Company

Pm Capital Care CoordinationSee more

addressAddressRichmond, VA
type Form of workFull-time
CategoryInformation Technology

Job description

***While this position is WFH, it does require being located in the Richmond, VA area to attend meetings and site visits as required.***


Introduction

Do you want to join an organization that invests in you as a Care Coordinator WFH? At Work from Home, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Job Summary & Qualifications

Seeking a Care Coordinator for our practice who provides clinical expertise to ensure all patients receive high quality, efficient care. The Care Coordinator directs, plans, and supports PSG practices in successfully meeting CMS, ACO and payor care coordination and quality initiatives. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do.

What you will do in this role:

General

  • Maintains knowledge of payor and regulatory requirements with the ability to work effectively under pressure
  • Attends learning sessions and shares information learned with team members
  • Collaborates with interdisciplinary team(s) to achieve the organization’s coordination of care goals, quality goals, and financial performance goals
  • Prepares, conducts, and manages in-person and virtual meetings with practice managers, staff, providers and Care Managers to communicate results and provide education on opportunities for improvement
  • Prepares and submits minutes from all meetings, as directed
  • Maintains the strictest confidentiality in the areas of patient, employee, and physician relations
  • Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement”
  • Acts as a patient advocate to facilitate improved patient outcomes
  • Performs related work and additional duties as requested by supervisor

Care Gaps

  • Monitors patient compliance with preventive screening processes using internal and payor reporting tools
  • Accesses portals as necessary to prepare reports and other documents to evaluate progress and prioritize workload
  • Communicates via telephone and other virtual tools with patients regarding care needs, documenting communications appropriately in the electronic medical record
  • Prepares and maintains patient charting as needed and performs medical record reviews for payor projects
  • Assists in securing and submitting necessary documentation for annual patient assessment forms (PAFs)
  • Identifies and communicates potential behavioral health care gaps as appropriate

Transitions of Care

  • Contacts patients after an emergency department encounter or hospital discharge to identify the need for a follow-up appointment, community resource needs, etc.
  • Refers patients for care management, as needed
  • Documents activities in the medical record to support transition of care services as specified by CMS and other program requirements

Care Management

  • Uses available tools to identify at-risk patients
  • Refers patients for medical and/or behavioral health care management, as needed
  • Documents efforts in accordance with established workflow protocols
  • Identifies patients eligible for chronic care management
  • In partnership with the Care Manager, ensures comprehensive chronic care management is established for eligible patients
  • In collaboration with the Care Manager, oversees and executes on patient care plans
  • Manages patient referrals to medical or behavioral health specialists as directed by Care Manager
  • Assists in identifying and engaging community resources to assist patients as needed

Population Health

  • Assists with practice and provider empanelment processes
  • Schedules appointments related to preventive care, chronic disease management, and/or integrated behavioral health
  • Prepares and maintains care coordination reports and provides periodic updates to practice leaders and providers
  • Conducts wellness campaigns for targeted, focus areas

What Qualifications you will need:

  • Must be located in the Richmond, VA area for required site visits and meetings.
  • Graduate of a certified Medical Assistant program, Nursing Assistant, LPN/LVN, or other healthcare education preferred
  • One year of medical office, care coordination, or utilization experience highly preferred
  • Medical Assistant Certification or LPN/LVN preferred
  • Working knowledge of Microsoft Office, PowerPoint, Internet, Adobe, and MS Outlook
  • Excellent oral and written communication skills with the ability to prepare reports with quality data and attention to detail and accuracy
  • Working knowledge of electronic medical records, medical terminology, ICD-10, CPT II coding, HEDIS measures, and/or medical office processes
  • Self-motivated and flexible to the changing needs of the program, team and work environment with the ability to self-direct including prioritization of multiple simultaneous tasks

Benefits

Work from Home, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  • Family support through fertility and family building benefits with Progyny and adoption assistance.
  • Referral services for child, elder and pet care, home and auto repair, event planning and more
  • Consumer discounts through Abenity and Consumer Discounts
  • Retirement readiness, rollover assistance services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Physician Services Group is skilled in physician employment, practice and urgent care operations. We are experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170+ urgent care centers. We are HCA Healthcare’s graduate medical education leader. We provide direction for over 260 exceptional resident and fellowship programs. We focus on carrying out value-added solutions. These solutions help physicians deliver patient-centered healthcare. We support HCA Healthcare's commitment to the care and improvement of human life.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"


"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Care Coordinator WFH opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

***Must be located in the Richmond, VA area to attend required in-person site visits and meetings as needed.***

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Benefits

Employee stock purchase plan, Disability insurance, Health insurance, 401(k), Flexible spending account, Tuition reimbursement, Paid time off, Adoption assistance, Family leave, Work from home, Vision insurance, 401(k) matching, Pet insurance
Refer code: 8089742. Pm Capital Care Coordination - The previous day - 2024-02-03 11:42

Pm Capital Care Coordination

Richmond, VA
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