Population Health Advisor

				Responsibilities:

The Population Health advisor will establish consistent contact with patients to facilitate behavior change, self-management, goal setting and progress with patient plan of care, collaborates with clinical team and community resources to facilitate patient self-management, address gaps in care, and goal setting, and provides education and resources to patients and families on chronic conditions or identified care need

Collaborates with analytics, quality, and payer program management to facilitate care coordination of at risk populations

Self Manages daily workflow and patient engagement schedule

Engages identified impactable popuation for care coordination 

Follows established workflows for care Coordination  

Identifies gaps in care and opportunities for patients to improve or maintain health 

Supports Patient in setting attainable health goals to effectively self manage 

Advises patient on benefits of effective self management

Encourages Patient to Follow Provider and Patient Plan of Care to achieve goals

Establishes consistent contact with patients to facilitate behavior change, self management, goal setting and progress with patient plan of care

Encourages and reinforces healthy self management behaviors

Supports financial goals of the managed care organization

Collaborates with clinical team and community resources to facilitate patient self management, address gaps in care, and goal setting 

Provides education and resources to patients and families on chronic conditions or identified care needs
			

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Cooper University Health Care

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