Quality Care TCM Coordinator

2 months ago

Martinez, United States Center for Primary Care Full time
Job DescriptionJob Description

Summary: The Quality Care TOC Coordinator is responsible for facilitating transitional/post-acute care for patients by scheduling and assisting in a timely, high quality, and efficient manner. The coordinator will work directly with our patient population and their families, physicians, clinicians and other medical personnel.

Education: High School Diploma. Certified Medical Assistant (CMA) or equivalent or Licensed Practical Nurse (LPN) licensure required.

Experience: Minimum 2 years of recent clinical experience.

Essential Job Functions:

  • Supports quality improvement by guiding patients as they transition from an inpatient facility, such as a hospital, rehab, or short-term nursing home to their home, domiciliary or assisted living facility.
  • Reviewing and monitoring admission and discharge reports from hospital and payer portals and reports.
  • Taking incoming calls from area hospitals and scheduling patients for follow-up visits.
  • Conducting patient outreach within two days of discharge to address patient status as well as coordinating a follow-up visit for patient within 14 days of discharge.
  • Ensuring that all documents related to patient’s discharge have been obtained and scanned into chart prior to visit.
  • Communicates with the physicians when needed, regarding patient concerns or with other matters as they arise.
  • Monitors key internal and external clinical quality metrics reports, and other performance reports.
  • Collaborates with practices to identify opportunities for improvement and develops supportive plans to target opportunities using quality improvement methods and tools.
  • Communicates with manager regarding physician inquiries, requests, and/or concerns.
  • Assists in providing education for staff and providers on TCM initiatives to maintain or improve performance.
  • Provides support for the practice to meet organizational TCM goals through optimizing provider and patient engagement.
  • Attend planned meetings scheduled by the Manager of Quality Care Coordination.

This list is not meant to be restrictive, totally inclusive, or limited in employee assignment or responsibilities.

Performance Requirements:

Knowledge, Skills and Abilities

  • Strong working medical knowledge of the clinical needs and disease processes for the chronically ill population
  • Knowledge of general health care practices, office workflows, and medical terminology
  • Excellent telephone, oral and written communication skills.
  • Ability to work autonomously and be directly accountable for assignments
  • Strong computer skills, including Microsoft office and EMR experience

Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, telephone, calculators, etc.

Work Environment: Position is primarily in a well-lit office environment. This position may require limited local travel throughout the business day.

Mental/Physical Requirements: While performing the duties of this job, the employee is regularly required to talk or hear. The employee is primarily sitting at a desk utilizing a computer.

DISCLAIMER

The above information is intended to describe the general nature and level of work being performed by people assigned to this job. It is not intended to be an exhaustive list of responsibilities, duties and skills required of personnel so classified. Examples listed do not preclude the performance of other duties similar in nature or in level of complexity.

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