facilitate meeting these
needs. Supports quality outcomes and high reliability in the Patient Centered Medical Home.

EDUCATION/EXPERIENCE REQUIRED:

Associate Degree from an accredited academic institution required. One-year experience working in a health care or community setting required. Ability to assess, identify barriers and work in collaboration with case managers and other members of the care team to support patient's social and clinical needs. Strong verbal communication and written documentation skills. Strong customer service and interpersonal skills with the ability to interact with all members of the health care community. Strong sense of compassion with the ability to successfully advocate for patients and their families. Proficiency with Microsoft Word, Excel and PowerPoint. Ability and willingness to self-motivate, self-manage and maintain flexibility in an ever-changing environment. Additional Information Organization: Henry Ford Medical Group Department: Primary Care Administration Shift: Day Job Union Code: Not Applicable