Quality Care TCM Coordinator
Center for Primary Care
Who we are:
For over 30 years the Center for Primary Care (CPC) has cared for families in the CSRA by providing patients with the most convenient, accessible, and personal healthcare available. Our mission is to improve the health and wellbeing of the families we serve by providing compassionate and high-quality care in a joyful setting. The physicians, healthcare professionals, and support team at our 9 practices, plus laboratory, imaging, and corporate locations work to transform our mission into action.
What our employees say:
At Center for Primary Care, we understand that the work environment is as important as the hard work you do. Center for Primary Care is Great Place to Work Certified which means our employees share feedback on their work culture experiences and we listen and strive to create positive employee experiences centered on joy, trust, and belonging.
Learn more about CPC’s culture and Great Place to Work Certification by clicking on the link below: Working at Center for Primary Care | Great Place To Work®
Benefits for you and your family:
Coverage that cares for body, mind, and spirit.
Retirement plan with generous employer match and profit sharing.
Mental Health Support Services.
PTO and Paid Parental Leave.
Scheduled Bonuses.
Quality Care TCM Coordinator
The Quality Care TCM Coordinator (QCC) is responsible for coordinating aspects of patient care following a hospital, short-term nursing facility or rehab discharge, including working directly with our patient population and their families, physicians, clinicians, and other medical personnel.
Key Responsibilities:
Essential Functions
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Demonstrates, through behavior, Center for Primary Care’s Mission Statement.
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Supports quality improvement activities including data management and reporting, health insurance incentive programs, and other value-based reimbursement programs.
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Monitors key internal and external clinical quality metrics reports, and other performance reports.
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Collaborates with practices to identify opportunities for improvement and develops supportive plans to target opportunities using quality improvement methods and tools.
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Assists in providing education for staff and providers on quality and population health initiatives to maintain or improve performance.
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Supports clinical data collection, completes clinical chart reviews and uploads chart records for: Medicare, Medicare Advantage, and other insurance programs, as indicated.
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Provides support for the practice to meet organizational quality and efficiency goals through optimizing provider and patient engagement.
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Communicates with local specialist offices or other entities to coordinate care and ensure patient follow up and record collection.
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Completes Patient Assessment Forms for all eligible insurance plans and tracks progress for completion and payment.
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Attends planned meetings scheduled by the Manager of Quality Care Coordination.
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Communicates with DCM regarding physician inquiries, requests, and/or concerns.
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Communicates with the physicians regarding patient concerns and physician preferences for scheduling.
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Supports quality improvement by guiding patients as they transition from an inpatient facility, such as a hospital, rehab, or short-term nursing home to their home, domiciliary or assisted living facility.
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Prepping visit notes for upcoming transitional care management visits.
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Ensuring that all documents related to patient’s discharge have been obtained and scanned into chart prior to visit.
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Fielding incoming calls from area hospitals and routing messages to the appropriate locations for scheduling of needed tests.
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Monitoring and reviewing post-visit reports for patients who have been seen for transition of care visits.
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Attending planned meetings as deemed necessary by supervisor.
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Communicates manager regarding physician inquiries, requests, and/or concerns.
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Communicates with the physicians when needed, regarding patient concerns or with other matters as they arise.
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Communicates with local specialist offices or other entities to coordinate care and ensure patient follow up and record collection.
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Assists in providing education for staff and providers on TCM initiatives to maintain or improve 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.
Education: High School Diploma or GED required.
License/Certification: Licensed Practical Nurse (LPN) or Certified Medical Assistant required.
Experience: At least two (2) years of recent clinical experience. Experience with AthenaOne strongly preferred.
- Strong working medical knowledge of the clinical needs and disease processes for the chronically ill population.
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Knowledge of general health care practices, office workflows, and medical terminology.
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Excellent telephone, oral and written communication skills.
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Ability to work autonomously and be directly accountable for assignments.
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Strong computer skills, including Microsoft office and EMR experience.
Additional Job Details:
Work Setting: On-site
Job Type: Full-Time
Schedule: Monday-Friday
Compensation: Market competitive base pay, commensurate with education and experience.
Center for Primary Care is an equal opportunity employer and complies with federal, state, and local anti-discrimination laws, regulations, and ordinances.
Center for Primary Care is a Drug-Free Workplace employer.
