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Job Description
Are you a pro at juggling schedules and keeping things running smoothly? Do you thrive on bringing order to the chaos-and making a real impact along the way? PCHC's Care Management team is looking for a Medical Support Assistant- Population Health Support who's passionate about health equity, proactive outreach, and improving outcomes for patients who need it most. In this key role, you'll support our value-based care and population health efforts by coordinating schedules, supporting care teams, tracking key data, and helping close care gaps. If you're detail-oriented, collaborative, and have at least one year of experience in a medical office setting, we'd love to meet you.
What's it like to work at PCHC? Find out: https://www.youtube.com/watch?v=GyC3DFYq0zg
Schedule: Full-Time, Monday- Friday, Schedule TBD
Highlights of the Position:
- Proactively Manage Scheduling for care management and population health services including: Annual Wellness Visits, Chronic Care Management, Transitional Care Management, and High-Risk Care Team Follow-Ups.
- Identify & Engage High-Risk Patients: Use data tools like HealthInfoNet, the EMR, and population health dashboards to identify patients with complex needs or care gaps-and help connect them to timely, appropriate care.
- Lead Proactive Patient Outreach: Conduct outreach to promote preventive care, encourage participation in care management programs, and ensure patients understand how to access the support they need-especially those facing barriers like transportation or scheduling.
- Drive Care Gap Closure & Quality Initiatives: Collaborate across departments to support screening efforts, chronic condition follow-up, and equity-focused outreach campaigns that make a real impact on patient health.
- Coordinate Seamless Scheduling & Follow-Up: Work closely with clinical teams to ensure patients are scheduled for the right appointments at the right time-especially those needing follow-ups, annual wellness visits, or chronic care management check-ins.
- Track, Document & Report Outreach Efforts: Keep detailed records of patient interactions in both the EMR and population health dashboards to support quality reporting and ensure continuity of care.
- Collaborate for Health Equity: Act as a connector between patients and internal teams-bringing cultural humility and a solutions-oriented mindset to every interaction.
Join PCHC's nationally recognized non-profit organization:
- Federally Qualified Health Center offering integrated Medical Home Model
- Collegial professional atmosphere with informed leadership
- Flexible schedules supportive of work/life balance
- Competitive compensation and generous benefits
- PCHC provides comprehensive, patient-centered care with integrated services, including Psychiatry & Mental Health, Dental, Family Medicine, Pediatrics, Pharmacy, Geriatrics, Laboratory Services, Physical Therapy, and more!
Requirements:
- High school diploma or equivalent required.
- At least one year of healthcare experience, preferably in scheduling, outreach, or care coordination.
- Proficiency in EMR systems, Microsoft Office, and data tracking/reporting tools.
- Familiarity with ACO, value-based care, or population health concepts preferred.
Curious, or interested to learn more? Apply today! You can request a full copy of the detailed job description by emailing recruitment@pchc.com.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or any other characteristic protected by law.
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