Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Clinical Care Coordinator today with St David's Care Partners.
Job Summary and Qualifications
As the Clinical Care Coordinator, you will be accountable for ensuring a high standard of quality and coordination of care in support of a Clinically Integrated Network (CIN). You will monitor progress toward network goals, quality care gap management, transitions of care for identified populations, and care coordination to drive quality and cost outcomes for the attributed populations. You will support the CIN care coordination/care management initiatives, which may include outreaching, triaging, and providing care navigation for patients attributed to the CIN.
Conduct outreach and follow up regarding patients that are high and medium risk and gaps in care.
- Provide patient education relative to navigating the health care system and community resources.
- Collaborate with providers and practice teams to communicate patient needs and develop solutions to overcome barriers.
- Collaborate with the payer systems and payer Care Coordinators on specific patient care needs to include encouraging them to work with their applicable payer Case Manager, Disease Manager or Wellness Program designee.
- Supports the efforts of providers and practice teams on office-based care delivery interventions resulting in cost of care savings and improved health outcomes for patients.
- Test and pilot new VBC initiatives and work with leadership on refining processes, helping the CIN achieve contractual metrics.
- Review reports from payers and assist Director of Clinical Operations in the interpretation of the reports and actions needed.
- Assist in the development, implementation and monitoring of CIN policies and procedures as they relate to value-based programs.
- Communicates clearly, regularly and effectively with all levels and functions to create an atmosphere of mutual respect, openness, and encouragement.
- When the need arises, will perform other duties as assigned by supervisor.