UW Medicine's mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians, scientists and other health professionals. UW Medicine owns or operates Harborview Medical Center (HMC), Northwest Hospital & Medical Center (NWH), Valley Medical Center (VMC), UW Medical Center (UWMC), a network of UW Medicine Neighborhood Clinics (UWNC) that provide primary care, UW Physicians, UW School of Medicine, Airlift Northwest, and other owned, operated or affiliated entities as appropriate. In addition, UW Medicine shares in the ownership and governance of Children's University Medical Group and Seattle Cancer Care Alliance a partnership among UW Medicine, Fred Hutchinson Cancer Research, and Seattle Children's. UW Medicine Population Health Management has an outstanding opportunity for a Clinical Care Coordinator, Accountable Care Network (ACN) & Value-Based Contracts. This individual will be an experienced registered nurse focused on patient lives in contracted value based arrangements for both UW Medicine and UW Medicine ACN. The clinical care coordinator serves as the initial point of contact and gatekeeper for payer groups who refer patients to the health system. This role is dedicated to supporting our clinic based care managers and providers to achieve our targeted mission of improving the health of the public by identifying patient populations in value based contracts at risk due to lack of empanelment, utlization management, prevention/disease management, or integrated care management. May support as needed post-inpatient discharge transitional care management. The Clinical Care Coordinator can offer direct patient care coordination or provide a warm hand off to a clinic care manager for patient follow-up.The Clinical Care Coordinator will promote improved patient outcomes by conducting centralized reviews that identify patient's correct primary care and provider attribution; refer these patients to the appropriate care manager. The individual in this role will be empowered to use competency in clinical and care management skills and experience, as well as critical thinking that is self-initiated, while simultaneously meeting contractual timelines for all payers.The Clinical Care Coordinator will provide care coordination for patients needing access to organizations and/or services particularly in an effort to assist in avoiding unnecessary services outside of UW Medicine ACN or UW Medicine. The Clinical Care Coordinator will use internal and external health intelligence tools and payer reports to identify, to outreach, and to educate patients on how to more effectively and efficiently navigate the health system(s) to reduce utilization, to reduce cost, and to improve quality of care.The Clinical Care Coordinator reports directly to the Director of Care Management for UW MedicineREQUIREMENTS:High clinical competence, an ability to work in a team situation with other professionals and have the ability to carry out responsibilities with minimal supervision.Commitment to continuous quality improvement working with co-workers in a team oriented collaborative governance model.Clinical knowledge in care management and understands and fulfills duty of care, with excellent coordination skills.Demonstrates role flexibility, impeccable organizational skills, attention to detail, and is able to function effectively in stressful situations.Demonstrates proficiency in using technology that bolsters communication and delivery of care (Epic, ORCA, Excel, PowerPoint, Word, Visio) while upholding UW Medicine's policies around confidentiality and sensitive Protected Health Information (PHI)Use resources as Excel, Visio, Word, and Power Point to generate reports, share patient storiesEager to learnSelf-driver that takes initiative and invested in seeming program growAbility to be creative and innovativeStrong communication skillsAbility to research within the electronic medical record patient clinical informationAbility to research for different approaches to offering care management and care coordination to improve effectiveness of roleOpen to feedback and willingness to offer feedbackEnjoys collaborating with others to arrive at positive alternatives and outcomes for patientsWillingness to work primarily from a computer and telephonicallyAbility to read and to analyze reportsValue timeliness, customer first, integrity, personal excellence, and organizationBachelor of Science in Nursing degree from an accredited program for nursing educationMinimum 3-5 years of experience in either: a) Healthcare environment in care management, disease management case management or utilization management; or b) PCP environment where the practice was at least 35% full risk lives.Previous experience and familiarity with EpicAn equivalent combination of education and experience may substitute for stated requirements.Certifications/Licensure:Active, current Registered Nurse (RN) license with the State of Washington (Hired individual will maintain active licensure annually)
Founded in 1861, the University of Washington is one of the oldest public institutions in the west coast and one of the preeminent research universities in the world. The University of Washington is a multi-campus university comprised of three different campuses: Seattle, Tacoma, and Bothell. The Seattle campus is made up of sixteen schools and colleges that serve students ranging from an undergraduate level to a doctoral level. The university is home to world-class libraries, arts, music, drama, and sports, as well as the highest quality medical care in Washington State and a world-class academic medical center. The teaching and research of the University’s many professional schools provide undergraduate and graduate students the education necessary toward achieving an excellence that will serve the state, the region, and the nation. As part of a large and diverse community, the University of Washington serves more students than any other institution in the Northwest.