Inova Health Systems TCM MEDICARE COORDINATOR in FAIRFAX, Virginia

Job Description

The TCM Medicare Coordinator will drive the coordination and facilitation of patient care services for a medically and psychosocially complex case load of Medicare penalty diagnosis patients and provide services aligned with the program's mission and vision. Provides coordination for selected patient populations across the care continuum to streamline plans of care and interrupt patterns of frequent acute hospital or emergency department use and health status decline. Communicates effectively and works cooperatively with others. Has respect for and understanding of other clinical disciplines. Uses an integrated approach to patient outcomes. Utilizes standards, guidelines, and protocols for coordination for patient population by internal and external providers. Incorporates data and information to continuously improve services and practice to enhance outcomes.

Description Minimum Required Preferred / Desired

Experience

Skilled in effectively collaborating and coordinating services for the patient and family/caregiver(s), optimizing function, promoting self-management of symptoms, and improving access to health systems. 1 year experience in the healthcare field coordinating health services for patients and family/caregiver(s). Strong critical thinking and communication skills. Familiarity with discharge planning care processes and standards of care, coordinating community health programs. Understanding of community health care systems and resources. Highly organized and detail oriented. 2+ years of coordination experience

Education

Degree in social work, LPN, Nursing or related field. Associates in LPN, Nursing, BSW or related field N/A

Training

Transitional care practices and evidenced-based care coordination along with best practices in care coordination, and evaluations and outcomes across the continuum of care. N/A N/A

Certification

Certification in pertinent field if required. N/A N/A

Licensure

Licensed or eligible for licensing in the Commonwealth of Virginia. LPN or LSW, if applicable Other related field

Special Skills

Strong verbal, telephone, written communication, and organizational skills. Able to facilitate care coordination among multidisciplinary care and service providers. Data interpretation skills. Skilled in Microsoft Office applications including Word, PowerPoint, and Excel. Able to learn various and specific electronic patient record systems. Highly organized and detail oriented. Strong verbal, telephone, written communication skills in English. Good organizational and time management skills. Able to facilitate care coordination among multidisciplinary care and service providers including medical staff, family members, and other clinical, technical and support staff. Skilled in Microsoft Office applications including Word, PowerPoint, and Excel. Able to learn various and specific electronic patient record systems. Highly organized and detail oriented. n/a

Requirements

n/a

Posting Title: TCM MEDICARE COORDINATOR

Facility Location: Inova Health System

Work Site Location: TRANS SVCS & JUNIPER

Work Site Address: 2740 PROSPERITY AVE

Work Site City/State: FAIRFAX, VA

Department: INOVA TRANSITIONAL SVCS

Schedule Type: full time

Schedule: Monday-Friday with rotating weekends

Shift: Day

Job ID: 28197BR