Nursing Support Coordinator Quality

Trinity Health; United States; On-site; USD 26,000 - 40,000; Full time

Job summary

Trinity Health, in partnership with St. Joseph's Health, seeks a Patient Navigator to support value-based care and patient-centered services. The role focuses on coordinating preventive screenings, chronic care management, and improving health maintenance documentation within the Central New York Network.

You will engage patients, assist care teams, and contribute to quality reporting. The position emphasizes data-driven workflow and collaboration with primary care staff to enhance patient

Qualifications

• High School Diploma required; Bachelor's degree preferred.
• Relevant experience in health care, population health, care management, or related support role.
• Excellent verbal/written communication, interpersonal, problem-solving, and critical thinking skills.
• Proficiency in Microsoft Office (Excel, Access, Word).

Responsibilities

• Supports care teams in improving quality performance and patient engagement.
• Coordinates follow-up appointments and preventive screenings with primary care staff.
• Improves documentation in the electronic health record and supports quality reporting.
• Assists in preventive services outreach to improve health maintenance adherence and close care gaps.
• Acts as a point of contact for patients and families to access primary care and preventive services.

Skills

Verbal communication

Written communication

Interpersonal skills

Problem solving

Critical thinking

Education

High School Diploma

Bachelor's degree preferred

Tools

Excel

Access

Word

Job description

Employment Details

Employment Type: Full time Shift: Description:

Mission Statement

Mission Statement: We, St Joseph's Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

Vision

Vision: To be world-renowned for passionate patient care and outstanding clinical outcomes.

Core Values

Core Values: In the spirit of good Stewardship, we heal by practicing Justice in fostering right relationships to promote common good, Reverence in honoring the dignity of every person, Excellence in expecting the best of ourselves and others; Integrity in being faithful to who we say we are.

Position Summary

The patient navigator role was developed to support the organization’s increasing commitment to value-based and patient-centered health care. The patient navigator assists care teams in improving quality performance and support patient engagement to consistently improve health maintenance needs and coordinate care throughout our Central New York (CNY) Network. Patient Navigator encourage preventive and chronic care management, improves health maintenances documentation in the medical record to support quality reporting, and foster strong patient-provider relationships. The patient navigators facilitate necessary follow-up appointments, preventive screenings, and coordinate with primary care staff to increase patient adherence to their established medical plan. Their work is data-driven and utilizes a population health approach to identify and assist patients and providers to improve health care outcomes. Patient navigator will focus on key target measures and populations. Efficiently engage patients with primary care services. All patients seen at least once a year for an Annual Wellness Visit or follow-up visit with PCP. Consistent pre-visit planning review and communication with care team members. Close quality gaps in care and updates electronic health record. Efficiently support the documentation and follow-up of patients with A1c poor control and Hypertension. Improve preventive screenings, such as breast and colorectal cancer screenings, by engaging patients and consolidating results in patient chart. Supports quality reporting, supplemental data submission and abstraction. Support Clinical Coding Documentation to close gaps in care among high-risk target populations.

Education Requirements

High School Diploma, Bachelors preferred.

Experience Requirements

Relevant experience in health care, population health, care management, or related support role. Excellent verbal/written communication, interpersonal, problem-solving, and critical thinking skills. Proficiency in Microsoft Office (Excel, Access, Word). Ability to work autonomously and adjust to changing needs as the role develops.

Supervisory Responsibilities

Number of Staff Supervised: 0

FTE’s Supervised: 0

Job Titles of Staff Supervised:

Level of Supervisory Responsibility (Check all that apply)

• Serves as technical expert to group of peers
• Assigns work and schedules time off
• Appraises performance
• Makes hire, fire, disciplinary, and related decisions
• Has budget accountability
• Manages through subordinate supervisors

Working Conditions and Physical Requirements

Code: N-Never; O-Occasionally (<20%); F-Frequently (20%-80%); C-Constantly

Exposure to Adverse Working Conditions: O Noise, Noxious Odors, Temperatures O Potentially Threatening Abusive Clients O Hazardous Materials O Communicable Diseases

Physical Conditions: F Close eye Work (computers, typing, reading, writing) O Sedentary (continuous sitting) F Light Work (standing, walking, lifting <15 pounds) F Moderate Work (lifting 15-30 pounds, prolonged use of small hand instruments) O Moderately Heavy Work (lifting, moving, loading 31-50 pounds) N Heavy/Hard Work (above average strength and stamina, lifting >51 pounds) O Heavy/Hard Work (patient handling/lifting, maximum 35 pounds)

Job Specific Competencies

Proactively identifies patients with health maintenance or chronic care management needs. Leads patient outreach to ensure health maintenance compliance, especially on preventive services such as annual wellness visits, breast cancer screening, colorectal cancer screening, depression screening, hypertension, and diabetes follow-ups. Support primary care pre-visit planning and quality reporting. Supports Quality Incentive programs to increase Medicare star rating scores and compliance. Supports Clinical Coding Documentation to close gaps in care among target populations. Appropriately refers patients to health coach, social work, health home or other staff, as needed. Acts as a point of contact for patients and families to facilitates access to primary care and preventive services. Other assigned responsibilities as the role develops. Reports to System Population Health Performance manager and works in collaboration with primary care teams.

Pay Range

Pay Range based on experience and location: $19.20-$28.80

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Trinity Health

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.