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Population Health Coordination-Full Time

Henry Ford Health System
United States, Michigan, Troy
Sep 12, 2025
Coordinates and identifies care needs (gaps in care) for patients attributed to a primary care practice. This is a hybrid position. Responsibilities: Identifies patients through the health plans gaps in care list, state immunization databases, the patient medical record and the use of a patient disease management registry. Collaborates with the providers and reviews care needs and validates these needs against the medical record. Reaches out to patients with validated gaps in care and facilitate meeting these needs. Supports quality outcomes and high reliability in the Patient Centered Medical Home. Licensure / Certification / Registration: BLS Provider preferred. American Heart Association or American Red Cross accepted. Education: High School diploma equivalency OR 1 year of applicable cumulative job specific experience required. - Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable. Preferred Qualifications: Experience with process improvement methodologies (LEAN, Six Sigma, PDSA, etc.); Proficiency in Microsoft 365 applications, especially Excel, PowerPoint, and Word Additional Information Organization: Henry Ford Ascension Medical Group MI Department: Total Quality Management 001 Shift: Day Job Union Code: Not Applicable