The Population Health Pre Visit Planner (PVP) serves as part of the multidisciplinary healthcare team in the primary care setting. The PVP will be focused on data collection, closing gaps in care, and assisting in the coordination of care for patients under the supervision of the Population Health Lead Pre Visit Planner. The Population Health Pre Visit Planner will promot

Under supervision of the IT Director and Chief Information Officer, this team member will be responsible for the ongoing maintenance and support of all clinical systems and associated workflow. Responsibilities will include assisting with the initial build and configuration, as well as troubleshooting and problem resolution, of core infrastructure, and related hardware/so

The Population Health Navigator drives high volume outreach interventions designed to engage new and existing clients to access the right care at the right time. Working closely with Population Health leadership, the Navigator seeks to close preventative care gaps in close coordination with clients, care teams, and specialty offices, and by leveraging available data repos

The Nurse Care Manager provides professional, patient centered nursing care in the ambulatory setting in accordance with the multi disciplinary plan of care and established policies and procedures, under the supervision of the Lead Nurse. Provides direct nursing and telephonic services to patients and families in accordance with the standards of practice for Ambulatory Ca

The RN Diabetes Educator provides professional, patient centered nursing care in the ambulatory setting in accordance with the multi disciplinary plan of care and established policies and procedures, under the supervision of the Director of Nursing. Provides direct nursing and telephonic services to patients and families in accordance with the standards of practice for Am