Quality Care Coordinator: Value-Based Care

Job Type

Full-time

Description

SUMMARY

The LSU Healthcare Network is a non-profit, academic, multi-specialty healthcare delivery system dedicated to patient care, research, and education. You can be a part of a progressive healthcare team making ameaningful difference in the care of patients. The LSU Healthcare Network is made up of over 175 healthcare providers - from primary care to specialty care - at several multi-specialty care locations in and around the Greater New Orleans area.

We offer a competitive compensation and benefits package, including:

• 15 PTO Days
• 11 Paid Holidays
• 401(k) Plan with employer match
• Health Insurance
• Tuition Reimbursement

• Utilize population health management tools to improve quality outcomes and reduce healthcare costs across all value-based contracts
• Develop and implement care management protocols and workflows aligned with evidence-based guidelines and organizational best practices to enhance patient care
• Engage, educate, and support physicians and clinical staff in quality improvement initiatives and performance on HEDIS measures
• Assist in the organization's participation in the CMS Quality Payment Program (QPP), supporting more than 800 physicians statewide
• Assist the Director of Quality by providing and distributing monthly reports on patient outreach and quality metrics
• Collaborate with insurance payers to build cohesive working relationships that support quality initiatives and coordinated, cost-effective care
• Guide patients throughout their healthcare journey-from initial outreach through referral completion, missed appointment follow-up, and care gap closure
• Assist patients with scheduling appointments for office visits, diagnostic testing, treatments, procedures, and follow-up care
• Ensure results of testing, treatments, and procedures are received, reviewed, and accurately documented in the patient's medical record in a timely manner
• Actively follow up on patient concerns or care coordination issues until resolution, and communicate outcomes to both the patient and their care team
• Review HEDIS, Star, and Risk Adjustment reports at least monthly with the Director of Quality to develop action plans that improve measure performance and patient outcomes
• Perform other job-related duties as assigned

• Professionalism
• Strong verbal and written communication skills
• Planning and organizational skills
• Highly developed sense of integrity and commitment to customer satisfaction
• Conflict management and resolution
• Manages time appropriately/efficiently/effectively
• Excellence in interpersonal relations
• Ability to work independently and proactively, and make decisions
• Ability to handle multiple demands of a diverse workload and prioritize critical issues
• Ability to effectively interact with multifaceted providers, medical professional staff, and insurance payers

• High school diploma or GED equivalent required
• LA LPN license or Medical Assistant Certificate preferred
• Minimum 2 years clinical experience in a patient care environment in a clinical or similar setting required
• Experience in Value-Based Care preferred
• Knowledgeable and experienced in computer skills, particularly Microsoft Office products and Electronic Health Records

• Must be able to lift 10-15 pounds and operate standard office equipment, computer, printer, fax, and copier
• Ability to travel between various clinics and hospitals
• Must be available to work extended hours, overtime, and non-traditional hours as needed