The Patient-Centered Medical Home (PCMH) Project Coordinator will work with a multidisciplinary healthcare team in a primary care setting. The PCMH Project Coordinator will focus on coaching and coordination of care for designated patients. The PCMH Project Coordinator will work alongside the physicians and office staff in a PCMH, focusing on identifying the needs of complex patients while assisting the practice to develop a process for managing its patient population. The Project Coordinator will promote the PCMH model, work side by side with Primary Care Providers (PCPs), medical home team members, and actively participate in multidisciplinary patient-centered team meetings. The PCMH Program Coordinator will lead the transformation of the medical practice into a true Patient-Centered Medical Home.
DUTIES AND RESPONSIBILITIES:
Understand and translate the NCQA medical home requirements, benefits, and process for primary care practices.
Engage teams, develop practice team agendas, deliver content, and support all assigned sites to facilitate progress towards defined goals and timelines.
Develop constructive relationship with local hospitals, case managers, discharge planners, other specialty clinics.
Work to develop systems, processes and initiatives to engage these entities in relevant case management activities, to ensure a continuum of care is maintained.
Work with physicians, office staff, and utilize clinical informatics to help identify high risk, high need patients of the medical home.
Attend required training and collaboration sessions (e.g. learning sessions, care management collaboration meetings, team meetings, etc.) as needed.
Provide and facilitate open communication regarding organizational PCMH status with leadership staff and board members.
Manage practice relationship and project details to ensure project deliverables are met by the practices.
Analyze current practice workflows, policies and data to advise practices on opportunity for improvement.
Assist practices in developing internal policies and procedures as well as new workflows to meet NCQA PCMH requirements.
Maintain an effective working relationship with members of the medical practice (clinicians, administrators, office staff, etc.)
On a temporary basis, may be required to work at any satellite facility.
Contribute to team effort by assisting other departments as needed and while maintaining confidentiality of VHT’s business.
Work cooperatively with all staff members and outside sources in a professional manner to deliver a high level of service.
Observe and practice all VHT Patient Experience Service Standards as outlined in “World Class Practices: My Commitment to Care (which I have read and signed). Practice CICARE when interacting with patients, their families, visitors, or internal customers.
Practice CICARE phone etiquette during all phone interactions.
Always exercise courtesy whenever patients, family members, visitors and co-workers are present.
Respect privacy and dignity of our patients, family members, visitors and co-workers.
Maintain professionalism in the presence of patients, their families, visitors and co-workers.
Act as a role model, verbally and behaviorally demonstrating skill, enthusiasm, positive problem solving, commitment and loyalty to the profession and the organization.
Follow applicable regulations: Joint Commission, OSHA, HIPAA, and CLIA.
Serves and protects the practice by adhering to professional standards, policies and procedures, federal, state, and local requirements, and The Joint Commission Accreditation of Healthcare Organization standards.
Perform other related duties, which may be inclusive, but not listed in the job description.
One (1) year experience in Healthcare, Health Information Technology (HIT), Managed Care Consulting.
Bachelor's degree or equivalent education/experience in Business/Healthcare Administration, Public Health or similar discipline.
One (1) year experience working with the NCQA Patient Centered Medical Home (PCMH) model.
Demonstrated leadership with Quality Improvement, HIT, practice facilitation & change management.
Proven success in project management in a healthcare environment.
Proficiency in MS Office Suite and have working knowledge of computerized accounting.
Must have excellent attention to detail.
Strong project management, organization, and analytical skills.
Be self-motivated and have the ability to prioritize work and meet deadlines.
Strong customer services skills and maintain an effective and positive working relationship with staff and customers.
Excellent oral and written communication skills – be able to provide information in a clear and concise manner; good interpersonal skills.
Ability to be flexible with work schedule and available to work at all site locations.
Must have own transportation, valid California Driver’s License and current proof of automobile insurance coverage.
Demonstrated ability to provide world-class patient experience using CICARE principles and practices. Ability to be proactive and to go above and beyond the call of duty; take initiative to provide a world class patient experience in all encounters via email, phone or in person.
Valley Health Team Inc. is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.
Our valley roots run deep.
Our main purpose as a Federally Qualified Health Center is to enhance the provision of primary care services in underserved urban and rural communities. Back in 1973, concerned citizens from Kerman, San Joaquin, and surrounding communities worked together to form an organization that could bring quality healthcare to this underserved region. The dream was realized whe...n our first primary care center opened in the town of San Joaquin to meet the medical needs of the residents of the rural western Fresno County area.
Valley Health Team has grown steadily to meet the mounting healthcare needs of the region. Our leadership is governed by an active and involved board of directors, some of whom are patients of Valley Health Team. Services are provided by a care team of qualified professionals working in multi-disciplinary teams. Board certified physicians, certified physician assistants, psychologists, nurse practitioners, licensed clinical social workers and health educators, dentists, optometrists, and support staff work with leadership to provide culturally relevant, outcome-based care.
Valley Health Team is a Joint Commission-accredited, private, non-profit Federally Qualified Health Center serving patients throughout the central California valley with an operating budget in excess of $15 million.
Valley Health Team at a glance.
Locations: 7, with two more planned
Patients served: 15,870
Annual Visits: 64,985