Population Health Coach & Care Navigator

Highmark Health; Edinboro (Erie County); On-site; USD 42,000 - 56,000; Full time

Job summary

Allegheny Health Network is seeking a health team member to assist in population health management, coordinate care, and support providers during patient visits. The role involves reviewing charts, identifying gaps in care, and using registries to guide outreach.

You will coach patients toward self-management and participate in care coordination with nurses and other team members. The position emphasizes adherence to HIPAA, clinical protocols, and standardized workflows, with opportunities to

Qualifications

• Demonstrated leadership and mentoring within care teams.
• Ability to coordinate care and support patients across settings.
• Strong communication and collaboration with providers and staff.

Responsibilities

• Assist with population health outreach using analytic tools and registries.
• Support pre-visit planning and chart reviews to prepare for patient visits.
• Document clinical encounters under provider supervision and assist with CPOE.
• Coach patients toward self-management using motivational interviewing.
• Support care coordination and follow-up to close gaps in care.

Skills

Leadership

Team coordination

Communication

Population health outreach

Education

High School Diploma or GED

Medical Assistant Program

LPN License

Tools

Electronic Health Records (EHR)

Analytic tools

Job description

Allegheny Health Network is seeking a health team member to assist in population health management, coordinate care, and support providers during patient visits. The role involves reviewing charts, identifying gaps in care, and using registries to guide outreach.

You will coach patients toward self-management and participate in care coordination with nurses and other team members. The position emphasizes adherence to HIPAA, clinical protocols, and standardized workflows, with opportunities to