Population Health Coordinator at MD at Home | Torre

Population Health Coordinator

You'll elevate health equity by delivering comprehensive home-based primary care and improving patient outcomes.
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Full-time

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Remote (for Argentina residents)
Remote (for Bolivia residents)
Remote (for Brazil residents)
Remote (for Chile residents)
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Shared by
Daniel Correa Laverde
3 months ago

Requirements and responsibilities


Serve as the primary clinical contact for an assigned patient panel; manage patient cases within the EMR (AthenaHealth preferred); conduct monthly chronic care follow-ups and symptom assessments; evaluate patient concerns and determine appropriate next steps; coordinate urgent visits, provider appointments, and referrals; track medications, lab results, and outstanding care needs; educate patients on care plans, refills, and condition management; collaborate closely with providers to support quality care standards; assist in meeting and exceeding Medicare quality metrics; schedule: Monday–Friday, 8:00 AM–5:00 PM (OT as needed); Remote – LATAM-based candidates only.
Optionally, you can add more information later (benefits, pre-screening questions, etc.)
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