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.
Internal Number: 42453BR
About Inova Health System
Inova is a global leader in personalized health, which leverages precision medicine to predict, prevent and treat disease, enabling individuals to live longer, healthier lives. At Inova, we serve more than two million people each year from throughout the Washington, DC, metro area and beyond. Inova's mission is to improve the health of the diverse community it serves through excellence in patient care, education and research. At Inova, more than 16,000 employees demonstrate their commitment every day to providing the community with expert, world-class, compassionate patient care.