Population Health Coordinator - LPN/MA

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    "description_html": "<p>&nbsp;&nbsp;</p><p><strong>PURPOSE STATEMENT:</strong></p><p>Responsible for assisting in coordinating team-based care, to provide health services to individuals, through effective partnership with patients, their caregivers/families, community resources and members of the Care Team.</p><p><br></p><p><strong>ESSENTIAL FUNCTIONS&nbsp;</strong></p><p>· Serve as the contact point, advocate, and informational resource for patients, care team, family/caregiver(s), payers, and community resources.</p><p>· Work with RN’s and payers to plan and monitor patient care.</p><p>· Assess patient’s unmet health and social needs.&nbsp;</p><p>· Facilitate patient access to appropriate medical and specialty providers.&nbsp;</p><p>· Educate patient and family/caregiver(s) about relevant community resources.&nbsp;</p><p>· Facilitate and attend meetings between care team, payers, and community resources, as needed</p><p>· Assist with the identification of “high-risk” patients (the chronically ill and those with special health care needs), and add these to the patient registry (or flag in EHR)</p><p>· Follow up and monitor patients via payer work lists to assist in scheduling and following patient chronic care diagnosis.&nbsp;</p><p>· Attend all Care Coordinator training courses/webinars and meetings</p><p>· Display knowledge of preventative health requirements</p><p>· Maintain regular and predictable attendance</p><p>· Perform other essential duties as assigned</p>",
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      "title": "Population Health Coordinator - LPN/MA",
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      "datePosted": "2026-04-03T16:16:53-05:00",
      "description": "<p>Description</p><p>  </p><p><strong>PURPOSE STATEMENT:</strong></p><p>Responsible for assisting in coordinating team-based care, to provide health services to individuals, through effective partnership with patients, their caregivers/families, community resources and members of the Care Team.</p><p><br/></p><p><strong>ESSENTIAL FUNCTIONS </strong></p><p>· Serve as the contact point, advocate, and informational resource for patients, care team, family/caregiver(s), payers, and community resources.</p><p>· Work with RN’s and payers to plan and monitor patient care.</p><p>· Assess patient’s unmet health and social needs. </p><p>· Facilitate patient access to appropriate medical and specialty providers. </p><p>· Educate patient and family/caregiver(s) about relevant community resources. </p><p>· Facilitate and attend meetings between care team, payers, and community resources, as needed</p><p>· Assist with the identification of “high-risk” patients (the chronically ill and those with special health care needs), and add these to the patient registry (or flag in EHR)</p><p>· Follow up and monitor patients via payer work lists to assist in scheduling and following patient chronic care diagnosis. </p><p>· Attend all Care Coordinator training courses/webinars and meetings</p><p>· Display knowledge of preventative health requirements</p><p>· Maintain regular and predictable attendance</p><p>· Perform other essential duties as assigned</p><p>Requirements</p><p>  </p><p><strong>EDUCATION/EXPERIENCE/SKILL REQUIREMENTS</strong></p><p>· Current Certified Medical Assistant certification or licensed practical nurse</p><p> Two years’ experience as a CCMA or LPN required  </p><p>· BLS </p><p>· Previous experience in caring for chronic disease patients preferred</p><p>· Two years’ experience in clinical or community health setting preferred</p><p>· Previous Care Coordination, Case Management or Home Health experience preferred</p><p>· Must be self-motivated and have the ability to work within the established policies, procedures and practices prescribed by the hospital/clinic.</p>",
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