Quality Care Coordinator

Position Summary

The Quality Care Coordinator acts as a central point of contact for patients, coordinating their healthcare needs by collaborating with providers and community resources to develop and manage care. The Quality Care Coordinator assists patients in closing care gaps and improving clinical outcomes.

Essential Duties and Responsibilities

Patient Assessment

• Performs and documents patient assessment to identify healthcare needs, social determinants of health, and care gaps.

Care Coordination

• Fosters communication between patients, primary care providers, specialists, and other healthcare team members
• Work with healthcare staff to obtain orders, referrals, diagnostic results, and consultation reports to meet care gaps
• Utilize electronic health records (EHR) to schedule appointments and document care coordination activities and update flowsheet.
• Connecting patients to resources
• Transition of Care, transitioning patients back to primary care services.
• Managing newly assigned patients and supporting the removal of patients no longer patients of the health center.
• Responsible for Value Base Care Initiatives and Outreach.

Patient Education and Support

• Provide patient education on the importance of preventive care and screenings
• Distribute health education materials and support health risk assessments.

Quality Improvement and Data Management

• Track and update patient outreach efforts on a spreadsheet
• Monitor patient progress toward closing the care gap
• Utilize EHR to document pertinent data
• Provide timely updates regarding patient status and data to the Quality Care Nurse Manager
• Manage projects that are defined and initiated by the Quality Improvement Committee
• Attend departmental meetings.

Community Outreach

• Perform and document outreach efforts to patients via phone calls, mailings, mass messaging, or electronic medical record portal
• Identify and refer patients to appropriate community programs based on their needs.

Other Duties as assigned to ensure quality care.

Qualifications

Education/Licensure/Certification

• High school diploma or equivalent
• Relevant healthcare certification
• Basic Life Support certification

Experience/Competencies

• Minimum of three years experience in a healthcare setting
• Knowledge of medical terminology
• Knowledge of quality improvement processes
• Basic computer and data entry
• Excellent verbal and written communication and interpersonal skills to effectively interact with patients, family, and healthcare team
• Strong organizational and time management skills to manage patient caseloads
• Proficient in using EHR
• Ability to prioritize tasks
• Ability to navigate healthcare systems