- Champion organizational Population Health and Value-Based Care approach.
- Identify and implement strategies to support care coordination efforts to close care gaps and improve patient outcomes.
- Prioritize and coordinate recall lists and track outreach to ensure closure of care gaps, including appropriate screenings.
- Develop and work with appropriate departments to implement processes to reduce unnecessary ER and hospital visits.
- Oversight and revision of care pathways for patients at different risk stratification levels.
- Coordinate complex care conferences for high-risk patients.
- Coordinate weekly meetings with the Population Health & Data Analytics Director and medical department heads to address pending follow-up items on higher-risk patients.
- Work with the Population Health team to distribute data to the care team, including providers and nurses, regularly.
- Work closely with health plans and be the principal liaison for all pay-for-performance and value-based care contracts.
- Review health plan reports regularly and work with appropriate departments to implement population health improvement initiatives to improve performance and maximize value-based payments.
- Identify opportunities to improve workflow and processes and work cooperatively to implement these and other performance improvement efforts.
- Perform other duties assigned or as necessary.
- Adhere to HIPAA guidelines.
- Detail oriented.
- Strong Excel skills.
- Ability to work effectively with diverse individuals and populations.
- Excellent written and oral communication skills.
- Ability to work independently with minimal supervision.
- 18 PTO days per year & 11 paid holidays.
- Major Medical Health Insurance Coverage. Most employees experience $0 in out-of-pocket medical expenses.
- Dental & Vision.
- Flexible Spending Accounts.
- Employer paid Life Insurance.
- Employer paid Short-Term and Long-Term Disability.
- Annual Training.
- 403(b) with 4% employer matching.
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Population Health Clinical Specialist - Austin - People's Community Clinic Austin

Description
Responsibilities:
Qualifications:
Education:
Bachelor's degree in Nursing.
Experience:
Two years' experience in healthcare, including working in a clinical environment. Experience participating in quality improvement and performance improvement efforts.
Knowledge, Skills, and Abilities:
Certificate/License:
Current professional license to practice in the State of Texas.
Our Benefits Include:
Equal Employment Opportunity:
People's Community Clinic is committed to equal employment opportunity regardless of race, color, national origin, religion, gender, sexual orientation, age, language, disability, pregnancy, gender identity or sex stereotyping.
We want you to do your best throughout the interview process.
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Clinical Specialist
Regency Integrated Health Services- Austin
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Field Clinical Specialist
Disability Solutions- Austin
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Clinical Diabetes Specialist
Sequel Medical Technology- Austin
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Field Clinical Specialist
Johnson and Johnson- Austin
-
Field Clinical Specialist
J&J Family of Companies- Austin
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Clinical Operations Specialist
Mia Aesthetics- Austin
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Clinical Compliance Specialist
Full time WOMENS HEALTH AND FAMILY PLANNING- Austin
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Clinical Operations Specialist
Mia Aesthetics- Austin
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Associate Clinical Oncology Specialist
Full time Natera- Austin
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Clinical Education Specialist, Enteral Feeding
Avanos Medical- Austin
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Clinical Data Coder/Specialist-Temp
Natera- Austin
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Field Clinical Specialist Shockwave, Austin, TX
J&J Family of Companies- Austin
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Field Clinical Specialist Shockwave, Austin, TX
Disability Solutions- Austin
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Field Clinical Specialist Shockwave, Austin, TX
Johnson and Johnson- Austin
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Clinical Diabetes Specialist
Full time Sequel Medical Technology- Round Rock
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Behavioral Health Spec III
NANA Regional Corp- Austin
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Imaging Support Specialist, Center for Biomedical Research Support
The University of Texas at Austin- Austin
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Family Medicine Physician
Mayo Clinic- Austin
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Clinical Program
Everly Health- Austin
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Intake Specialist
Integral Care- Austin