Clinical Care Coordinator - Value Based Programs (VBP) - Remote based in US

The Value Based Programs Clinical Care Coordinator will work closely with the hospital Case Management team, patient, and Tenet Value Based Program (VBP) home office team to help optimize the comprehensive care plan for patients who are included in the hospital’s value-based reimbursement programs (“VPB”) such as those involving episodic based payments like the Comprehensive Care for Joint Replacement Model (“CJR”) or the Bundle Payments for Care Improvement (“BPCI”) model.

Responsibilities

The Clinical Care Coordinator will:

At a program level,

• Understand the Key Performance Indictors of the appropriate VBP and facilitate patient care along a continuum to effectively utilize resource coordination in order to help patients achieve optimal health and access to the appropriate level of care.
• Monitor appropriateness of discharge plans utilizing industry standard evidence-based criteria. Communicates with case management team, physicians, and other members of interdisciplinary care team when patients do not meet criteria for a proposed next level of care and assist with development of appropriate discharge plan.
• Promote the use of hospital’s continuing care network of post-acute providers, to the extent allowable under hospital’s policies and procedures and under CMS regulations on patient choice.
  
  

At a patient level,

• Identify patients included in a CMS regulated episodic payment program (CJR or BPCI) and deliver, or coordinate delivery of, the required Beneficiary Notice.
• Serve as communication link between the patient, the acute care interdisciplinary care team, and post-acute care team to identify that the patient is included in a VBP and align appropriate expectations and discharge plan.
• Collaborate with internal and external parties involved in a patient’s treatment plan to assess and evaluate available options and services that may be required post-discharge and then facilitate development and implementation of an appropriate discharge plan.
• Utilize available tools to evaluate the clinically appropriate next level of care for a patient, the patient’s readmission risk, and recommended interventions. Communicate tool outcomes as needed with patient, patient’s family, interdisciplinary care team.
• Support discharge planning by resolving barriers to discharge and helping to connect the patient to community resources and additional services.
• Assist in connecting patients to their primary care provider to facilitate timely follow up care post-discharge.
• Engage with patient, patient’s family/caregiver, hospital care team, physicians, and post-acute providers to provide objective information and support for safe transitions of care.
• Provide condition specific, evidence-based education to a patient, including self-care and strategies to reduce exacerbations and readmissions. Education is delivered in a culturally sensitive manner, utilizing appropriate health literacy levels and teaching techniques.
  
  

And in general,

• Maintain appropriate documentation and protect all patients’ health information, PHI, as required by applicable HIPPA, federal and state laws and regulations, and all hospitals procedures.
• Practice cultural competency and respect for diversity. Aid in the development of culturally sensitive individualized transition of care plans for services that meet a patient’s clinical, psycho-social, and environmental needs. Monitor and continue to reevaluate the effectiveness of such plans and make timely recommendations for changes to transition planning as needed.
• Participate in regular meetings such as rounds, tempo, complex case, and length of stay meetings as appropriate based on opportunities.
• Attend and participate in condition specific hospital work groups including but not limited to Utilization Review, Sepsis/Ortho/Cardiac specific team meetings, or readmission work groups.
• Attend and participate in hospital’s Continuing Care Network meetings, including those that outreach to post-acute providers with high involvement in the hospital’s VBP.
• Provide clinical updates to Tenet VBP leaders on a regular basis and participate in development of best practices to maximize the opportunities of VBPs.
  
  

Required

• Graduate of an accredited clinical, direct patient care program. Example: Nursing, Physical Therapy, Occupational Therapy, or other therapies, Social Work.
• Appropriate active, unrestricted certifications/licensures that match clinical education.
• 1-2 years of experience in clinical healthcare setting.
  
  

Preferred

• CMS and managed care knowledge and/or experience preferred.
• Experience in rehabilitation, SNF, or home health care.
• Experience with providing objective criteria to evaluate appropriateness of care at a hospital, health plan, or other healthcare organization.
  
  

Compensation

• Pay: $63,648-$101,504 annually. Compensation depends on location, qualifications, and experience.
• Management level positions may be eligible for sign-on and relocation bonuses.
  
  

Benefits

The following benefits are available, subject to employment status:

• Medical, dental, vision, disability, life, AD&D and business travel insurance
• Paid time off (vacation & sick leave)
• Discretionary 401k with up to 6% employer match
• 10 paid holidays per year
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
• For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act is available.
  
  

Tenet Healthcare complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

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Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.