INTEGRIS has the most expansive clinical network in Oklahoma that provides medical care for all ages. Clinical Quality embrace our values of Love, Learn and Lead with our vision to be the most trusted name in health care for Oklahoma. Come work in a positive team environment and earn great benefits including personal paid leave and retirement savings plan.
Population Health Coordinator, Certified/Registered Medical Assistants or Licensed Practical Nurse
Job Code: 1233
Responsible for providing outreach, care coordination, education/training and motivational support to patients, referral sources and the community to encourage quality outcomes, smooth transitions and coordination of care across the health care continuum. This position is accountable for working with and representing INTEGRIS across multiple constituents.
INTEGRIS is an Equal Opportunity/Affirmative Action Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.
The Population Health Coordinator responsibilities include, but are not limited to, the following:
Provides outreach, education and other needed activities to patients, referral sources and the community.
Communicates, as needed, with service delivery partners, physicians and other health professionals to provide care coordination so as to ensure the plan of care facilitates the efficient use of health care resources.
Promotes wellness and provides education regarding preventative care measures.
Acts as a liaison between referral sources, facilities and outside entities to prevent and/or resolve continuum of care issues.
Analyzes clinical data and identifies patients who have gaps in care and utilizes risk stratification intervention metrics for care coordination.
Remains current on industry trends, best practice operational models, and changing patients and provider needs.
Reports to the Manager, Director, or Vice President.
Required Physical Demands (Subject to Reasonable Accommodation):
Keyboarding/Dexterity: Frequently; activity exists from 1/3 to 2/3 of the time
Standing/Walking: Occasionally; activity exists up to 1/3 of the time
Strength (Lift/Carry/Push/Pull): Sedentary (exerting up to 10 pounds of force occasionally)
Talking (Must be able to effectively communicate verbally): Yes
Color Acuity (Must be able to distinguish and identify colors): No
This position may have additional or varied physical demand. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information.
Normal office environment, some travel to meetings.
All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.
High School diploma or equivalent
Current nationally recognized Medical Assistant certification/registration or other nationally recognized credentialing allowing for electronic medical heath record (EHR) order entry (Assessment-Based Recognition in Order Entry) or Current licensure as a Licensed Practical Nurse (LPN) in the State of Oklahoma or current multistate license from a Nurse Licensure Compact (eNLC) member state.
Associates or Bachelors degree preferred
3 years experience working in a healthcare setting
Experience in ambulatory care setting preferred
Must be able to communicate effectively in English (verbal/written)
Previous work experience using a computer to include both Word and Excel