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Coordinator - Population Health

We Are Hiring

Coordinator - Population Health - MH HHC Montgomery - FT Days 8:00am-4:30pm - St Mary's Hospital - Amsterdam, NY

Why Join Ascension?

St. Mary’s Healthcare, based in Amsterdam, New York, provides a full range of outpatient services while featuring an award-winning acute care hospital, three Urgent Care Centers, multiple primary and pediatric health centers, specialty care including Cancer Medicine, Gastroenterology, OB-GYN, ENT, Surgical and Urology, inpatient and outpatient mental health services and a 160-bed nursing home. The organization has earned outstanding national rankings for excellence in medicine and patient safety.

St. Mary's Healthcare is part of Ascension, a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. As one of the leading non-profit and Catholic health systems in the U.S., Ascension is committed to delivering compassionate, personalized care to all, especially to those most in need.  In FY2018, Ascension provided nearly $2 billion in care of persons living in poverty and other community benefit programs.

What You Will Do

As a Coordinator-Patient Health  with St. Mary's Hospital, you will have the opportunity to coordinate and identify care needs (gaps in care) for patients attributed to a primary care practice.


  • Identifies patients through the health plans gaps in care list, state immunization databases, the patient medical record and the use of a patient disease management registry.
  • Collaborates with the providers and reviews care needs and validates these needs against the medical record.
  • Reaches out to patients with validated gaps in care and facilitate meeting these needs.
  • Supports quality outcomes and high reliability in the Patient Centered Medical Home.

What You Will Need

Education & Work Experience:

  • High school diploma or GED required; BA preferred.
  • Strong computer skills a must i.e., excel/Google Sheets.
  • Must be a self-directed.
  • Knowledge of the Health Home program preferred.

Equal Employment Opportunity

St. Mary’s Hospital is an equal opportunity employer and affords equal opportunity to all applicants for all positions without regard to race, color, religion, gender, national origin, age, disability, veteran status, sexual orientation or any other status protected under local, state or federal laws.
State and Federal laws prohibit discrimination on the basis of race, creed, color, religion, gender, national origin, age, disability, marital status or sexual orientation.
Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

E-Verify Statement

St. Mary's Healthcare participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.


Job ID: 366087
Category: Administrative Support
Facility: NYAMS St Marys Hosp
Ministry: St. Mary's Healthcare, NY
Location: Amsterdam, NY

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