How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Job Summary:

The Population Health Clinical Coordinator is responsible for reviewing the health records of patients who are attributed to Wellstar Clinical Partners' value based contracts, identifying gaps in care, providing evidence of care gap closure and assisting patients in obtaining the needed care and appointments to satisfy the focused metrics.

Core Responsibilities and Essential Functions:

Review electronic medical record for open gaps. Patient outreach to assist in scheduling routine preventive visits. Determine best method of outreach for each patients circumstance. (phone, Mychart, text, letter, family, etc.) Pend standing orders for specific gaps for upcoming appointments. Review electronic medical record for supporting evidence of gap closure and upload to the appropriate payer portal or to EPIC using standard workflows. Work with EPIC patient registries to identify patients overdue for Hgb A1c and/or Blood pressure and other metrics as identified by leadership. Interact with patients pharmacies to verify availability of ordered medications. Assist Pop Health Pharmacists with medication adherence outreach calls. Collaborate with WCP practice staff to schedule and arrange care gap appointments. Refer patients to Care Management team for additional concerns or SDOH needs. Interact with specific payer portals to download patient lists and gap reports. Additional Key Responsibilities: Communicate regularly with Population Health leadership to update status. Meet leaderships assignments and expected daily work goals. Maintain strong compliance processes to protect patients privacy and personal health information. Maintain timely and accurate documentation in keeping with standard workflows. Participate in annual ACO-MSSP Quality reporting as assigned by leadership.

Required Minimum Education:

• Associates Nursing or Trade School Diploma/Degree Nursing or Other / Certificate Medical Assisting or Other / Certificate Pharmacy

Required Minimum License(s) and Certification(s):
All certifications are required upon hire unless otherwise stated.

• Cert Medical Assistant or Lic Practical Nurse-Preferred or Cert Pharmacy Tech

Additional License(s) and Certification(s):



Required Minimum Experience:

Minimum 2 years Population Health or
Minimum 2 years Ambulatory Clinical Experience or
Minimum 2 years Quality reporting Preferred

Required Minimum Skills:

Strong understanding of medical terminology High
Strong critical thinking, data analysis and problem-solving skills High
Highly organized with a structured approach to task and information management Medium
Exceptional verbal and written communication skills High
Commitment to personal and professional growth Medium
Sense of responsibility to self, team and project High
Ability to work in an ambiguous environment High
Ability to work cohesively with Population Health team and affiliated practices and Quality Coordinators High
Strong competence in applications such as: Microsoft Office Suite, Microsoft 365, EPIC, etc., High

Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.