Collaborative Care Outpatient Coordinator, Full-time, Days (Hybrid)

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?

The CCO Coordinator reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

Responsibilities:

• Evaluate, build and manage the data within the CCO programs.
• Engage with partner provider interdisciplinary teams to achieve defined benchmarks and patient quality benchmarks are maintained within CCO programs.
• Identify opportunities to improve performance and efficiency in CCO programs.
• Partner with CCO management and staff to identify, develop and implement successful communication, education, and process solutions to produce improved processes and outcomes.
• Documents appropriate data and submits reports as required for patient tracking.
• Supports individuals, families, and communities to strengthen their capacity and access to resources.
• Manage use of CarePort system between the local facilities, NM partners and CarePort.
• Produce/assist in the production of committee meeting minutes, reports, dashboards, and related correspondence.
• Research and develop quality measurement, evaluation and improvement approaches with support from manager/mentor/peers.
• Maintain knowledge of all payer relationships and works with Managed Care department to advocate for and ensure high quality of care is maintained throughout the post-acute care continuum for NM patients.
• Prepare assessments and recommendations for local committees and teams.
• Develop skills to contribute to organizational learning and dissemination through publication, presentation, collaboration with clinical colleagues on these efforts.
• Collaborate with system partners to ensure collaboration and consistency throughout the NM system.
• Knowledge/Expertise: Strong understanding of the regulations surrounding post-acute care including the CMS rules and guidelines; IMPACT Act, and revisions, updates to the rule and other applicable compliance tenets related to post-acute care and the use of a post-acute network.
• Strong understanding of the use of a post-acute network in relation to value-based care, risk-based models and other payer considerations.
• Remains updated on the ever-changing payer landscape in healthcare and how it pertains to post-acute care.
• Strong understanding of CarePort referral management platform.
• Maintain familiarity with the core literature and resources, and national, state and local regulatory and accreditation benchmarks and requirements, e.g., those related to post-acute care best practices and clinical quality improvement in the post-acute care arena.
• Apply professional clinical/quality knowledge and other clinical standards, best practices, and interdisciplinary collaboration, relevant to CCO program, to advance problem analysis and resolution and creative process redesign.
• Integrate and innovate tools to promote standardized evidence-based clinical practice as appropriate (i.e., clinical pathways per identified disease state).
• Facilitate the use of quality management principles and performance improvement tools.
• Assist clinical teams and leadership to respond to post-acute care queries from external constituencies: patients, families, network partners, payers, media, researchers, etc.
• Maintain strong and open lines of communication with all partners; sharing of quality data, best practices, process improvement opportunities, initiatives.

Required:

• Associate’s degree or equivalent work experience.
• 3 years of healthcare related experience.
• Previous experience in population health.
• Data-entry and research experience.
• Effective leadership, facilitation and communication (oral, written) skills.
• Strong writing and presentation skills, good organizational skills and excellent critical thinking skills.
• Strong computer skills, including Microsoft Word, Excel and Access.
• Ability to organize and think independently.
• Work with minimal supervision

Preferred:

• Bachelor’s Degree in Business, Allied Health profession or Social Services.
• Case management experience.
• Knowledge of CMS post-acute care requirements; IMPACT Act.
• Experience working with clinical outcome data (readmission, length of stay, national benchmarking data)
• Knowledge of value-based care, risk-based models, insurance payer considerations.

Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.