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Population Health Specialist

This job posting is no longer active.

Job ID: 8182
Location: Chapel Hill, NC
Facility/Division: UNC Faculty Physicians
Status: Full Time
Shift: Day Job

Did you know UNC Health has Ranked #2 Most Trusted Healthcare Brand in the U.S.? The UNC Health brand was ranked as the #4 healthcare brand in the United States overall and the #2 most trusted healthcare brand, just after Johns Hopkins and before Mass General. Join our One-Great-Team!

Job Description


Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Provides a wide range of project management and quality improvement support services. Examples include data analysis and report development, patient population management, medical home and care transition initiatives.


Care Management

1. Engages in development and assessment of biopsychosocial needs assessments. Actively intervenes on provider and patient identified goals by creating chronic disease management or behavioral health management care plans.

2. Engages in social determinants of health screening and medical case management to address identified needs. Serves as patient navigator within the healthcare system.

3. Utilizes health coaching to support patient engagement in chronic disease self-management.

4. Monitors preventive health indicators, and supports patient in closing clinical gaps.

Behavioral Health

1. Provides brief treatment to address patient identified behavior change goals within the Behavioral Health Care Management Program. Serves as treatment provider patients, providing telephonic and face to face therapy for diagnoses such as depression, anxiety, grief etc. Modalities of treatment include motivational interviewing, solution focused therapy, interpersonal therapy, cognitive behavioral therapy.

2. Actively participates in development, implementation, and evaluation of integrated behavioral health programs.

3. Assists with crisis intervention for patients presenting with acute behavioral health needs, including but not limited to suicidality, intimate partner violence, psychosis, addiction, etc., as available.

Preventive Health/Gap Closure Outreach

1. Facilitates telephonic and virtual outreach to patients to discuss preventive health open care gaps, utilizing motivational interviewing, health coaching and case management to address non-clinical barriers to care.

2. Develops and distributes health promotion materials to patients, providers and staff.

Quality Improvement

1. Demonstrates proficiency in data collection and analysis. Actively participates in QI initiatives and offers feedback on reporting enhancements which positively impact population health management.

2. Provides leadership for population health management projects. Facilitates meetings with team members, provides training and education, develops standard work and oversees process implementation. Examples include: data analysis, HCC/RAF risk adjustment, care transitions.

3. Provides support to Population Health Services leadership to achieve department goals and improve patient outcomes.

MSW degree, with two years of integrated behavioral health or population health related experience and LCSW/LCSWA strongly preferred.

Other Information

Other information:
Education Requirements:
● BS degree in Health Care Management, Business Admin, or related field.
Licensure/Certification Requirements:
● Valid North Carolina Nursing License for any BSN.
Professional Experience Requirements:
● Two years relevant work experience; or equivalent combination of education and experience. Experience in Word, Excel, and data analysis required.
Knowledge/Skills/and Abilities Requirements:

Job Details

Legal Employer: STATE

Entity: UNC Faculty Physicians

Organization Unit: SOM Amb Care-FPC-Other-F 

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Schedule: Day Job

Location of Job: US:NC:Chapel Hill

Exempt From Overtime: Exempt: No

This is a State position employed by UNC Health Care System.
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Diversity Statement

The UNC Health System and the UNC School of Medicine are committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling our UNC Health vision of improving the health of all North Carolinians.

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