Quality Care Coordinator: Value-Based Care

About the position The LSU Healthcare Network is a non-profit, academic, multi-specialty healthcare delivery system dedicated to patient care, research, and education. You can be a part of a progressive healthcare team making a meaningful difference in the care of patients. The LSU Healthcare Network is made up of over 175 healthcare providers – from primary care to specialty care – at several multi-specialty care locations in and around the Greater New Orleans area. The Care Coordinator is responsible for ensuring each patient’s experience with the LSU Healthcare Network is seamless, coordinated, and comprehensive. This role reviews, plans, and coordinates healthcare services using evidence-based guidelines and value-based care strategies to improve clinical outcomes, reduce healthcare costs, and optimize resource utilization. The Care Coordinator applies clinical knowledge and population health tools to conduct ongoing patient assessments, identify and close gaps in care, facilitate referrals, screenings, and diagnostic testing, and provide patient education. The role ensures timely follow-up and effective use of appropriate resources to improve patient health outcomes and overall quality of care. The Care Coordinator also collaborates closely with physicians and insurance payers to align quality initiatives and promote coordinated, cost-effective care.

Responsibilities

• Utilize population health management tools to improve quality outcomes and reduce healthcare costs across all value-based contracts
• Develop and implement care management protocols and workflows aligned with evidence-based guidelines and organizational best practices to enhance patient care
• Engage, educate, and support physicians and clinical staff in quality improvement initiatives and performance on HEDIS measures
• Assist in the organization’s participation in the CMS Quality Payment Program (QPP), supporting more than 800 physicians statewide
• Assist the Director of Quality by providing and distributing monthly reports on patient outreach and quality metrics
• Collaborate with insurance payers to build cohesive working relationships that support quality initiatives and coordinated, cost-effective care
• Guide patients throughout their healthcare journey—from initial outreach through referral completion, missed appointment follow-up, and care gap closure
• Assist patients with scheduling appointments for office visits, diagnostic testing, treatments, procedures, and follow-up care
• Ensure results of testing, treatments, and procedures are received, reviewed, and accurately documented in the patient’s medical record in a timely manner
• Actively follow up on patient concerns or care coordination issues until resolution, and communicate outcomes to both the patient and their care team
• Review HEDIS, Star, and Risk Adjustment reports at least monthly with the Director of Quality to develop action plans that improve measure performance and patient outcomes
• Perform other job-related duties as assigned

Requirements

• High school diploma or GED equivalent required
• LA LPN license or Medical Assistant Certificate preferred
• Minimum 2 years clinical experience in a patient care environment in a clinical or similar setting required
• Experience in Value-Based Care preferred
• Knowledgeable and experienced in computer skills, particularly Microsoft Office products and Electronic Health Records

Nice-to-haves

• LA LPN license or Medical Assistant Certificate
• Experience in Value-Based Care

Benefits

• 15 PTO Days
• 11 Paid Holidays
• 401(k) Plan with employer match
• Health Insurance
• Tuition Reimbursement