Coordinator Patient Care - Quality Assurance Job at Tucson Medical Center (Tucson)

Job Description

Improves current systems of care and optimizes the outcomes of planned care patients by monitoring health metrics, continual outreach, scheduling and coordinating visits. Acts as liaison with TMC, TMC One, ACO and other community resources to improve patient wellness.

Job Responsibility

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 team members in exhibiting 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

Requirements

Associates degree or health care related certification preferred
Two (2) years of related healthcare experience required
Quality metrics and data analysis experience preferred
Ability to critically analyze data reports and develop appropriate action plans
Knowledge of patient care protocols and practices
Knowledge of general patient care practice, methods and regulations
Knowledge of patient privacy regulations
Skill in attending to patients with care and attention to needs
Skill in assisting with more complex patient care programs
Ability to complete routine reports and correspondence
Ability to listen and accurately interpret others' communication or instructions to take appropriate action
Ability to speak effectively in front of doctors, nurses, staff and the general public
Ability to add, subtract, multiply, and divide using whole numbers, common fractions, and decimals
Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions
Demonstrated skill in the use of computer applications and Microsoft Office products and in creating databases and spreadsheets
Ability to deal with problems involving a few concrete variables in standardized situations

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Coordinator Patient Care - Quality Assurance

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