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Jobtailor in Towson, MD is seeking a Population Health Coordinator to analyze EMR data, identify gaps in care and support outreach through care coordination in an ambulatory primary care setting.
The role emphasizes navigating the healthcare system, linking patients to services, and collaborating with care teams to improve outcomes. Strong communication and analytical skills are essential.
Ensuring compliance with quality goals and metrics set forth by the health system and various insurance carriers.
Assisting in the design and implementation of population health management reports related to monitoring for gaps in care and care coordination activities.
Generating and reviewing patient reports from the organization’s electronic health record system to identify gaps in care and target patient care coordination outreach efforts.
Promoting population health management and robust quality performance through data and reporting.
Overseeing coordination of care activities for patients in need.
Linking patients to health care services, community resources, and social supports.
Collaborating with the Practice Manager, Lead Physician, RN Care Manager, Behavioral Health Consultant and other care team members within the ambulatory primary care setting
Demonstrates expertise in population health management, quality performance metrics, and effective patient care coordination. Proficient in navigating the healthcare system and utilizing electronic health record systems to enhance patient outcomes.