Job description

The position will begin after January 1, 2023.

The Quality & Care Coordinator is responsible for coordinating care within the Accountable Care Organization (ACO) that allows for evaluation, development, and implementation of quality improvement efforts in HMHD’s Quality Improvement Program with the goal of enhancing patient health and well-being, increasing patient satisfaction, and reducing health care costs.

Essential Functions:

The Quality & Care Coordinator works in collaboration with patients, their family/caregiver(s), clinic/hospital/specialty providers and staff, and community resources in a team approach to:

1. Provide a coordinated approach to detect early and manage effectively the patient with chronic disease.

2. Establish an effective internal tracking system for identified patients

3. Increase utilization of preventative care through patient and staff education

4. Reduce emergency room utilization and hospital readmissions

5. Promote timely access to appropriate care

6. Increase continuity of care by managing relationships with tertiary care providers, transitions in care, and referrals.

7. Increase patients’ ability for self-management and shared decision-making

8. Connect patients to relevant community resources

9. Utilize tools to guide the care process:

a. Assess patient’s unmet health and social needs

b. Provide effective communication to promote health literacy

c. Create, and promote adherence to specific care plans, developed in coordination with the patient, PCP, and family/caregiver(s).

d. Monitor adherence to care plans, evaluate effectiveness, monitor patient progress, and facilitate changes as needed. Ensure effective tracking of test results, medication management, and adherence to follow-up appointments.

e. Create an ongoing process for patients/families to determine and request the level of care coordination support they desire at any given point in time.

10. Organizes, compiles, and reports QI data for the hospital and clinics to identify trends, establish priorities, and recommend improvement activities.

11. Provide a written report of QI data/metric compliance, QI activities and recommendations and/or action plans on a monthly basis to the QI Committee.

12. Assist in data abstraction and submission to ICAHN and IRCCO as requested.

13. Provide the Annual Medicare Well Visits to Medicare patients.

14. Provide Chronic Care Management to Medicare patients.

15. Provide Transitional Care Management to Medicare patients

Position Responsibilities:

1. Assures training of staff in principles of quality improvement.

2. Provide and collect Needs Assessments to report to Quality Improvement Committee annually.

3. Assesses the delivery of patient care

4. Maintains and reports appropriate documentation of QI activities

5. Prepares reports, shares data and performs other functions as they relate to the ACO and QI program

6. Provides information or in-services on QI issues to hospital staff at orientation, annually, and as needed.

7. Participates, leads, and contributes to the Performance Improvement Program and Organizational Goal Setting.

8. Responsible for development, Goal Setting, maintenance, and evaluation of clinical data for Physicians’ Quality Performance to foster improvement in the quality of care provided to patients.

9. Attend all Care Coordination related training and meeting activities through Illinois Critical Access Hospital Network (ICAHN), and Illinois Rural Community Care Organization (IRCCO).

10. Ensure compliance with Quality Metrics through data abstraction on an ongoing basis.

Qualifications:

1. Education, Training, Experience Requirements:

a. Licensed Care Coordinator, Social Worker, or Licensed RN. Graduate of an accredited school of nursing, current registration with the Department of Professional Regulation in the state of IL.

b. 1-2+ years’ experience in a clinical or community resource setting, care coordination, and/or case management

2. Skills and Knowledge Requirements:

a. Advanced knowledge of general nursing theory and practice.

b. Will adhere to administration and nursing policies and procedures.

c. Proficiency in communication technologies (email, phone, etc.)

d. Highly organized with the ability to keep accurate notes and records

e. Excellent verbal and written communication skills

f. High-level interpersonal skills. Able to work collaboratively and tactfully with multi-disciplinary and diverse teams that may include employees, customers, physicians, etc.

g. Experience with health IT systems and reports

h. Knowledge and connections to community health care

i. Maintains confidentiality of patient and personnel per facility Compliance Plan.

j. Performs duties as directed in an accurate and timely manner.

k. Excellent analytical, problem-solving, and prioritization skills

l. Effective computer skills, particularly Microsoft Office, Excel, PowerPoint, Word, etc.

m. Can work independently to complete assigned tasks

n. Project Management

o. Team-building

p. Quality and Process Improvement tools

Job Type: Full-time

Pay: $25.00 - $36.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: One location

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