Care Coordinator-WFH - HCA Healthcare

Care Coordinator 

Seeking a Care Coordinator for our practice who provides clinical expertise to ensure all patients receive high quality, efficient care. The Care Coordinator directs, plans, and supports PSG practices in successfully meeting CMS, ACO and payor care coordination and quality initiatives. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do.  

 What you will do in this role: 

General 

• Maintains knowledge of payor and regulatory requirements with the ability to work effectively under pressure 
• Attends learning sessions and shares information learned with team members 
• Collaborates with interdisciplinary team(s) to achieve the organization’s coordination of care goals, quality goals, and financial performance goals 
• Prepares, conducts, and manages in-person and virtual meetings with practice managers, staff, provider sand Care Managers to communicate results and provide education on opportunities for improvement 
• Prepares and submits minutes from all meetings, as directed 
• Maintains the strictest confidentiality in the areas of patient, employee, and physician relations  
• Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement” 
• Acts as a patient advocate to facilitate improved patient outcomes 
• Performs related work and additional duties as requested by supervisor 

 Care Gaps 

• Monitors patient compliance with preventive screening processes using internal and payor reporting tools 
• Accesses portals as necessary to prepare reports and other documents to evaluate progress and prioritize workload 
• Communicates via telephone and other virtual tools with patients regarding care needs, documenting communications appropriately in the electronic medical record 
• Prepares and maintains patient charting as needed and performs medical record reviews for payor projects 
• Assists in securing and submitting necessary documentation for annual patient assessment forms (PAFs) 
• Identifies and communicates potential behavioral health care gaps as appropriate 

 Transitions of Care 

• Contacts patients after an emergency department encounter or hospital discharge to identify the need for a follow-up appointment, community resource needs, etc.  
• Refers patients for care management, as needed 
• Documents activities in the medical record to support transition of care services as specified by CMS and other program requirements 

 Care Management 

• Uses available tools to identify at-risk patients 
• Refers patients for medical and/or behavioral health care management, as needed 
• Documents efforts in accordance with established workflow protocols 
• Identifies patients eligible for chronic care management 
• In partnership with the Care Manager, ensures comprehensive chronic care management is established for eligible patients 
• In collaboration with the Care Manager, oversees and executes on patient care plans 
• Manages patient referrals to medical or behavioral health specialists as directed by Care Manager 
• Assists in identifying and engaging community resources to assist patients as needed 

Population Health 

• Assists with practice and provider empanelment processes 
• Schedules appointments related to preventive care, chronic disease management, and/or integrated behavioral health 
• Prepares and maintains care coordination reports and provides periodic updates to practice leaders and providers 
• Conducts wellness campaigns for targeted, focus areas 

• Graduate of a certified Medical Assistant program, Nursing Assistant, LPN/LVN, or other healthcare education preferred  
• One year of medical office, care coordination, or utilization experience highly preferred  
• Medical Assistant Certification or LPN/LVN preferred 
• Working knowledge of Microsoft Office, PowerPoint, Internet, Adobe, and MS Outlook 
• Excellent oral and written communication skills with the ability to prepare reports with quality data and attention to detail and accuracy 
• Working knowledge of electronic medical records, medical terminology, ICD-10, CPT II coding, HEDIS measures, and/or medical office processes  
• Self-motivated and flexible to the changing needs of the program, team and work environment with the ability to self-direct including prioritization of multiple simultaneous tasks