Mdpcp RN Care Coordinator
Company DescriptionPrivia HealthA$ cents A cents EUR zA' cents is a national physician platform transforming the healthcare delivery experience.
We provide tailored solutions for physicians and providers, creating value and securing their future.
Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.
Job DescriptionTitle:
MDPCP RN Care CoordinatorEmployment Type:
FTEExemption Status:
ExemptLocation:
Hybrid; Split Remote/On-siteOverview Of The RoleThe Maryland Primary Care Program (MDPCP) Care Coordinator will work closely with Primary Care providers in the state of Maryland to identify, screen, track, monitor, and coordinate the care of patients with multiple chronic conditions to develop and deliver Comprehensive Primary Care to patients.
Our Care Coordinators seek to develop, implement, and deliver extensive care coordination within our medical group and affiliated partners in a patient centered manner.
They interact and collaborate with interdisciplinary care teams, population health teams, networked facility partners, physicians, and others involved in meeting the patient's needsPrimary Job DutiesCollaborate with assigned local teams to meet Maryland Primary Care Program performance metricsOwn the execution and performance toward defined performance metricsCollaborate effectively with integrated care team to support care coordination for patientsReview patient non-compliance reports and conduct telephonic and/or in person outreach to ensure timely disease specific and wellness visitsIndependently conduct Annual Wellness Visits as neededProvide Transitional Care Management including, but not limited to, post in-patient and/or emergency department discharge follow upProvide education and assistance in accessing the necessary care outside of the Primary Care OfficeCollaborate with providers to review high-risk patients, develop a plan of care, and administer Care Plan to patientsAs needed, meet patients in the office or community for face-to-face visitsProvide education and assistance with patient self-management goalsIdentify and coordinate referrals to community resources, home care, and disease management programs within Privia Preferred NetworkOperate independently within defined practice(s) and patient population to achieve agreed upon goalsAttendance and participation in regular care team meetings to discuss patient carePerform other duties as assignedQualifications2-5 years of population health or care coordination experienceRN or LPN clinical certification and/or experienceActive unrestricted license in MD or able to obtain (if needed)Strong computer and EHR skills and expertisePreferred experience with Medicare aged patients in a value-based programPreferred experience educating and engaging patientsExperience working in an outpatient medical officeAbility to travel to and from care centers to meet with patients and providersMust comply with all HIPAA rules and regulationsInterpersonal Skills & AttributesGreat communicator - creates clarity and adjusts style to expertise of audienceComfortable in a fast-paced environment and with ambiguityHighly collaborative and effective across an organization and region amongst multiple stakeholdersPerformance Driven - knows the team's goals and how to prioritize personal and daily activities to meet those metricsTeam focused:
understands the need to work as a group to achieve goals, support team members, and listen to other points of viewDemonstrates sound judgmentAbility to function independently efficiently and meet defined goalsMust be detail-oriented and possess critical thinking skillsPossess a focused work ethic and a high level of professionalismAdditional InformationAll your information will be kept confidential according to EEO guidelines.
A$ A' A' ?Technical Requirements (for Remote Workers)In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed.
This should be acquired prior to the start of your employment.
The best measure of your internet speed is to use online speed tests like This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements.
Work with your internet provider if you have questions about your connection.
Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.
SDL2017.
Estimated Salary: $20 to $28 per hour based on qualifications.
We provide tailored solutions for physicians and providers, creating value and securing their future.
Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.
Job DescriptionTitle:
MDPCP RN Care CoordinatorEmployment Type:
FTEExemption Status:
ExemptLocation:
Hybrid; Split Remote/On-siteOverview Of The RoleThe Maryland Primary Care Program (MDPCP) Care Coordinator will work closely with Primary Care providers in the state of Maryland to identify, screen, track, monitor, and coordinate the care of patients with multiple chronic conditions to develop and deliver Comprehensive Primary Care to patients.
Our Care Coordinators seek to develop, implement, and deliver extensive care coordination within our medical group and affiliated partners in a patient centered manner.
They interact and collaborate with interdisciplinary care teams, population health teams, networked facility partners, physicians, and others involved in meeting the patient's needsPrimary Job DutiesCollaborate with assigned local teams to meet Maryland Primary Care Program performance metricsOwn the execution and performance toward defined performance metricsCollaborate effectively with integrated care team to support care coordination for patientsReview patient non-compliance reports and conduct telephonic and/or in person outreach to ensure timely disease specific and wellness visitsIndependently conduct Annual Wellness Visits as neededProvide Transitional Care Management including, but not limited to, post in-patient and/or emergency department discharge follow upProvide education and assistance in accessing the necessary care outside of the Primary Care OfficeCollaborate with providers to review high-risk patients, develop a plan of care, and administer Care Plan to patientsAs needed, meet patients in the office or community for face-to-face visitsProvide education and assistance with patient self-management goalsIdentify and coordinate referrals to community resources, home care, and disease management programs within Privia Preferred NetworkOperate independently within defined practice(s) and patient population to achieve agreed upon goalsAttendance and participation in regular care team meetings to discuss patient carePerform other duties as assignedQualifications2-5 years of population health or care coordination experienceRN or LPN clinical certification and/or experienceActive unrestricted license in MD or able to obtain (if needed)Strong computer and EHR skills and expertisePreferred experience with Medicare aged patients in a value-based programPreferred experience educating and engaging patientsExperience working in an outpatient medical officeAbility to travel to and from care centers to meet with patients and providersMust comply with all HIPAA rules and regulationsInterpersonal Skills & AttributesGreat communicator - creates clarity and adjusts style to expertise of audienceComfortable in a fast-paced environment and with ambiguityHighly collaborative and effective across an organization and region amongst multiple stakeholdersPerformance Driven - knows the team's goals and how to prioritize personal and daily activities to meet those metricsTeam focused:
understands the need to work as a group to achieve goals, support team members, and listen to other points of viewDemonstrates sound judgmentAbility to function independently efficiently and meet defined goalsMust be detail-oriented and possess critical thinking skillsPossess a focused work ethic and a high level of professionalismAdditional InformationAll your information will be kept confidential according to EEO guidelines.
A$ A' A' ?Technical Requirements (for Remote Workers)In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed.
This should be acquired prior to the start of your employment.
The best measure of your internet speed is to use online speed tests like This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements.
Work with your internet provider if you have questions about your connection.
Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.
SDL2017.
Estimated Salary: $20 to $28 per hour based on qualifications.
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