Performance Navigator Job at Louisiana Primary Care Association
Louisiana Primary Care Association Baton Rouge, LA 70806
$31,900 - $59,200 a year
Overview:
The Louisiana Primary Care Association (LPCA) is conducting a job search for a full-time Performance Navigator to join the Louisiana Primary Care Accountable Care Organization, LLC (LPCACO) team.
Qualifications:
- Registered Nurse (RN) and/or Bachelor’s Degree in Nursing required.
- Licensed Practical Nurse (LPN) with an accredited practical nursing certificate and three years of experience in care management may be substituted in lieu of the degree requirement.
Duties and Responsibilities:
- Increase access to health services with/for an identified population through the health centers "Care Management Team". Develop, maintain, share, and educate stakeholders on complex analytical models supporting data literacy.
- Collaborate with Care managers, HIT, health plans, and Data analytics teams to identify opportunities for improvement, share learnings, and support business goals of AWV gap closure, 4 Star level medication adherence performance, etc.
- Use data to identify and deliver actionable insights to key stakeholders including trends in prescribing and new opportunities for improvement.
- Motivates Care Team to engage in primary care practices to effectively manage their chronic disease and/or engage in preventive care as appropriate to avoid inappropriate care settings (e.g., emergency department use for non-emergent concerns).
- Pull, manipulate, analyze, and report on diagnosis /coding data from multiple data sources including, but not limited to, payer portals and payer claim.
- Review and research data discrepancies across sources to sustain data integrity.
- Establish relationships, gather input, and facilitate communication amongst key stakeholders.
- Use data dashboards to educate and foster opportunities for change in clinical workflow.
- Other duties, as assigned.
Education/Experience:
- Healthcare industry experience (value-based care experience preferred).
- Bachelor's degree plus 1+ years of related experience, or an equivalent combination of education and experience.
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