Population Health Coordinator

Population Health Coordinator

Job ID: A26-048

Location: Lincoln/Negotiable

About Our Family:

Established in 1978, Alcona Health Center (AHC) is a non-profit, Federally Qualified Health Center dedicated to making a lasting impact in the Northern MI communities we serve, offering medical, behavioral health, dental and pharmacy services. As a member of the AHC family, you will join a team of over 300 coworkers, all devoted to providing quality health care to all residents of our communities, regardless of their ability to pay.

Your Valued Contributions:

The Population Health Coordinator provides clinical and operational leadership for care management, community health, and transition-of-care programs. This role ensures standardized workflows, high-quality patient outcomes, regulatory compliance, and optimal performance in value-based care initiatives.

1. Clinical Oversight & Care Management

• Ensure development, implementation, and documentation of patient-centered care plans
• Provide clinical guidance for high-risk and complex patients
• Oversee risk stratification processes and interventions
• Conduct routine case reviews and interdisciplinary case conferences

2. Staff Supervision & Development

• Direct supervision of day-to-day work and coaching
• Competency assessments annually
• Support onboarding and training of new staff
• Monitor caseload distribution and productivity

3. Transitions of Care Management

• Ensure completion of Care Management outreach and enrollment
• Monitor and address readmission trends

4. Workflow & Program Standardization

• Develop and implement standard operating procedures (SOPs)
• Ensure consistent documentation across EMR
• Standardize CHW engagement and referral workflows
• Improve cross-site consistency

5. Data, Reporting & Performance Improvement

• Monitor and report on:

• UDS clinical quality measures

• HEDIS measures

• Hospital admissions and readmissions

• Emergency department utilization

• Develop and maintain dashboards

• Lead quality improvement initiatives

6. Compliance & Regulatory Oversight

• Ensure documentation meets requirements for:

• HRSA

• Value-based contracts

• Care management billing (CCM, TCM)

• Support internal audits and external reviews

• Ensure adherence to the scope of practice and program integrity

7. Interdisciplinary Collaboration

• Collaborate with:
• Primary care providers
• Behavioral health teams
• Operations
• Health Information
• External partners (hospitals, ACOs, community organizations)

Required Training & Experience:

• Use of Electronic Health Records.
• Word & Excel.
• Care management, population health, or case management experience.
• Possesses a current State of Michigan driver's license and valid automobile insurance.
• Active RN license (preferred; equivalent experience considered if non-RN).
• Possesses a current Basic Cardiac Life Support (BCLS) CPR certification or obtain within six (6) months of start of employment.

We're Here For You:

Supporting Balance: As a part of our family, you will work full time with a starting wage dependent on education and experience. Numerous holidays, generous vacation time and sick days are also offered.

Supporting Your Health: Low deductible Medical, Rx, Vision & Dental insurance at a minimal cost for employees.

Supporting Your Future: Retirement Savings Plan, FSA, Life, AD&D, & Short/Long Term Disability Insurance.

Supporting Your Education: Continuing Education Assistance program. Employment with AHC may also qualify you for student loan forgiveness under the Public Service Loan Forgiveness program.

Ready To Get Started?

Resumes and cover letters are accepted and welcomed in addition to your completed application.

Questions can be sent to pschaedig@alconahc.org

Fighting Against Discrimination:

Alcona Health Center is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of Any Kind: Alcona Health Center is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Alcona Health Center are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy, sexual orientation, and transgender status), age, physical, mental or sensory disability, HIV Status, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Alcona Health Center will not tolerate discrimination or harassment based on any of these characteristics. Alcona Health Center encourages applicants of all ages.

Upon request auxiliary aids and services will be made available to individuals with disabilities. Michigan Relay Center "Voice and TTY/TDD" 1-800-649-3777. An EOE.