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Population Health Care Coordinator

SoHum Health - Jerold Phelps Community Hospital · US

Description About SoHum Health At SoHum Health, our mission is to provide high-quality local medical services and engage community members in education and l...

Job description

Description About SoHum Health: At SoHum Health, our mission is to provide high-quality local medical services and engage community members in education and lifestyle opportunities to promote optimal health and wellness. As the sole provider of emergency, acute, radiology, skilled nursing, pharmacy, and various other health services in our expansive rural region, we play a unique role as a hub and trusted partner for the patients we serve. Guided by our core values of caring, quality, teamwork, and positivity, we strive daily to improve the health of our underserved community. Summary/Objective: The Population Health Care Coordinator is responsible for supporting individuals with complex medical, behavioral, and social needs through the Enhanced Care Management (ECM) and Community Health Worker (CHW) programs, providing compassionate, hands-on, whole-person care. The Population Health Care Coordinator establishes and maintains working relationships between patients, provider teams at SoHum Health, Partnership HealthPlan of California, and community-based organizations to ensure coordinated and responsive care delivery. This model utilizes a team-based approach focused on continuous...