Population Health Coordinator

JOB TITLE:

POPULATION HEALTH COORDINATOR DEPARTMENT: ACCOUNTABLE CARE ORGANIZATION HOURS & SHIFT REQUIREMENTS:
Full time position, Monday – Friday 8 am to 4:30 pm.

GENERAL SUMMARY: The Population Health Coordinator reports to the ACO Director and will assist in providing valuable data and analytics as it pertains to GAH’s Accountable Care Organization (ACO). This role focuses on improving patient outcomes, reducing avoidable hospitalizations, coordinating care across providers, and helping patients manage chronic conditions. This position will aid with the management, tracking, and reporting of certain ACO initiatives such as Chronic Care Coordination (CCC), Transitional Care Coordination (TCC), and Medicare Annual Wellness Visits (AWV).GIBSON

AREA HOSPITAL & HEALTH SERVICES MISSION STATEMENT To provide personalized, professional healthcare services to the residents of the communities we serve.

PRINCIPLE DUTIES AND RESPONSIBILITIES:

Medical Data Extraction and Management
• Extract patient-level and clinical data from electronic health records and other approved data systems.
• Compile and organize data related to preventive care, chronic disease management, quality measures, utilization, patient outcomes, and other population health priorities.
• Review data for accuracy, completeness, consistency, and potential discrepancies.
• Maintain spreadsheets, registries, tracking tools, and databases used to monitor patient populations and program performance.
• Identify missing, inconsistent, or incomplete data and coordinate appropriate follow-up.
• Handle protected health information in accordance with HIPAA, hospital policies, and applicable privacy and security requirements.

Data Analysis and Reporting
• Analyze clinical and operational data to identify trends, gaps in care, opportunities for improvement, and progress toward established performance goals.
• Prepare routine and ad hoc reports, dashboards, charts, and summaries for department leadership and other stakeholders.
• Assist with monitoring quality measures, preventive screening rates, chronic disease indicators, and other performance metrics.
• Support data collection and reporting requirements for value-based care arrangements, accountable care organizations, payer programs, and other population health initiatives, as applicable.
• Assist with tracking performance against benchmarks, targets, and program requirements.
• Communicate data findings and potential areas for improvement to appropriate team members.

Quality Improvement and Program Support
• Support initiatives designed to improve patient outcomes, close gaps in care, reduce avoidable utilization, and improve care coordination.
• Assist with identifying patients who may benefit from preventive services, follow-up care, or targeted population health interventions.
• Participate in quality improvement activities and assist with monitoring the effectiveness of implemented interventions.
• Perform other duties as assigned to support departmental and organizational objectives.

PHYSICAL REQUIREMENTS
1. Ability to lift and carry files weighing up to 10 pounds, lifting up to 10 feet on a daily basis, and standing up to 1 hour if necessary.
2. Physical strength to perform the following lifting tasks:a. Floor to Knuckle- 20 poundsb. 12” to Knuckle- 30 poundsc. Knuckle to Shoulder- 20 poundsd. Shoulder to Overhead- 10 poundse. Carry 14 feet- 20 poundsf. Push 25 feet- 10 poundsg. Pull 10 feet- 10 pounds
3. Visual acuity necessary to observe, obtain information and use documentation.
4. Auditory acuity to hear patient/family/others for the purpose of communication REPORTING RELATIONSHIP Reports to the ACO Director EDUCATION, KNOWLEDGE AND ABILITIES

REQUIRED:

• Degree in healthcare administration, health information management, data analytics, business administration, or a related field preferred; equivalent relevant education and experience may be considered.
• Experience in a healthcare setting, medical records, data management, quality improvement or administrative support preferred.
• Experience working with electronic health records, spreadsheets, databases or reporting tools preferred.
• Demonstrate high attention to detail and a high degree of accuracy INFECTION EXPOSURE RISK LEVEL Category 2– Minimal Risk – This job exposes you to occasional or in emergency situations to blood, body fluids or tissue. It is recommended that you get the Hepatitis B vaccine