Care Coordination and Value-Based Care Director

TAPESTRY 360 HEALTH•Chicago, IL

17h•$90,000 - $95,000•Hybrid

About The Position

The Director, Care Coordination and Value-Based Care provides strategic and operational leadership for care coordination, population health, and value-based care initiatives across the organization. This role is responsible for advancing an integrated, outcomes-driven care model that improves quality performance, patient experience, care continuity, and health equity, including for high-risk and medically complex populations. The Director oversees multidisciplinary care coordination and care management functions, standardizes workflows and outreach strategies, and drives initiatives that address both clinical and social determinants of health. In partnership with internal leadership, providers, and external organizations, including the MHN ACO, the position supports organizational performance, value-based reimbursement initiatives, and long-term population health outcomes.

Requirements

Bachelor’s degree required in Nursing, Social Work, Public Health, Healthcare Administration, Human Services, or a related healthcare field. An equivalent combination of education, training, and relevant experience may be considered instead of the stated degree requirement.
Minimum of five (5) years of progressive experience in care coordination, care management, population health, value-based care, or related healthcare operations.
Minimum of three (3) years of leadership or supervisory experience managing multidisciplinary teams in a healthcare, FQHC, hospital, managed care, or community health setting.
Strong understanding of value-based care models, population health strategies, care coordination workflows, and quality improvement initiatives.
Experience working with high-risk, medically complex, and underserved patient populations, including addressing social determinants of health (SDOH) and health equity initiatives.
Experience developing, implementing, and optimizing workflows, outreach strategies, and care management programs across interdisciplinary teams.
Demonstrated ability to analyze performance data, monitor quality metrics, and drive operational and clinical improvements.
Strong leadership, communication, organizational, relationship management, and change management skills.
Proficiency with electronic medical record (EMR) systems, reporting tools, and population health platforms.

Nice To Haves

Master’s degree in Public Health, Healthcare Administration, Social Work, Nursing, or a related field preferred.
Licensed clinical background (e.g., RN, LCSW)preferred.
Experience working in a Federally Qualified Health Center (FQHC), ACO, managed care, or value-based care environment preferred.
Familiarity with HRSA, UDS, HEDIS, CMS, and other regulatory and quality reporting requirements preferred.
Experience collaborating with hospitals, ACOs, managed care organizations, community-based organizations, and external healthcare partners preferred.
Experience leading population health, cancer prevention, care management, or health equity initiatives preferred.

Responsibilities

Provides leadership, supervision, and development for multidisciplinary teams, including Care Management, Care Coordination, Cancer Prevention, and Value-Based Care staff.
Leads and standardizes outreach, care coordination, and population health strategies aligned with organizational quality, health equity, and value-based care initiatives.
Partners with clinical, quality, operational, and external healthcare partners to support care continuity, improve access to care coordination services, and strengthen interdisciplinary collaboration.
Oversees care coordination workflows and care management strategies for high-risk, high-utilizing, and medically complex patient populations, including risk stratification, panel management, and performance monitoring.
Leads integration of social determinants of health (SDOH) initiatives into care coordination workflows, referral management processes, and care documentation practices.
Ensures care teams have standardized tools, protocols, training, and community resource connections necessary to address patient care and social support needs effectively.
Supports organization-wide cancer prevention and screening initiatives, including workflows that promote timely follow-up, patient outreach, and care coordination for abnormal results.
Drives continuous improvement efforts focused on workflow optimization, operational efficiency, patient outcomes, and advancement of a value-based, outcomes-focused care model.
Fosters a culture of accountability, collaboration, equity, and continuous improvement across teams and organizational initiatives.
Ensures compliance with HRSA, UDS, value-based care, and other applicable FQHC regulatory and reporting requirements.
Identifies opportunities to improve staffing models, resource allocation, workflows, and operational processes to support organizational growth and patient care needs.
Performs other duties as assigned in support of departmental and organizational objectives.