at Northeast Kingdom Human Services in St. Johnsbury, Vermont, United States
Job Description
Population Health Manager
In the role of Population Health Manager you'll oversee care coordination staff, strengthen community partnerships, and use data-driven insights to enhance care delivery, streamline operations, and elevate quality outcomes.
A strong candidate has demonstrated experience in nurse quality assurance (QA), care management, utilization management, or clinical quality improvement, and a solid understanding of population health principles.
ESSENTIAL FUNCTIONS:
Program & Operational Oversight
- Oversee day-to-day operations of the Care Coordination Team, ensuring efficient service delivery and alignment with population health goals
- Provide administrative oversight and operational support to nursing, LNA, and MA staff involved in care coordination and population health activities
- Develop, implement, and refine workflows to support effective referral management, care transitions, and follow-up
- Ensure care coordination services are delivered in a timely, accessible, and person-centered manner
Quality, Outcomes & Performance Management
- Establish and monitor key performance indicators (KPIs) related to access, timeliness, quality outcomes, and care coordination effectiveness
- Use data and quality metrics to identify trends, gaps, and opportunities for improvement
- Lead continuous quality improvement initiatives focused on patient outcomes and system efficiency
Care Coordination & System Integration
- Facilitate strong internal collaboration across clinical, behavioral health, and support service teams
- Support effective internal and external care coordination, including transitions between levels of care
- Partner with community providers, hospitals, social service agencies, and payers to strengthen referral networks and service continuity
Community Partnership Development
- Build and maintain relationships with community partners to support coordinated, whole-person care
Leadership & Team Support
- Provide leadership, guidance, and operational support to care coordination and medical support staff
