Population Health Care Coordinator- Outpatient Mental Health

Overview People Incorporated Mental Health Services is seeking Population health Care Coordinators to join our Outpatient Mental Health teams . The Population Health Care Coordinator (PHCC) is responsible for advancing whole-person, population-based health (physical and mental health) management within the clinic. This role integrates care coordination for clients with co-morbid behavioral, physical, and mental health conditions, focusing on long-term engagement, health promotion, and seamless transitions across services. The PHCC collaborates with interdisciplinary teams to identify health (physical and mental health) needs, implement targeted interventions, and support clients in achieving individualized goals. Key responsibilities include client engagement, health (physical and mental health) education, care coordination, data-driven population health initiatives, and supporting organizational efforts to improve health outcomes for diverse populations. Schedule: Full-Time. Monday-Friday, Regular clinic hours, some clinics stays open until 6pm. Locations: Opportunities available at each outpatient clinic. Stark Mental Outpatient Health Clinic: 2120 Park Ave, Minneapolis, MN 55404 New Hope Outpatient Mental Health Clinic: 5555 Boone Avenue North, New Hope, MN 55428 York Outpatient Mental Health Clinic: 317 York Ave, St Paul, MN 55130 Hiring Range: $22.00 - $23.75/hour, plus $1,000 hiring bonus for external candidates People Incorporated Mental Health Services is the largest nonprofit mental health provider in Minnesota. For over 50 years, we have been a leading community partner, transforming the health of our communities through innovative solutions. Main Job Duties Coordinate care for clients (focusing primarily on clients with co-morbid behavioral, physical, and mental health conditions), ensuring continuity, integration, and monitoring across all service domains. Coordinate and schedule the Collaborative Care Planning meeting every 6 months or as needed. Assist clients in understanding insurance renewal dates, supporting them in applying or reapplying for insurance as needed. Engage clients in skill development, motivational support, and problem-solving to improve health outcomes. Provide individual and family support services, linking clients to peer and recovery support resources. Provide de-escalation for clients experiencing mental health symptoms or other challenges. Collect, analyze, and report population health data to inform program planning and quality improvement. Implement population health initiatives, including outreach, health promotion, and preventive care strategies. Facilitate evidence-based wellness and prevention education for individuals and groups, using evidence-based practices. Collaborate with interdisciplinary team members to resolve client issues, share information, and enhance engagement. Document all client interactions and population health activities in the Electronic Health Record (EHR). #J-18808-Ljbffr