The Association for Utah Community Health (AUCH) is a membership association comprised of Utah’s Federally Qualified Health Centers (FQHCs) and allied nonprofit healthcare organizations. AUCH is a collaborative, mission-driven organization that supports its members through training, technical assistance, data and technology services, quality improvement initiatives, policy analysis, and programs designed to improve access to high-quality healthcare services throughout Utah.
Organizational Background/ Mission: For more than 40 years, AUCH has served as Utah’s federally designated Primary Care Association (PCA) and Health Center Controlled Network (HCCN), supporting community health centers in delivering comprehensive, patient-centered healthcare services to medically underserved populations.
AUCH works closely with health centers, community partners, and stakeholders to improve health outcomes, strengthen access to care, support population health initiatives, and advance innovative approaches to care delivery through coordination programs, technology, training, and shared services.
Job Summary: The Care Coordination Program Manager leads the operation of AUCH’s centralized care coordination, patient monitoring, and population health initiatives across participating health centers. The position is responsible for translating grant commitments, organizational priorities, and goals into attainable work plan with defined deliverables, responsible parties, and effective workflows for a sustainable program that improves patient outreach, care coordination, referral completion, care gap closure and access to healthcare services.
The Program Manager works closely with participating health centers, vendors, stakeholders, community organizations and AUCH staff to support patient centered care coordination while providing direct oversight to Care Coordinators, Patient Navigators, and Community Health Workers (CHWs) to strengthen population health initiatives, such as cancer screening and remote patient monitoring.
Key Responsibilities:
- Develop, implement, and lead the day-to-day program management and implementation activities for care coordination, remote patient monitoring (RPM), and other AUCH supported programs.
- Develop and maintain project plans, implementation timelines, standard operating procedures, educational materials, and program documentation to support successful program delivery and sustainability.
- Coordinate onboarding, implementation, and ongoing support for participating health center care teams, including facilitating workgroups, development, and technical assistance activities.
- Leads the development and standardization of patient outreach, referral management, care planning, care coordination, and patient engagement workflows, to deliver complete, usable program quality standards to improve access, continuity of care, and care gap closure.
- Provide clear expectations and operational oversight and support for Care Coordinators, Patient Navigators, and Community Health Workers (CHWs) including workflow coordination, training, performance, monitoring, and implementation of best practices to optimize quality and reimbursement.
- Collaborates with AUCHs quality and data teams on population health initiatives, including cancer screening, remote patient monitoring (RPM), patient engagement, and technology-enabled care coordination programs.
- Accurately monitors and validates program performance deliverables using dashboards, audits, reports, and population health data; tracking outcomes and preparing required reports, summaries, and presentations. Uses data to drive health center performance improvement.
- Collaborate with AUCH teams, participating health centers, community organizations, payers, and vendors to support program implementation, issue resolution, and continuous improvement efforts.
- Communicate program progress and performance improvement, limitations, errors, and risks accurately and promptly.
- Monitor and track the use of health center Remote Patient Monitoring, device data, encounters/enrollment, implementation progress, and contractual requirements, escalating risks, barriers, and performance concerns as appropriate.
- Maintain program documentation and records in accordance with grant, privacy, security, regulatory, and organizational requirements, and support quality improvement, evaluation, audit, and compliance activities
- Other duties as assigned.
Qualifications
Knowledge, Skills and Abilities:
- Knowledge of care coordination, patient navigation, community health, population health, and healthcare delivery systems.
- Understanding of FQHCs, rural healthcare, community-based services, and medically underserved populations.
- Knowledge of quality improvement principles and performance measurement.
- Familiarity with referral management, care coordination, patient engagement, and care gap closure workflows.
- Experience utilizing EHRs, population health platforms, dashboards, and reporting tools.
- Strong project management, organization, and prioritization skills.
- Ability to manage multiple projects and competing priorities.
- Strong communication, facilitation, relationship-building, and collaboration skills.
- Ability to analyze and report data and use findings to support operational and programmatic decisions.
- Ability to travel and conduct health center site visits.
Education and Experience:
- Bachelor's degree nursing Masters preferred Utah license to practice nursing.
- Experience leading and managing a team of people.
- Five to seven years of experience in care coordination, case management, patient monitoring, population health, healthcare operations, community health, program management, quality improvement, or related healthcare programs.
- Demonstrated experience coordinating projects involving multiple organizations, or clinical sites, including implementation planning, workplan management, performance reporting, and tracking program deliverables.
- Experience utilizing healthcare reporting tools, dashboards, performance measures, or data-driven approaches to support program management and continuous improvement.
- Demonstrated experience supporting contracts, grant-funded initiatives, or program reporting requirements.
- Experience working with FQHCs, community health centers, rural healthcare organizations, Medicaid populations, or value-based care initiatives preferred.
- Experience with Community Health Worker (CHW) programs, Patient Navigator programs, care management initiatives, Remote Patient Monitoring (RPM), telehealth, referral management, or patient engagement programs preferred.
- Experience with Azara DRVS, Azara Care Connect, or similar population health platforms preferred.