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Providence Health & Services Population Health Clinical Coordinator in Portland, Oregon


Providence St. Joseph Health is calling a Population Health Clinical Coordinator to our location in Portland, OR.

We are seeking a Population Health Clinical Coordinator to be responsible for coordinating multiple aspects of care for patients with preventative care needs, chronic diseases, and care opportunities within the Physician Enterprise. Daily work includes ordering laboratory tests or imaging exams per protocol to facilitate patient screenings, management of preventative care, and supporting optimization of chronic disease treatments as prioritized thru Enterprise Clinical governance. The Population Health Clinical Coordinator assures that an integrated approach to the patients’ care coordination is fulfilled. This position is the liaison between Physician Services Enterprise providers, primary care clinics, specialist offices, patients, multiple Providence St Joseph Health scheduling and ancillary departments (e.g., Laboratory), and freestanding care delivery centers or services for population health programs and related processes.

Performs all duties in a manner that promotes team concept and reflects the Sisters of Providence mission and philosophy.

In this position you will have the following responsibilities:

  • Triage clinical disease registries in Epic and prioritize coordination of patient’s chronic and preventative care needs.

  • Resource and contact for the Physician Enterprise Population Health Program and provide technical assistance to providers, clinical support staff, and/or Clinical Pharmacy Specialists. Serve as a liaison and resource to the clinic staff and the patient for optimizing the coordination of care and immediate problem resolution. Collaborate with other team members to ensure the best patient outcomes.

  • Order laboratory tests or imaging exams per protocol to close care gaps.

  • Request and abstract clinical data (e.g. immunizations, laboratory tests, imaging studies, procedures) in Epic from external and/or other EHR sources.

  • Coordinate the Disease Management with Primary Care Provider scheduling processes for medical group patients in a centralized department setting.

  • Use scheduling systems and understand different protocols for laboratory services at multiple Providence St Joseph Health facilities and freestanding laboratory centers within specified timeframes.

  • Navigate data system(s) to research and/or record pertinent information in compliance with policies. Review patient chart to obtain documentation of requested services.

  • Receive and appropriately address phone calls from patients. Identify urgent or emergent situations and respond appropriately.

  • Utilize motivational and coaching techniques as necessary to remove barriers to care and engage patients in their care.

  • Use patient engagement tools such as, phone calls, letters, MyChart messages, and/or IVR solutions work with the healthcare team to identify and continuously improve the quality of services provided and actively collaborate in finding solutions.

  • Process all paperwork/forms related to laboratory scheduling.

  • Contact specialist offices to obtain clinical information (chart notes, diagnostic results) as needed to assist in disease management process.

  • Facilitate updating of patient registration information if inaccurate or no longer valid.

  • Assist providers with appropriate ICD10 diagnosis coding as needed to comply with insurance coverage guidelines of various labs.


Required qualifications for this position include:

  • One of the following:

  • Completion of an accredited Medical Assistant program and registered with State Board (where required by state) or certified through a nationally recognized Medical Assistant program such as AAMA, AMT, RMA, CCMA or NCCT.

  • Nationally Certified Pharmacy Technician or registered with the State Board

  • High school diploma or GED.

  • Knowledge of medical terminology, disease processes, medical decision making, and prior experience in utilizing disease registries or similar databases.

  • Excellent verbal communication and interpersonal skills, with preferred experience in motivational interviewing / coaching.

  • Experience with electronic medical records and/or computerized billing systems.

  • Epic or other Electronic Health Record /care management software experience.

  • Computer skills including Microsoft Windows and Office Applications (Word, Access, and Excel).

  • Excellent typing skills (60 words/minute), computer keyboard, and mouse skills for expedited data processing.

  • For Medical Assistants: Current valid State Board registration in good standing or Medical Assistant Certification to match education requirements above.

  • For Pharmacy Technicians: Current valid pharmacy technician license by the State Board of Pharmacy in good standing or National Certification to match education requirements above.

Preferred qualifications for this position include:

  • College

  • For Medical Assistant: 1 year of medical assisting work experience.

  • For Certified Pharmacy Technician: 1 year of work experience in primary care or health plan environment.

About the department you will serve.

Providence Strategic and Management Services provides a variety of functional and system support services for all eight regions of Providence Health & Services from Alaska to California. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

For information on our comprehensive range of benefits, visit:

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Administrative (Non-Clinical)

Location: Oregon-Portland

Req ID: 267311