Clinical Quality Care Coordinator - Denver CO

Unitedhealth Group Inc. Denver , CO 80208

Posted 1 week ago

Opportunities with New West Physicians. Bring your passion for health care to New West Physicians in Colorado, a team committed to providing excellent service to every patient every time. We're not only one of the largest physician groups in Colorado with 21 offices throughout the Denver Metro area - we're also part of Optum, a nationwide family of nearly 45,000 dedicated physicians working together to help people live their healthiest lives. That means we're backed by the resources of a global health care organization working to help people live healthier lives and help make the health system work better for everyone. For four consecutive years, New West Physicians achieved Elite status - the highest ranking - in the America's Physician Groups Standards of Excellence Survey. In addition, New West Physicians was selected as one of the 2017 Million Hearts Hypertension Control Champions by the Centers for Disease Control and Prevention, and was the 2015 recipient of AMGA's National Acclaim Award recognizing high performing medical groups bringing the American health care system closer to the ideal delivery model: one that's safe, effective, patient-centered, timely, efficient, and equitable. It's all possible because of our highly qualified, board-certified family practice and internal medicine physicians, hospitalists, cardiologists, gastroenterologists, psychiatrists, endocrinologists, neurologists, physician assistants, nurse practitioners and more. If this sounds like the place for you, it's time to take a closer look at New West Physicians and discover a path to your life's best work.(sm)

The Clinical Quality Care Coordinator conducts patient outreach for management and coordination of care for chronic medical conditions and preventative health screenings. Provide education to patients about their medical conditions and directions/interventions as prescribed by their providers. Review medical records and research and outreach across healthcare teams for documentation to provide complete medical record pictures for members. Assist with other quality campaigns as needed.

Primary Responsibilities:

  • Conduct telephonic patient outreach to patients with chronic conditions and/or preventative care needs

  • Conduct telephonic outreach to remind patients to schedule annual wellness visits and/or other chronic care appointments.

  • Assist patients with hospital follow-up appointment needs

  • Provide patient education and guidance on disease management and care coordination

  • Review medical records and other healthcare data sources, and outreach to facilities and/or providers to obtain patient records, results, and/or reports for quality gap closure.

  • Assist Quality Manager and/or Quality Lead in serving as a liaison between providers, office staff, patients, and insurance plans

  • Communicate with physicians regarding patient care and needs as well as best practice tips on attaining quality care metric goals

  • Utilize knowledge of resources available in the health care system to assist the physician and patient effectively

  • Assist patient with any healthcare needs as appropriate and able, to ensure a high-quality patient experience

  • Perform other duties as required or requested by the CMO or Quality Director

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Licensed Practical Nurse (LPN) or experienced Medical Assistant preferred

  • Strong Electronic Health Records (EHR) skills along with Microsoft Word and Microsoft Excel proficiency

  • Knowledge of patient education principles

  • Strong communication skills

  • Skill in establishing and maintaining effective working relationships with patients, providers, medical staff, and health plan staff

  • Ability to work independently with minimum supervision

  • Excellent customer service and telephone skills

  • Independent and confident decision making ability

  • Able to function as an individual contributor as well as a team player

  • Other duties as needed

Proof of immunity to vaccine-preventable diseases is an employment requirement.

2019 OptumCare. All rights reserved.

OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both its owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare's support services do not interfere with or control the practice of medicine provided by the medical practices of any of their physicians.

Diversity creates a healthier atmosphere: OptumCare and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: Clinical, Quality, Licensed Practical Nurse, Medical Assistant, Denver, Westminster, Aurora, Littleton, Lakewood, Colorado, CO

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