Quality Care TCM Coordinator

Kids for the Future; Augusta (GA); On-site; USD 42,000 - 56,000; Full time

Job summary

Center for Primary Care in Augusta, GA seeks a Quality Care TCM Coordinator to coordinate post-discharge care across hospital, rehab, or SNF with patients, families, physicians, and staff.

Responsibilities include data management, quality improvement, and ensuring follow-up care and records; focus on transitions of care and patient outcomes.

Qualifications

• Education: High School Diploma or GED required.
• At least two years of recent clinical experience.
• Experience with AthenaOne strongly preferred.
• Strong working medical knowledge of chronic care needs.

Responsibilities

• Coordinate care after discharge across hospital, short-term facilities, and home.
• Assist in data collection, chart reviews, and post-discharge records.
• Support quality improvement activities and reporting.
• Communicate with physicians and families regarding care plans.
• Schedule and coordinate follow-up tests and visits.
• Educate staff on quality and population health initiatives.

Skills

Clinical knowledge

Communication skills

EMR experience

AthenaOne experience

MS Office

Education

High School Diploma or GED

Tools

AthenaOne

EMR

Microsoft Office

Job description

• Location 4487 Columbia Rd,Augusta, GA, 30907,United States
• Job Category CPC-Corporate, TCM Coordinator
• Employee Type Full-Time Non-Exempt
• Required Degree High school
• Manage Others No

Contact information

• Email [e-mail]

Description

Quality Care TCM Coordinator

Center for Primary Care

Whowe are:

Forover30yearstheCenterforPrimaryCare(CPC)hascaredforfamiliesintheCSRAbyprovidingpatientswith the most convenient, accessible, and personal healthcare available. Our mission is to improve the health and wellbeingofthefamiliesweservebyprovidingcompassionateandhigh-qualitycareinajoyfulsetting.The physicians,healthcareprofessionals,andsupportteamatour9practices,pluslaboratory,imaging,andcorporate locationsworktotransformourmissionintoaction.

What our employees say:

AtCenterfor Primary Care,weunderstandthatthework environmentisasimportantasthe hardwork youdo. Center for Primary Care is Great Place to Work Certified which means our employees share feedback on their workcultureexperiencesandwelistenandstrivetocreatepositiveemployeeexperiencescenteredonjoy,trust, andbelonging.

Coveragethatcaresforbody,mind,and spirit.

Retirementplanwithgenerousemployermatchandprofitsharing.

Mental Health Support Services.

PTO and Paid Parental Leave.

Quality Care TCM Coordinator

The Quality Care TCM Coordinator (QCC) is responsible for coordinating aspects of patient care followingahospital,short-termnursingfacilityorrehabdischarge,includingworkingdirectlywithourpatient population and their families, physicians, clinicians, and other medical personnel.

Key Responsibilities:

Essential Functions

• Demonstrates, through behavior, Center for Primary Care’s Mission Statement.
• Supports quality improvement activities including data management and reporting, health insurance incentive programs, and other value-based reimbursement programs.
• 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.
• Assists in providing education for staff and providers on quality and population health initiatives to maintain or improve performance.
• Supports clinical data collection, completes clinical chart reviews and uploads chart records for: Medicare, Medicare Advantage, and other insurance programs, as indicated.
• Provides support for the practice to meet organizational quality and efficiency goals through optimizing provider and patient engagement.
• Communicates with local specialist offices or other entities to coordinate care and ensure patient follow up and record collection.
• Completes Patient Assessment Forms for all eligible insurance plans and tracks progress for completion and payment.
• Attends planned meetings scheduled by the Manager of Quality Care Coordination.
• Communicates with DCM regarding physician inquiries, requests, and/or concerns.
• Communicates with the physicians regarding patient concerns and physician preferences for scheduling.
• S upportsqualityimprovementbyguidingpatientsastheytransitionfromaninpatientfacility,suchasa hospital, rehab, or short-term nursing home to their home, domiciliary or assisted living facility.
• Preppingvisitnotesforupcomingtransitionalcaremanagement visits.
• Ensuringthatalldocumentsrelatedtopatient’sdischargehavebeenobtainedandscannedintochartpriorto visit.
• Fieldingincomingcallsfromareahospitalsandroutingmessagestotheappropriatelocationsforschedulingof needed tests.
• Monitoringandreviewingpost-visitreportsforpatientswhohavebeenseenfortransitionofcare visits.
• Attendingplannedmeetingsasdeemednecessary by supervisor.
• Communicatesmanagerregardingphysicianinquiries,requests, and/or concerns.
• Communicateswiththephysicianswhenneeded, regardingpatientconcernsorwithothermattersasthey arise.
• Communicateswithlocalspecialistofficesorotherentitiestocoordinatecareandensurepatientfollowupand record collection.
• Assistsinproviding educationforstaff andprovidersonTCMinitiativestomaintain orimprove performance.

All essential functions must be performed. Reasonable accommodations may be made to enable individuals with qualified disabilities to perform the essential functions . 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.

Requirements

Qualificationsfor Success:

Education, License/Certification, and Experience Requirements

Education: High School Diploma or GED required.

License/Certification: LicensedPracticalNurse (LPN)orCertifiedMedicalAssistant required.

Experience: At least two (2) years of recent clinical experience. Experience with AthenaOne strongly preferred.

• Strongworkingmedicalknowledgeofthe clinical needsanddiseaseprocessesforthechronicallyill population.
• Excellenttelephone,oral andwrittencommunication skills.
• Abilitytoworkautonomously andbedirectly accountablefor assignments.
• Strongcomputerskills,includingMicrosoftofficeandEMR experience.

Additional Job Details:

Work Setting: On-site

JobType: Full-Time

Schedule: Monday-Friday

Compensation: Marketcompetitivebasepay,commensuratewitheducationand experience.

Summary

Center for Primary Care isan equal opportunity employer and complieswith federal,state,and local anti-discrimination laws, regulations, and ordinances.