Value Based Care Coordinator - Engage

MED ENGAGEMED - 2.9

Little Rock, AR Job Details Full-time 15 hours ago Qualifications Collaborate with healthcare professionals Customer communication HIPAA compliance Customer service HIPAA Healthcare privacy protection Patient interaction Full Job Description

JOB SUMMARY

Under the direction of the Clinical Quality Manager, the Value-Based Care Coordinator facilitates care transitions, closes care gaps, ensures patients receive recommended preventive and chronic care services, and collaborates with clinical teams to coordinate patient care, improve health outcomes, and enhance quality performance across value-based care programs.

Supervisory Responsibilities:

None Safety Sensitive Role:

Yes Duties/Responsibilities:

Coordinate timely post-discharge outreach to follow up with patients discharging from hospitals, emergency departments, and other care settings. Identify and address barriers to care and support efforts to reduce readmissions. Document outreach and transitions of care activities in the EHR and reporting systems. Identify patients due for preventive screenings, wellness visits, and chronic care follow-up. Assist practices with closing care gaps and improving preventative care compliance. Maintain and update care gap worklists, track outreach outcomes and necessary follow-up. Support projects related to quality, risk adjustment, and value-based care. Collaborate with providers, clinical, and front-office staff to improve quality program performance. Support workflows designed to improve quality performance and ensure compliance with quality measure documentation requirements. Monitor progress toward achieving organizational quality and performance goals utilizing payer reports, dashboards, and internal performance data. Assist in identifying trends, barriers, and opportunities for improvement. Participate in value-based care and payer quality improvement meetings. Assist with data validation and reporting activities.

Required Skills/Abilities:

Strong understanding of healthcare quality measures and value-based care concepts. Ability to work collaboratively with patients, providers, clinical staff, and administrative teams. Excellent customer service skills and commitment to meeting patient and customer needs. Detail-oriented with strong analytical and problem-solving abilities. Ability to work independently and manage multiple priorities. High level of professionalism and strict adherence to HIPAA guidelines. Ability to draft clear, concise and professional communication via email, chat or within the EHR. Strong work ethic and a drive for continuous professional learning.

Education and Experience:

Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) required. Active, unrestricted Arkansas state licensure required. BLS/CPR certification for Healthcare Providers required. 2+ years of experience in value-based care programs, population health, care coordination, or primary care quality improvement preferred. Familiarity with quality programs such as HEDIS, Medicare Advantage Stars, MIPS, ACO, MSSP, or commercial value-based care programs preferred. Experience working with electronic health records (EHRs) and healthcare data preferred. Experience with Microsoft Office applications and Excel preferred.