COORDINATOR, POPULATION HEALTH

Decatur County Memorial Hospital

Greensburg (IN)

On-site

USD 60,000 - 90,000

Full time

23 hours ago
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Job summary

Decatur County Memorial Hospital in Greensburg, IN seeks a Population Health Coordinator to lead care coordination and RPM initiatives. You will identify high‑risk patients, enroll them in chronic care management, and drive data‑driven interventions across patient populations.

You will collaborate with providers, pharmacists, and community resources to improve outcomes, educate teams on RPM devices, and support program implementation with effective communication and problem solving.

Qualifications

  • Associate degree in nursing or related clinical field; BSN or paramedic preferred.
  • 2–4 years in population health or care coordination preferred.
  • Experience with RPM technology and patient education.
  • Ability to obtain CHW certification is a plus.

Responsibilities

  • Develop, implement, and grow population health and RPM programs.
  • Identify and manage patients with chronic conditions and high risk.
  • Coach patients and families to improve health literacy and self-management.
  • Assess needs and coordinate resources to address care gaps.
  • Facilitate access to primary care, specialists, pharmacists, and community resources.
  • Coordinate communication among providers, payers, and community partners.
  • Monitor participation, outcomes, and care needs for timely intervention.
  • Educate and mentor team on RPM devices, technology, and workflows.

Skills

Clinical judgment
Care coordination
Communication
Education/mentoring
Problem solving

Education

ASN/BSN/Paramedic or related degree

Tools

Microsoft Office
RPM platforms
Healthcare software

Job description

Join the Team at Decatur County Memorial Hospital

At Decatur County Memorial Hospital (DCMH), we are more than a healthcare provider—we are a trusted community partner committed to improving the health and well-being of the individuals and families we serve. As a critical access hospital, DCMH combines high-quality patient care, advanced medical services, and a compassionate, patient-centered approach in a welcoming rural healthcare environment.

Our team is made up of dedicated professionals who are passionate about making a difference every day. We foster a culture of collaboration, respect, integrity, and continuous improvement, where employees are empowered to grow professionally while contributing to exceptional patient outcomes. DCMH offers competitive compensation and benefits, opportunities for professional development, and a supportive workplace that values each team member's contributions.

DCMH offers more than just a job—we offer a rewarding career and a supportive workplace culture. Employees enjoy competitive pay, comprehensive health and wellness benefits, generous paid time off, retirement savings opportunities, professional development support, and a variety of additional benefits designed to help you achieve your personal and professional goals. We are committed to creating an environment where team members feel valued, supported, and empowered to grow.

If you are seeking a rewarding career with an organization that is committed to excellence, innovation, and service, we invite you to explore opportunities with Decatur County Memorial Hospital and become part of a team that is making a meaningful impact in our community.

POSITION SUMMARY
Reports To

Executive Director, Practice Operations

Amount of Travel Required

Occasional local travel is required between hospital departments, physician practices, clinic locations, affiliated facilities, and community sites. Travel may also be required for meetings, training programs, professional development activities, and organizational events. Travel to patient homes may be necessary to support care coordination, remote patient monitoring, or other population health program needs.

Positions Supervised

None

Work Schedule

This position is generally scheduled to work standard business hours, Monday through Friday. Occasional flexibility may be required to meet patient, operational, training, or organizational needs.

Position Summary

The Population Health Coordinator supports population health initiatives by coordinating care delivery, patient engagement, and data-driven interventions across targeted patient populations. The role focuses on identifying high-risk patients, facilitating enrollment into chronic care management and remote patient monitoring (RPM) programs, and ensuring timely follow-up through care coordination, education, and outreach. Responsibilities include monitoring patient outcomes, addressing care gaps, supporting transitions of care, and collaborating with providers, pharmacists, and community resources to improve quality and reduce avoidable utilization. The Population Health Coordinator must demonstrate strong clinical judgment, care management, and effective communication skills, making this a clinical/operational position that strengthens care coordination and advances proactive, value-based population health strategies. The Population Health Coordinator will also be responsible for educating, training, and mentoring team members on the effective use of remote patient monitoring devices, related technology, and software platforms to support consistent workflows and successful program implementation.

This Rural Health Transformation Program is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $206,927,896.80 with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government.

KNOWLEDGE, SKILLS, & ABILITIES/POSITION QUALIFICATIONS
Education

Associate degree in nursing (ASN), Bachelor of Science in Nursing (BSN), graduation from an accredited paramedic program, or an associate or bachelor's degree in a clinical discipline, healthcare administration, or a related field preferred.

A combination of relevant education, training, and experience that demonstrates the knowledge, skills, and abilities required to successfully perform the essential functions of the position may be considered in lieu of the preferred degree requirements.

Experience

Two to four years of experience in population health, care coordination, chronic disease management, remote patient monitoring, or a related healthcare setting preferred.

Computer Skills
  • Proficient in Microsoft Office, email, and other standard computer applications, with the ability to learn and effectively use software systems required for assigned responsibilities.

Demonstrated ability to use remote patient monitoring (RPM) technology and support patients with device setup, software navigation, user education, and basic troubleshooting.

Certificates & Licenses

Willingness and ability to obtain and maintain certifications, licensure, or credentials required or preferred for the position, including, but not limited to, Community Health Worker (CHW) certification.

Other Requirements

Ability to establish and maintain effective relationships with patients, families, providers, community partners, and interdisciplinary care teams.

Ability to communicate effectively with individuals from diverse backgrounds and varying levels of health literacy.

Demonstrated initiative, critical thinking, and organizational skills with the ability to manage multiple priorities independently.

Ability to adapt to changing technologies, workflows, patient needs, and organizational priorities.

Commitment to patient-centered care, chronic disease management, preventive health strategies, and improved population health outcomes.

Essential Functions
  • Develop, implement, and support the ongoing growth of population health and a new remote patient monitoring (RPM) program, including workflows, patient identification, enrollment, and integration into clinical operations.
  • Provide a coordinated, proactive approach to identifying and managing patients with chronic conditions and those at increased risk for adverse health outcomes.
  • Coach and educate patients and families to improve health literacy, engagement, and successful self-management of chronic conditions, within scope of practice.
  • Assess patients' clinical, social, and other health-related needs and coordinate appropriate resources to address identified care gaps.
  • Facilitate access to primary care, specialty providers, pharmacists, educators, and other clinical or community resources to support continuity of care.
  • Serve as a primary point of contact and advocate for patients and families, coordinating communication among providers, care teams, payers, and community resources.
  • Monitor patient participation, outcomes, and care needs to identify opportunities for timely intervention and improvement in population health outcomes.
  • Assist patients with RPM technology, including enrollment, device setup, software navigation, connectivity, and basic troubleshooting, while supporting continued engagement in the program.
  • Educate, train, and mentor team members on the effective use of remote patient monitoring devices, related technology, and software platforms to support consistent workflows and successful program implementation.
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