HCA, Hospital Corporation of America Quality Care Coordinator in Richmond, Virginia
Virginia Care Partners is an innovative, physician-led network collaborating to change the way healthcare is delivered in the Richmond and Tri-cities area. Network members include primary care and specialty physicians and the nationally recognized HCA Virginia facilities. Measureable quality care; patient, physician and staff satisfaction; and efficient, coordinated care with the patient at the center of care are goals of the network. Network physicians, who want to meet the demands of an industry that is moving from fee for service to fee for value, are committed to improving care delivery that enhances the health and lives of our patients. If you are an interested in being part of a forward-thinking team working at the forefront of payment reform, then apply today!
Position Summary: As Quality Care Coordinator, you will provide population outreach and quality metrics support for primary care physicians and the nurse consultants within the VCP network. This support will include, but not limited to, monitoring of progress towards network goals, gap management, reviewing medical record data/chart reviews to close gaps in care, transitions of care for identified populations, and care coordination to drive quality and cost outcomes for the attributed populations.
Review patients’ data including clinical/claims history, outpatient treatments, medications, electronic medical records, chart reviews or other information to assist in monitoring and facilitation of approved standards of care.
Assist with coordination of care/services as well as care transitions working with both internal and external entities
Analyze documentation and submit appropriate metric and reporting for Quality programs.
Conduct patient outreach to coordinate care for preventative and chronic disease management services to complete gaps in care.
Interacts with other departments to ensure the smooth transfer of member information across the continuum of care
Works closely with primary care offices either onsite or remotely to help provide support in managing the patient population including working and analyzing reports, identify opportunities for improvement, contacting patients via phone, mail or other means.
Assist with referring to appropriate ancillary services such as payer specific CM/DM programs, BH resources, pharmacist support, and other resources as identified.
Assist assigned practices with managing their populations that can include, but not limited to, specific chronic diseases, high ER utilizers, medication compliance, and other identified areas of focus.
Monitor practice progress on an ongoing basis, which may include analysis of data and identifying opportunities for improvement.
Identifies problematic issues, determines reasons and actions taken to resolve, and escalates appropriately
Communicates clearly, regularly and effectively with all levels and functions to create an atmosphere of mutual respect, openness and encouragement.
Maintains the confidentiality of the meetings attended.
Builds rapport and establishes credibility with the physician leadership and members.
Assists members of the quality department and practices with any special projects as needed
Education and Experience:
LPN license or successful completion of an accredited Medical Assistant Program
Knowledge of primary care practice process preferred
Experience with evaluating and monitoring data around quality metrics preferred.
Knowledge, Skills, & Abilities
Proficiency with MS Word, Excel, and Power Point required.
Adaptability – Maintaining effectiveness when experiencing major changes in work tasks or the work environment; adjusting effectively to work within new work structures, processes, requirements, or cultures.
Tactical execution - Effectively manage the project controls of complex processes
Energy – Consistently maintaining high levels of activity or productivity; operating with vigor, effectiveness, and determination over extended periods of time
Managing Conflict – Dealing effectively with others in an antagonistic situation; using appropriate interpersonal styles and methods to reduce tension or conflict between two or more people.
Ability to work independently; resourceful and proactive
Clear and confident communicator internally and with members/external partners
Passionate about improving the healthcare system
Unyielding attention to detail
Ability to travel within the Richmond Metro/Tri-Cities region
WE OFFER A GENEROUS COMPENSATION PACKAGE INCLUDING: Vacation, 401k, Employee Stock Purchase Plan, Paid time off. Dental, vision, life and disability insurance, wellness resources and flexible spending accounts, along with other voluntary benefit options and programs.
WE ARE COMMITTED TO:
Providing versatile work environment where everyone is treated with fairness, dignity and respect.
Recruiting and retaining a diverse staff reflective of the patients and communities we serve.
We are an Equal Opportunity Employer celebrating diversity. We do not discriminate on the basis of race, color, religion, gender, national origin, citizenship, age, disability, sexual orientation, genetic information, gender identity, protected veteran status, or any other legally protected category in accordance to applicable federal, state, or local laws.
Job: *Supervisors Team Leaders & Coordinators
Title: Quality Care Coordinator
Location: Virginia-Richmond-Virginia Quality Care Partners
Requisition ID: 26479-44120