Value Based Care Coordinator chez undefined

Job Description

Job Title Description: Value Based Care Coordinator

FLSA Status:  Exempt 

Summary:  The Value Based Care Coordinator plays a critical role in improving patient outcomes and supporting the organization's value-based care and payment metrics. This position is responsible for managing hospital admission, discharge, and transfer processes and ensuring seamless coordination of care for patients transitioning from hospital to home or other care settings. The role involves assisting with various projects, initiatives, and outreach to support achieving performance in accordance with value-based contracts.

 Essential Duties and Responsibilities:

• Oversee the admission, discharge, and transfer processes to facilitate smooth transitions for patients. 
  1. obtain patient records/summaries and ensure timely follow-up appointments with PCPs are scheduled
  2. Collaborate with hospital care managers and outreach to patients while hospitalized
• Collaborate with healthcare teams to ensure follow up and continuity of care during transitions from inpatient to outpatient care
• Act as a liaison between patients, families, healthcare providers, and community resources. 
• Coordinate patient entry into T360H health centers.
• Monitor high-cost, high-utilizer patient lists to engage and encourage appointments with care team members.
• Engage non-established patients, schedule appointments, and assist with PCP changes. 
• Review insurance-supplied patient and reattribution lists for accuracy. 
• Monitor attribution lists from managed care organizations for proper coordination of care.
• Participate in quality improvement and empanelment initiatives.
• Conduct outreach and education to targeted patient populations to help close care gaps
• Other duties as assigned

Qualifications: 

Required Education and/or Experience:

• High school diploma or equivalent required, Associate’s or Bachelor’s degree preferred; education in Medical Assisting or another healthcare-related field preferred. 
• Previous experience in hospital care coordination, case management, or related healthcare roles.
• Working knowledge of EMR systems preferred.
• Microsoft office experience (including Excel) preferred

 Language Skills:

• Bilingual in Spanish preferred

 Competencies: 

• Strong understanding of healthcare systems and patient care transitions. 
• Excellent communication and interpersonal skills, with the ability to work collaboratively. 
• Ability to clearly document work in written format. 

 Physical Demands and Work Environment: 

• Primarily office-based with some requirements for on-site hospital and health center visits.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 Salary and Benefits:

• The annual salary range for this position is $45,000 and $55,000 annually based on experience and qualifications.
• Tapestry 360 Health offers a comprehensive benefits package, including health insurance, dental insurance, retirement savings plans, paid time off, and continuing education. This position may be eligible for the Federal Public Service Loan Forgiveness (PSLF) program.

 Tapestry 360 Health is committed to equitable and transparent pay practices. In accordance with the Illinois Pay Transparency Act, we are disclosing the full salary range for this position. This range represents the potential compensation for the role based on experience, tenure, and performance over time.

 Most new employees can expect an initial offer within the lower portion of the range, reflecting factors such as prior experience, internal equity, and organizational budget. Salary progression is evaluated regularly to support professional growth and retention.

 How to Apply: Interested candidates are encouraged to visit the Tapestry 360 Health website to explore career opportunities and submit an application. Please apply online at www.tapestry360health.org/careers.

 Tapestry 360 Health makes all hiring and employment decisions, and operates all programs, services, and functions without regard to race, receipt of an order of protection, creed, color, age, gender, gender identity, marital or parental status, religion, ancestry, national origin, amnesty, physical or mental disability, protected veterans status, genetic information, sexual orientation, immigrant status, political affiliation or belief, use of FMLA, VESSA, military, and family military rights, ex-offender status (depending on the offense and position to be filled), unfavorable military discharge, membership in an organization whose primary purpose is the protection of civil rights or improvement of living conditions and human relations, height, weight, or HIV infection, in accord with the organization's AIDS Policy Statement of September 1987.

American with Disabilities Act (ADA) Statement:   External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential duties and responsibilities either unaided or with the assistance of a reasonable accommodation to be determined by Tapestry 360 Health on a case-by-case basis.

Tapestry 360 Health reserves the right to revise or change job duties and responsibilities as the need arises.   This job description does not constitute a written or implied contract of employment.