RN Quality Ambulatory Care Coordinator

Found in: Lensa US P 2 C2 - 2 weeks ago


Lexington, United States CommonSpirit Health Full time

Overview The RN Quality Ambulatory Care Coordinator is responsible for supporting the quality initiatives of the clinically integrated network. These functions include: Auditing medical records for qualifying documents that meet requirements to close gaps in care. Accessing multiple care management and payor applications to capture and submit documentation and claims information related to patient visits and services. This role works closely with providers and practice staff in the clinically integrated network (CIN) to communicate and promote best practices for billing, coding, documentation, and improved patient outcomes. RN Quality Ambulatory Care Coordinators review and share the quality performance of their assigned practices and work closely with Ambulatory Care Coordinators to identify barriers related to quality outcomes. This position is remote with required local travel. Responsibilities Essential Key Job Responsibilities The key deliverables include: Pre and post visit documentation and claims auditing. Validate clinical documentation in conjunction with contracted HEDIS measures and best practices. Access clinical documentation for compliance in accordance with the American Medical Association and the Centers for Medicare and Medicaid Services Coding and Documentation guidelines, regulations of federal and state agencies and third party payers. Participate in external audit requests and special projects as needed. Working with a variety of systems and interfaces to achieve this accuracy Optimization of reimbursement Communication with patients and providers in a post-acute setting. Health promotion activities Identify barriers to quality outcomes/reimbursement and report them to the Quality Manager. Bi-monthly communication with assigned practices This position will report on the following key result areas and will take steps to recommend intervention in areas demonstrating less than optimal performance: Audit and project outcomes Improve reimbursement Collaboration, organization, and attention to detail are critical skill sets for this position. Access to sensitive initiatives and patient information may be necessary to perform these job duties; therefore ability to maintain confidentiality is a requirement. It is vital that an individual in this position be capable of good communication skills. It is of the utmost importance that written communication is legible. The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned. Qualifications Minimum Qualifications Required Education and Experience BSN required, Prior experience in direct patient care, care coordination, disease management, managed care. Experience navigating electronic medical records and healthcare claims data. Required Licensure and Certifications RN, with current state licensure Required Minimum Knowledge, Skills, Abilities and Training 5 years of clinical,case management and /or healthcare experience. Experience working with Medicare and Medicaid populations. Strong communication skills Knowledge and experience with information technology Ability to work autonomously within a matrix environment/remote workspace. Dependable transportation for required travel Experience in patient education and advocacy. Motivational Interviewing



  • Lexington, United States Catholic Health Initiatives Full time

    **Overview** **Job Summary / Purpose** The RN position is responsible for coordinating a wide range of self-management support and disease registry activities for entire populations. Collaboration with physicians, staff and other care team members to improve quality care and outcomes is essential to the multi-discipline approach needed to manage these...

  • AMBULATORY CARE COORDINATOR RN

    Found in: Careerbuilder One Red US C2 - 1 day ago


    Lexington, KY 40598, USA, United States Common Spirit Full time

    OverviewJob Summary / PurposeThe RN position is responsible for coordinating a wide range of self-management support and disease registry activities for entire populations. Collaboration with physicians, staff and other care team members to improve quality care and outcomes is essential to the multi-discipline approach needed to manage these...

  • Care Coordinator RN

    3 days ago


    Lexington, United States Catholic Health Initiatives Full time

    **Overview** Saint Joseph Hospital is a 433-bed facility located in Lexington Kentucky. Founded in 1877 a small group of Sisters of Charity of Nazareth in Kentucky led by Sister Euphrasia Stafford began their health ministry. Their mission was to provide compassionate care to the poor and underserved – a tradition still carried out today. Saint Joseph...

  • Care Coordinator RN

    Found in: Resume Library US A2 - 7 days ago


    Lexington, Kentucky, United States CommonSpirit Health Full time

    Overview: Saint Joseph Hospital is a 433-bed facility located in Lexington Kentucky. Founded in 1877 a small group of Sisters of Charity of Nazareth in Kentucky led by Sister Euphrasia Stafford began their health ministry. Their mission was to provide compassionate care to the poor and underserved – a tradition still carried out today. Saint Joseph...


  • Lexington, United States Boston Children's Hospital Full time

    Job Posting DescriptionThis Clinical Coordinator will be responsible for:Planning organizing and overseeing daily clinical and administrative operations of Lexington Perioperative operations.Preparing staff schedules, requests and allocates resources and facilitates coordination of care/services to meet patient care and operations requirements.Developing,...


  • Lexington, United States Boston Children's Hospital Full time

    Job Posting DescriptionThis Clinical Coordinator will be responsible for: Planning organizing and overseeing daily clinical and administrative operations of Lexington Perioperative operations. Preparing staff schedules, requests and allocates resources and facilitates coordination of care/services to meet patient care and operations requirements. Developing,...

  • MDS Coordinator/RN

    Found in: beBee jobs US - 2 weeks ago


    Lexington, Kentucky, United States Genesis HealthCare Full time

    Abbotts Creek is hiring a full time, registered nurse to join our team. Schedule is Monday through Friday, 8am to 5pm, no weekends, no on call rotation. MDS/Clinical Reimbursement Coordinator. Benefits.Nursing Student Loan Debt Repayment and Tuition Assistance.Variable compensation plans.Tuition, Travel, and Wireless Service Discounts.Employee Assistance...


  • Lexington, United States Ally Home Care Full time

    Job DescriptionJob DescriptionJob Types: Full-time, Part-timePay: From $13.00 per hourPersonal Care Aide - Job DescriptionAlly Home Care provides home care services, which cover a broad range of health care and social services. We believe in providing a better economic and more humanistic approach to health care. We are passionate about caring for our...


  • Lexington, United States Ally Home Care Full time

    Job DescriptionJob DescriptionJob Types: Full-time, Part-timePay: From $13.00 per hourAlly Home Care provides home care services, which cover a broad range of health care and social services. We believe in providing a better economic and more humanistic approach to health care. We are passionate about caring for our clients and employees. Our core values...


  • Lexington, United States Randstad North America, Inc. Full time

    A Global Biotech Pharma Company located in Lexington, MA is seeking a Patient Care Coordinator (Hybrid) to join their team! The Care Coordinator is a dynamic and essential member of our team, adept at offering multifaceted support across a variety of Care Coordinator, Patient Care, Coordinator, Patient, Healthcare, Staffing


  • Lexington, United States Common Spirit Full time

    Overview Saint Joseph East is a 217-bed full-service community hospital located in the rapidly growing southeastern section of Lexington Kentucky. We provide care for patients in Fayette and surrounding counties. At Saint Joseph East ambulatory surgery 24-hour emergency care and women's health services are supported through a vast array of inpatient and...

  • Non-Certified Surgical Technologist

    Found in: Lensa US P 2 C2 - 7 days ago


    Lexington, United States Surgical Care Affiliates Full time

    Overview Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality...

  • RN Care Manager

    Found in: Resume Library US A2 - 2 weeks ago


    Lexington, Kentucky, United States Shriners Children's Full time

    Company Overview: Shriners Children’s is a family that respects, supports, and values each other. We are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our...

  • MDS Coordinator

    Found in: beBee jobs US - 7 days ago


    Lexington, North Carolina, United States Abbotts Creek Center Full time

    Abbotts Creek is hiring a full time, registered nurse to join our team. Schedule is Monday through Friday, 8am to 5pm, no weekends, no on call rotation. MDS / Clinical Reimbursement Coordinator.Benefits*Nursing Student Loan Debt Repayment and Tuition Assistance*Variable compensation plans*Tuition, Travel, and Wireless Service Discounts*Employee Assistance...

  • OPERATING ROOM RN

    Found in: Careerbuilder One Red US C2 - 1 day ago


    Lexington, KY 40508, USA, United States Surgery Care Affiliates Full time

    OverviewToday, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality...

  • RN 3 Tele

    Found in: Resume Library US A2 - 2 weeks ago


    Lexington, Kentucky, United States CommonSpirit Health Full time

    Overview: Saint Joseph East is a 217-bed full-service community hospital located in the rapidly growing southeastern section of Lexington Kentucky. We provide care for patients in Fayette and surrounding counties. At Saint Joseph East ambulatory surgery 24-hour emergency care and women’s health services are supported through a vast array of inpatient and...

  • Patient Care Assistant

    Found in: Talent US C2 - 1 day ago


    Lexington, United States Continuing Care Hospital Inc Full time

    Overview CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the . & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four . residents. Our world needs compassion like never before. Our...

  • Monitor Tech Unit Coordinator ICU

    Found in: Talent US C2 - 6 days ago


    Lexington, United States CHI Saint Joseph East Full time

    Overview Saint Joseph East is a 217-bed full-service community hospital located in the rapidly growing southeastern section of Lexington Kentucky. We provide care for patients in Fayette and surrounding counties. At Saint Joseph East ambulatory surgery 24-hour emergency care and women’s health services are supported through a vast array of inpatient and...

  • Registered Nurse

    2 weeks ago


    lexington, United States Agape Care Group Full time

    Overview: Join Our Team as a Registered Nurse (PRN)Do you value the time you spend with your patients? Is it important to you that your patients and their families know and feel that you are with them?  We are looking for registered nurses who are committed to creating meaningful patient experiences. As a registered nurse on our team, you’ll evaluate...


  • Lexington, United States Phoenix Senior Living Full time

    Job DescriptionJob DescriptionDescription:Lexington Country Place is hiring a Staff Development Coordinator.Monday-Friday with On- Call ResponsibilitiesThe Staff Development Coordinator will:· Develop, implement, and maintain an effective training program for all new and existing staff. · Create methods to identify and track current staff skill sets,...