Clinical Coordinator Population Health at Wellstar Health Systems in Marietta, Georgia

Job Description:

Facility: 531 Roselane Street NW


Job Summary: The Population Health Clinical Coordinator is responsible for reviewing the health records of patients who are attributed to Wellstar Clinical Partners' value based contracts, identifying gaps in care, providing evidence of care gap closure and assisting patients in obtaining the needed care and appointments to satisfy the focused metrics. Core Responsibilities and Essential Functions: * Review electronic medical record for open gaps. * Patient outreach to assist in scheduling routine preventive visits. * Determine best method of outreach for each patients circumstance. (phone, Mychart, text, letter, family, etc.) * Send standing orders for specific gaps for upcoming appointments. * Review electronic medical record for supporting evidence of gap closure and upload to the appropriate payer portal or to EPIC using standard workflows. * Work with EPIC patient registries to identify patients overdue for Hgb A1c and/or Blood pressure and other metrics as identified by leadership. * Interact with patients pharmacies to verify availability of ordered medications. * Assist Pop Health Pharmacists with medication adherence outreach calls. * Collaborate with WCP practice staff to schedule and arrange care gap appointments. * Refer patients to Care Management team for additional concerns or SDOH needs. * Interact with specific payer portals to download patient lists and gap reports. * Additional Key Responsibilities: * Communicate regularly with Population Health leadership to update status. * Meet leaderships assignments and expected daily work goals. * Maintain strong compliance processes to protect patients privacy and personal health information. * Maintain timely and accurate documentation in keeping with standard workflows. * Participate in annual ACO-MSSP Quality reporting as assigned by leadership. Performs other duties as assigned Complies with all Wellstar Health System policies, standards of work, and code of conduct. Required Minimum Education:

• Associates Health Science or Associates Public Health or Trade School Diploma/Degree Nursing or Other / Certificate Medical Assisting or Other / Certificate Pharmacy

Required Minimum License(s) and Certification(s): All certifications are required upon hire unless otherwise stated.

Additional License(s) and Certification(s): Cert Medical Assistant Upon Hire Preferred or Lic Practical Nurse Upon Hire Preferred or Cert Pharmacy Tech Upon Hire Preferred or Required Minimum Experience: Minimum 2 years Population Health Required or Minimum 2 years Ambulatory Clinical Experience Required or Minimum 2 years Quality reporting Required or Minimum 2 years Public Health Required Required Minimum Skills: Strong understanding of medical terminology High Strong critical thinking, data analysis and problem-solving skills High Highly organized with a structured approach to task and information management Medium Exceptional verbal and written communication skills High Commitment to personal and professional growth Medium Sense of responsibility to self, team and project High Ability to work in an ambiguous environment High Ability to work cohesively with Population Health team and affiliated practices and Quality Coordinators High Strong competence in applications such as: Microsoft Office Suite, Microsoft 365, EPIC, etc., High Apply Now