Population Health Coach & Care Coordinator

Allegheny Health Network; Pittsburgh (Allegheny County); On-site; USD 36,000 - 52,000; Full time

Job summary

Allegheny Health Network is seeking a Medical Assistant to support population health management in Pittsburgh. The role includes outreach, data-driven care gaps, and assisting providers during visits to enhance patient care.

You will perform chart reviews, help activate standing orders, and support self-management coaching. A PA license, MA certification, or equivalent is required along with relevant experience.

Qualifications

• High School / GED or completion of a Medical Assistant Program or LPN License.
• Current 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.
• 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.
• Performs in-house testing following established standards and policies.
• Performs other duties as assigned or required.

Education

High School / GED

Medical Assistant Program

LPN License or MA Certification

Job description

Allegheny Health Network is seeking a Medical Assistant to support population health management in Pittsburgh. The role includes outreach, data-driven care gaps, and assisting providers during visits to enhance patient care.

You will perform chart reviews, help activate standing orders, and support self-management coaching. A PA license, MA certification, or equivalent is required along with relevant experience.