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Team Based Care Panel Coordinator

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TemPositions Health Care
July 19, 2023
Burlington, Vermont
Job Type


Overview: Coordinate services and collect data for the Team-Based Care program. Track participant progress, facilitate service connections, and collaborate with a multidisciplinary team. Support Field Directors and staff in implementing the program and tracking outcomes.

Locations: Hiring in multiple districts within Vermont - Bennington, Rutland, Brattleboro, Springfield/WRJ, Barre, STJ/Newport, St. Albans/Lamoille, Burlington, Middlebury.


  • Understand team-based care requirements and function as a program team member.
  • Collect and analyze data, prepare reports, and provide recommendations.
  • Contribute to quality improvement and care redesign efforts.
  • Review patient data and consult with care team for accurate service provision.
  • Manage reports and provide necessary data to healthcare teams.
  • Support Field Directors and providers in managing target populations.
  • Proactively reach out to participants and assist with appointments.
  • Support data management, coordination, and patient outreach.
  • Ensure positive patient experience through effective communication.
  • Synthesize and present data to care plan providers.
  • Assist in process mapping and workflow development.
  • Attend meetings and collaborate with the healthcare team.
  • Adhere to policies and regulations, including HIPAA.
  • Report policy infractions and escalate issues as needed.
  • Perform light physical tasks and other assigned duties.

Basic Knowledge:

  • Proficiency in Microsoft Office and electronic health records.
  • Knowledge of process improvement methodologies.
  • Strong understanding of databases and data communication.
  • Excellent organizational and communication skills.
  • Experience with Motivational Interviewing and complex health needs.
  • Ability to collaborate with providers from different domains.

Minimum Requirements/Experience:

  • Bachelor’s degree in a human services field or Community Health Worker certification.
  • Minimum three years of experience in human services.
  • Experience with electronic health records is desirable.
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