Coordinator Patient Care - TMCOne
Improves current systems of care and optimizes the outcomes of planned care patients by monitoring health metrics, continual outreach, scheduling and coordinating visits. Acts as liaison with TMC, TMC One, ACO and other community resources to improve patient wellness.
Identify patient discharges throughout the community acute care facilities and coordinate follow up care.
Manage complex network of payer based quality metrics to include tracking, monitoring, and analyzing.
Exhibit a driving achievement of quality metrics that affect reimbursement and quality rating of institution.
Collaborate with clinicians and payers to identify barriers to care of high risk populations.
Collaborate with payers to identify risk adjustment scoring.
Collaborate with clinicians and payers to identify and distribute quality data and best practice education.
Review data of identified high risk patients for compliance with medical directives; identifying barriers to compliance.
Updates reports on health outcomes and compliance.
In conjunction with practitioners, create scripts for high risk patients to encourage compliance with standing orders, follow-up visits and other identified factors.
Operates a personal computer, calculator, FAX machine, copy machine or related office machinery in performing assigned duties.
Obtains prior authorizations, manages Home Health and Durable Medical Goods referrals, assists with the scheduling of procedures and performs other related tasks to assist physician and patient.
EDUCATION: Associates degree or health care related certification preferred.
EXPERIENCE: Two (2) years of related healthcare experience required. Quality metrics and data analysis experience preferred.
LICENSURE OR CERTIFICATION: None