General DutiesThe Patient Centered Medical Home (PCMH) Care Coordinator will be responsible for facilitating care coordination services for NEON patients who need wellness and preventive care. The PCMH Care Coordinator will assist with the management of the computerized data respository (Population Health Analytics), including generating population health data reports and patient profiles, utilizing data for population health management, and addressing gaps in service and care. Works closely with care teams to maximize patient follow through with care plans. As a collaborating member of the health care team, provides pre-visit and follow-up direction and support to the patient, family, and health care providers. Participates in PCMH and quality improvement initiatives. Empowers patient self-management of their care and promotes Patient Centered Medical Home Model of Care.Education High School Diploma or GED is required.Bachelors degree in Health or Social Sciences, Business, Health Care Administration, Public Health or Health Education is preferred, or related work experience.Minimum Qualifications Excellent verbal and written communication skills as well as good listening skills.Knowledge of health disparities and chronic disease management treatment resources;Strong organizational skills, attention to detail and timely documentation required;Proven critical thinking and problem solving skills;Knowledge of Ohio Medicaid Managed Care Plans;1-2 years at a hospital, outpatient clinic or insurance plan, preferably including navigating specialty referral process.Technical Skills Demonstrated knowledge and proficient in the use of Microsoft Office and Outlook. Ability to become proficient in the use of NextGen software.