Population Health Coordinator - Family Health Center

Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We're honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don't inquire about immigration status because we simply don't need to know. If you come to us, we will treat you like any other patient.

As we grow our team, we are looking for individuals who believe the patient is always #1.

Why work for us?

• Competitive pay which matches your abilities and experience

• Health coverage for you and your family

• Generous number of vacation days per year

• A robust wellness plan and health club discounts

• Continuing education assistance to grow and further your talents

• 403(B) plan with company matching

Intrigued? We'd love to hear from you! Please review the job details below and then click "apply."

We're looking for someone to join our team as a Population Health Coordinator who:

The Population Health Coordinator (PHC) is primarily responsible for managing the implementation of identified sections of the Quality Department strategic plan with a focus on improving the foundational building blocks for high functioning primary care. The PHC is knowledgeable about workflows for clinical operations and documentation, quality care improvement frameworks, and promoting collaboration between centralized and site-based teams. The focus project for this PHC position is to develop and implement patient empanelment systems and tools to promote continuity of care and patient safety, while also enhancing staff and patient experience when providing that care. The PHC will dedicate approximately 0.4FTE to serve in the role of PHMI empanelment and work closely with the operations and medical departments to manager panel assignments, track reports with key empanelment metrics, and conduct trainings as needed. With consideration to Social Determinants of Health (SDOH), the PHC will display compassion by connecting patients with local resources available to support their holistic health. The PHC will exercise evidence-based care coordination techniques to meet the patient's health-related needs and preferences while ensuring operational efficiency is maintained. The PHC plays a pivotal role in connecting patients to services at Clinica Sierra Vista and working with the care team.

Essential Functions:

• Implement a system for empanelment and other special projects as assigned.

• Review data and implement quality improvement strategies related to empanelment and quality.

• Serves as a liaison between health and social services and the community to facilitate access to services and improve the cultural competence of services being provided.

• Provides qualified data to the Manager of Quality and Population Health for the purpose of developing training programs, policies, and procedures.

• Recommend interventions or strategic adjustments to the Manager of Quality and Population Health so the practice may improve clinical quality and operational efficiency.

• Collaborate with health centers as assigned to facilitate care team development, Population Health Management Initiative (PHMI), and progress towards improved processes and clinical outcomes.

• Utilize quality improvement tools when testing a new system of care including PDSA rapid cycles for change.

• Collaborates with Quality, HIT, and operations to facilitate and implement the Population Health Management Plan and empanelment. Participates in quality projects with external partners such as PHMI and health plans.

• May serve a quality liaison to campuses as assigned.

You'll be successful with the following qualifications:

• Medical Assistant or nursing degree is highly desired.

• Certification as a Community Health Worker (CHW) highly desired.

• High School Diploma or GED required.

• Minimum of 3-4 years of healthcare experience. Preferably in the ambulatory care setting. Working knowledge of HEDIS, UDS, PCMH, and FQHC.

• Spanish speaking highly preferred.

• Maintain excellent internal and external customer service at all times.

• Possess the tact necessary to deal effectively with patients, providers, and employees, while maintaining confidentiality.

• Must be able to work independently, multitask, and handle a high volume of work.

• Must be reliable with attendance.

• Must be highly organized and detail oriented.

Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they're counting on us.

Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!