JOB SUMMARYThe Population Health Specialist facilitates patient continuity of care across all the group practices. This position is responsible for obtaining external records for key gaps in care to ensure patients receive care that is continuous, comprehensive and coordinated across the care continuum. This position works cooperatively with providers and personnel to accomplish goals and objectives in accordance with established policies and procedures.ESSENTIAL FUNCTIONS OF THE ROLEReviews reports to identify patients with past due adult preventative, chronic conditions and other identified clinical services; reviews the patient's electronic health record.Analyzes and compiles reports to support care
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