Population Health Coach & Care Coordinator

highmarkhealth; Monroeville (Allegheny County); On-site; USD 32,000 - 54,000; Full time

Job summary

Allegheny Health Network in the Pittsburgh area seeks a Medical Assistant/LPN to support patient care through outreach, chart reviews, and coordinating visits. You will assist providers during encounters, perform pre-visit planning, and help with documentation under supervision.

The role emphasizes coaching patients toward self-management, data review for population health, and maintaining supplies and safe patient areas. CPR certification and PA licensure requirements apply.

Qualifications

• High School / GED or Completion of a Medical Assistant Program or LPN License
• Current State of PA LPN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) OR Medical Assistant Certification.
• 2 years of Medical Assistant experience

Responsibilities

• Actively participates in population health outreach through identification of patients with gaps in care through use of analytic tools and patient registries. Contacts patients and facilitates closing gaps in care.
• Ensures pre-visit planning is completed by performing chart and data reviews in advance of patient visit and preparing for patient arrival by identifying items that need addressed during visit.
• Demonstrates expanded rooming protocol by assisting the provider in addressing care gaps with the patient and appropriately activating standing orders.
• Accurately performs clinical transcription during the patient encounter by documenting elements of the clinical visit under direct supervision of the provider and assisting with computerized provider order entry under direct supervision of the provider.
• Uses a motivational interviewing approach to coach patients toward self-management, self-efficacy, and activation. Engages the patients to assess current state, collaboratively set goals, and review the after-visit summary.
• Performs registry and quality data review and conducts population outreach to close gaps in care.
• Oversees the identification of high risk patients and facilitates complex care management referrals.
• Reviews and assesses with care team members to achieve population health management goals, to improve patient access to care and to reduce avoidable emergency department visits.
• Cleans and sterilizes instruments per established standards. Ensures adequate inventory of medical supplies. Ensures all patient treatment areas are stocked with appropriate supplies using established inventory standards.
• Performs in-house testing following established standards and policies.
• Performs other duties as assigned or required.

Job description

Allegheny Health Network in the Pittsburgh area seeks a Medical Assistant/LPN to support patient care through outreach, chart reviews, and coordinating visits. You will assist providers during encounters, perform pre-visit planning, and help with documentation under supervision.

The role emphasizes coaching patients toward self-management, data review for population health, and maintaining supplies and safe patient areas. CPR certification and PA licensure requirements apply.