Who We Are:

As the only independent and physician-led faculty practice plan of the University of Tennessee Health Science Center, University Clinical Health (UCH) offers best-in-class clinical care through a network of 175+ providers across 19 specialties to meet the healthcare needs of the Mid-South community. UCH is a not-for-profit, non-tax-supported group practice and is here to serve the community while providing medical excellence to our patients.

Position Summary:

The Quality Care Coordinator provides coordination, education, and outreach services to patients and their families/guardians. In addition, Quality Care Coordinator supports care coordination/case management services by removing barriers to the process if they fall within the realm of social work and enlists community resources. Primary responsibilities include assessing social service needs and identifying and addressing social barriers to achieving optimal health care status, such as lack or inaccessibility of housing, transportation, utilities, or food. Additional responsibilities include assisting providers in accessing medically necessary specialty care services and ensuring members access appropriate preventive services.

Key Results Areas (KRAs):

• Conducts health risk and psychosocial assessments
• Identifies care needs and goals based upon:

o Assessment findings

o Analysis of claims data

o Provider input

o Patient and parent/caregiver expressed goals

• Establish a Care Plan in conjunction with patients and parents/caregivers, and key providers. Plan shall identify:
• Identify community-based organizations that can address patient needs
• Educational needs of patient and/or caregivers to enhance self-management and appropriate utilization of providers to address psychological, developmental, and/or medical conditions
• Organize and facilitate Interdisciplinary Care Team (IDCT) meetings to ensure communication and coordination between patients, parents/caregivers, and key healthcare and support service providers.
• Participate as a valued member of the Quality Steering Committee to oversee the coordination of patients and PCMH as a whole
• Review medical records to ensure completeness prior to patient exam, obtaining missing documentation, lab reports, and consultation results
• Conduct holistic assessments during patient visits to assess the needs and goals of patients and also alert other care team members about patient needs
• Monitor clinical and functional status of patients through regular face-to-face contact and convenes IDCT meetings on an ad hoc basis to address gaps in care or barriers to successful implementation of the Care Plan.
• Navigate patients through systems and across transitions
• Instruct individuals, families, or other members of the patient’s care team on health education, disease prevention, or community resources
• Maintain and ensure the confidentiality of all Personal Health Information (PHI) collected and disseminated, in accordance with HIPAA requirements
• Provides back up to support patient care functions
• Provides patients and parents/caregivers with education required for care in home/community
• Directs the Community Health Workers/Quality Engagement Advisors, as appropriate, concerning:

o Scheduling appointments

o Linking patient and family/guardian to community-based organizations and services

o Follow up with/support for patient and family/guardian

o Communication with/support for providers

• Participates in relevant continuing education offerings to enhance the knowledge base needed to oversee care for specialty populations.
• Performs other duties as assigned

Core Competencies

• Excellent interpersonal and analytic skills to accomplish assessment calls and coordination
• Knowledgeable about and compliant with laws and procedures regarding patient confidentiality, including HIPAA, Americans with Disabilities Act, and other laws protecting patient rights
• Demonstrated ability to maintain strict confidentiality of client, company, and personnel information
• Proven written and verbal communication skills
• Committed to supporting UCH’s standard to medical excellence

Education & Experience:

• RN Certification and State of TN or compact state licensure preferred.
• Bachelor's degree in business, health care administration, or related field is preferred
• At least 1-2 years of clinical experience in Family Medicine/Primary Care practice is preferred
• A minimum of 1 year of Case Management experience is strongly preferred

Effective November 1, 2021, UCH requires all employees to be fully vaccinated against COVID-19 (or have an approved medical or religious exemption from UCH). Please note that a job offer is contingent on submitting proof of COVID-19 vaccination or UCH approval of a medical or religious exemption request. Employees with approved exemptions will be required to undergo weekly COVID-19 testing at an assigned UCH testing location and time.

EOE-University Clinical Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, genetic information, or any other characteristic protected by federal, state, or local laws. University Clinical Health is a VEVRAA Federal Contractor – priority referral Protected Veterans requested.