Care Coordinator
: Job Details :

DescriptionThe Why Behind Wellvana:The healthcare system isn't designed for health. We're designed to change that. We're Wellvana, and we help doctors deliver life-changing healthcare.Through our elevated value-based care programs, we're revitalizing an antiquated system that's far too long relied on misaligned incentives that reward quantity of care not the quality of it. Our enlightened approach-covering everything from care coordination to clinical documentation education to marketing- ties the healthy outcomes of patients directly to shared savings for primary care providers, health systems and payors.Providers in our curated network keep their independence, reduce their administrative headaches, and spend more time with patients. Patients, in turn, get an elevated experience with coordinated care between appointments that is nothing short of life-changing. Named a 2024 Best in Business and 2023 Best Place to Work by Nashville Business Journal, we're one of the fastest-growing healthcare companies in America because what we do works. This is the way medicine is meant to be.Clarity on the Role:The Wellvana Care Coordinator will support the patient through complex healthcare environments for the optimization of care and outcomes. The Care Coordinator will facilitate patient follow-up through coaching, information transfer, and communication to improve continuity of care and streamline the intervention process. The incumbent guides patients through the health care system by assisting with access barriers, developing relationships with service providers, and tracking interventions and outcomes. The Care Coordinator will serve as a point of contact for referring physicians, patients, and hospitals to provide resources and assistance with accessing clinical and supportive care services.What's Expected:* Maintain productivity and quality metrics* Provide timely outreach to members newly discharged from emergency department and/or inpatient/hospital admission* Engage with Wellvana practices for data collection and/or appointment needs* Participate in preventive care programs for ACO and Commercial patients to support and care coordinate for high risk and rising risk patients such as contacting patients for care management enrollment and scheduling accordingly with appropriate Wellvana Clinical Team member* Work with patients and Wellvana Clinical Team to cost-effectively achieve the stated goals and objectives, working towards a mutually agreed-upon timeline with the patient's well-being and outcome as the highest priority* Supports closing quality gaps in care* Assist with referral coordination, internally and externally* Assist with scheduling follow up appointments* Serve as the liaison to the Care Management team, ensuring that patients next steps in the healthcare journey are properly arranged, documented, and followed up on* Prepare charts for partner practices to ensure the providers have all the information needed to execute care plans during the office visit* Manage care and provide support for patients based on risk, opportunity, and care gaps* Partner with the Wellvana Clinical Team to support programs as appropriate* Identifies potential problems involving resources and/or safety and takes appropriate action* Understand patient needs and providing a high quality telephonic patient care* Other duties as assignedRequirements* Integrity: The right way is the only way.* Dependability: You do what you say you're going to do.* Advocacy: You fight for the best possible outcome for providers and their patients.* Clarity: You make it all understandable.* Certification as a Medical Assistant, Certified Nursing Assistant, or LPN/LVN* At least 3 years of clinical experience in a hospital, skilled nursing facility, home health, or physician office setting in required, preferably in care management or care coordination* Knowledge of EMR and healthcare-related patient quality monitoring and documentation technology.* 2+ years of telephonic care coordinator experience* Proficient in MS Office applications and ability to learn department and job-specific software systems* Demonstrate organizational skills* Demonstrate effective verbal and written communication skills* Demonstrate analytical skills when problem-solving* Demonstrate high attention to detail and a high degree of accuracy