Patient Care Quality Coordinator

Tucson Medical Center; Tucson, Northern (AZ, KY); Hybrid; USD 48,000 - 62,000; Full time

Job summary

Tucson Medical Center is seeking a Coordinator Patient Care for TMCOne - Quality Assurance to optimize care delivery by monitoring health metrics and coordinating follow-up visits. You will liaise with TMC, TMC One, ACO and community resources to improve patient wellness.

Responsibilities include identifying discharges, managing quality metric tracking, and collaborating with clinicians and payers to overcome barriers to care while ensuring compliance with medical directives and reporting on

Qualifications

• Associates degree or health care certification preferred.
• Two (2) years of related healthcare experience required.
• Quality metrics and data analysis experience preferred.

Responsibilities

• 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.
• Exhibits excellence in customer service through appropriate attitude and interaction with all patients, visitors and staff.
• Adheres to and supports TMCH values of integrity, community, compassion, and dedication.
• Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards.
• Performs related duties as assigned.

Skills

Data analysis

Patient care protocols

Privacy regulations

Patient interaction

Complex care programs

Routine reporting

Active listening

Public speaking

Basic math

Follow instructions

MS Office / databases

Problem solving

Education

Associates degree or health care certification preferred

Job description

Tucson Medical Center is seeking a Coordinator Patient Care for TMCOne - Quality Assurance to optimize care delivery by monitoring health metrics and coordinating follow-up visits. You will liaise with TMC, TMC One, ACO and community resources to improve patient wellness.

Responsibilities include identifying discharges, managing quality metric tracking, and collaborating with clinicians and payers to overcome barriers to care while ensuring compliance with medical directives and reporting on