Care Coordinator WFH PSG

Introduction

The Care Coordinator directs, plans, and supports PSG practices in successfully meeting CMS, ACO and payor care coordination and quality initiatives.

***This position has a Hybrid work schedule with 1 day in the Division Office and ability to travel locally as needed, qualified candidates must be in the Salt Lake City, Utah area or be willing to relocate.***

Benefits

We are committed to providing our employees with the support they need. At MountainStar Healthcare, we offer eligible colleagues an attractive benefit package that includes medical, wellbeing, dental and vision benefits along with some unique benefits including:

• Medical, Dental, Vision, Life Insurance and Flexible Spending
• Paid Time Off (PTO) and Personal Leave
• 401K (100% annual match – 3% to 9% of pay based on years of service)
• Academic Assistance and Reimbursements for Tuition and Student Loans
• Employee Discounts including Tickets, Retail, Mental Health Apps, Education Apps, Identity Theft Protection etc.
• Home, Auto, and Pet Insurance
• Employee Stock Purchase Program (ESPP)
• Short Term & Long Term Disability coverage
• Adoption Assistance
• Legal Benefits and lots more!

Learn more about Employee Benefits

Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Care Coordinator WFH PSG where your passion for creating positive patient interactions are valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!

Job Summary and Qualifications

• Maintains knowledge of payor and regulatory requirements with the ability to work effectively under pressure
• Attends learning sessions and shares information learned with team members
• Collaborates with interdisciplinary team(s) to achieve the organization’s coordination of care goals, quality goals, and financial performance goals
• Prepares, conducts, and manages in-person and virtual meetings with practice managers, staff, providers and Care Managers to communicate results and provide education on opportunities for improvement
• Prepares and submits minutes from all meetings, as directed
• Maintains the strictest confidentiality in the areas of patient, employee, and physician relations
• Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement”
• Acts as a patient advocate to facilitate improved patient outcomes
• Performs related work and additional duties as requested by supervisor

Care Gaps

• Monitors patient compliance with preventive screening processes using internal and payor reporting tools
• Accesses portals as necessary to prepare reports and other documents to evaluate progress and prioritize workload
• Communicates via telephone and other virtual tools with patients regarding care needs, documenting communications appropriately in the electronic medical record
• Prepares and maintains patient charting as needed and performs medical record reviews for payor projects
• Assists in securing and submitting necessary documentation for annual patient assessment forms (PAFs)
• Identifies and communicates potential behavioral health care gaps as appropriate

Transitions of Care

• Contacts patients after an emergency department encounter or hospital discharge to identify the need for a follow-up appointment, community resource needs, etc.
• Refers patients for care management, as needed
• Documents activities in the medical record to support transition of care services as specified by CMS and other program requirements

Care Management

• Uses available tools to identify at-risk patients
• Refers patients for medical and/or behavioral health care management, as needed
• Documents efforts in accordance with established workflow protocols
• Identifies patients eligible for chronic care management
• In partnership with the Care Manager, ensures comprehensive chronic care management is established for eligible patients
• In collaboration with the Care Manager, oversees and executes on patient care plans
• Manages patient referrals to medical or behavioral health specialists as directed by Care Manager
• Assists in identifying and engaging community resources to assist patients as needed

Population Health

• Assists with practice and provider empanelment processes
• Schedules appointments related to preventive care, chronic disease management, and/or integrated behavioral health
• Prepares and maintains care coordination reports and provides periodic updates to practice leaders and providers
• Conducts wellness campaigns for targeted, focus areas

Qualifications:

• Graduate of a certified Medical Assistant program, Nursing Assistant, LPN/LVN, or other healthcare education preferred
• One year of medical office, care coordination, or utilization experience highly preferred
• Working knowledge of Microsoft Office, PowerPoint, Internet, Adobe, and MS Outlook
• Excellent oral and written communication skills with the ability to prepare reports with quality data and attention to detail and accuracy
• Working knowledge of electronic medical records, medical terminology, ICD-10, CPT II coding, HEDIS measures, and/or medical office processes
• Self-motivated and flexible to the changing needs of the program, team and work environment with the ability to self-direct including prioritization of multiple simultaneous tasks

Physician Services Group is skilled in physician employment, practice and urgent care operations. We are experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170+ urgent care centers. We are HCA Healthcare’s graduate medical education leader. We provide direction for over 260 exceptional resident and fellowship programs. We focus on carrying out value-added solutions. These solutions help physicians deliver patient-centered healthcare. We support HCA Healthcare’s commitment to the care and improvement of human life.

HCA Healthcare has been named one of the World’s Most Ethical Companies by Ethisphere Institute for over a decade. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

“Bricks and mortar do not make a hospital. People do.”- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Care Coordinator WFH PSG opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.