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Population Health Coordinator

2 months ago

Camden, New Jersey, United States Cooper University Health Care. Full time

About Cooper University Health Care

We are committed to providing extraordinary healthcare to our patients, and we're looking for a dedicated professional to join our team as a Population Care Coordinator.

Job Summary

The Population Care Coordinator will play a critical role in supporting and participating in the Patient-centered Medical Home (PCMH) concepts of care coordination and team-based care. This position will assess, plan, implement, coordinate, monitor, and evaluate healthcare options and services to improve the health status of identified populations across the continuum.

Key Responsibilities

  • Follow established PCC workflow for utilization and self-management support
  • Participate in PCMH activities, including hospital discharge follow-up, care planning, coordination of services, and communication between care providers
  • Collaborate with patients' medical/health and community-based providers to establish mutual goal-setting, utilizing self-management tools
  • Provide outreach, care management, and education for disease self-management per patient-centered goals
  • Identify, document, and mitigate patient barriers to improved outcomes
  • Monitor and evaluate services and community-based resources necessary to respond to individual members' health needs
  • Provide telephonic and/or in-practice outreach, disease management, and/or case management, education, and other clinically based activities for target populations
  • Conduct assessments, develop nursing treatment plans, and interventions, and set goals for treatment plans/behavioral modifications within the scope of licensure in collaboration with other care providers
  • Assist physicians and other team members in developing and implementing evidence-based practices and care plans for target health populations
  • Collect data on quality metrics and track as required for improvement efforts
  • Participate in process/quality improvement initiatives to achieve targets as defined by organizational/department goals and objectives

Requirements

  • 5 years or more clinical experience; experience in primary care, population, or case management preferred
  • RN, (BSN) preferred
  • Current NJ RN License

What We Offer

Cooper University Health Care is an Equal Opportunity Employer and is committed to equal employment opportunity for all team members. We offer a comprehensive benefits package, competitive rates, and opportunities for professional development.