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Posted: Wednesday, February 7, 2018 6:36 PM

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Population Health Coordinator
Population Health Coordinator
Anthem Commercial ACO
Franciscan Health
?8111 South Emerson Avenue
Indianapolis, IN 46237
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40 Hrs/Wk
Never or Rarely Travel
Care Coordinator
Our health care professionals work together to deliver high quality care at the lowest possible cost. Continuous outreach and coordination of patient care is a critical part of making sure we continue to deliver care of uncompromising quality. Our Population Health Coordinator is an important part of this process coordinating care, reviewing daily patient details, and handling medical record management.
Are you independent and trustworthy? Do you have excellent communication skills? Can you coordinate multiple cases at the same time, giving each the proper attention? We need your skills.
PURPOSE: The Population Health Coordinator (PHC) is responsible for working with assigned beneficiaries/patients, assessing, facilitating, planning, and advocating health needs on an individual basis. Must utilize skills including those of building positive relationships, and demonstrate effective written and verbal communication. Must have the ability to affect change, plan and organize effectively, and promote beneficiary/family autonomy. The PHC must be knowledgeable of community resources and services to impact Social Determinants of Health. The PHC assists to coordinate delivery of cost effective health care services and work with CCC on plan of care to improve outcome for beneficiary/patient. Job duties of the PHC are inclusive of and not limited to the items listed as key processes below. LPN or Certified MA is required.
+ Conduct timely outreach to access current health status, implement interventions and make referrals to meet patient s condition specific needs.
+ Assist with coordinating services as needed (e.g., durable medical equipment, Home Health, etc.).
+ Collaborate with CCC and PCP to promote implementation of evidence-based practice and provide appropriate frequency of monitoring and follow up.
+ Reinforce appropriate education, using a beneficiary and family-centered approach, to facilitate the achievement of health goals.
+ Assist with accessing appropriate resources to meet the patient s needs.
+ Reinforce education, identifies gaps and makes appropriate referrals and facilitate coordination of care after collaboration with CCC and/or provider if appropriate to meet specific patient needs.
+ Modify outreach frequency in order to effectively monitor self- management to prevent adverse outcomes.
+ Utilize motivational interviewing and health-coaching techniques to engage beneficiary/patient and support system.
+ Comply with all required documentation for medical/legal reporting situations.
+ Complete documentation within policy-established timeframes.
+ Collaborate with health care team (e.g., physician, nurses, etc.) and elevate treatment plan and interventions.
+ Reassess and modify the plan as necessary to achieve health goals.
+ Identify and validate quality care gap when working with beneficiary/patient.
+ Run upcoming appointment reports for FPN providers to identify and validate care gaps and enter in appointment note to provider.
+ Outreach to beneficiaries/patient to close gaps in care i.e. fall risk screenings over the telephone or at office.
+ Discuss preventive screenings and quality gaps in care with beneficiary/patient to gain understanding and assist with scheduling tests or assessments to close gaps.
+ Work autonomously and be accountable in a complex environment.
+ Adapt within an ever-changing healthcare environment.
+ Strong communication skills.
+ Knowledge of Medicare and commercial insurance.
+ Experience using Electronic Health Records (EHR).
Associates Required
3-5 Years Experience
License(s): Certified Medical Assistant
Certification(s): Licensed Practical Nurse
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Nearest Major Market:IndianapolisJob Segment:Medical, Medicare, Patient Care, Nursing, Medical Equipment, Healthcare
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