Continuum of Care Coordinator
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About The Position
The Continuum of Care Coordinator (CCC) oversees the continuum of care in assigned markets for the MSSP ACOs ensuring that patients receive the highest quality of care while responsibly managing Medicare resources. The CCC is responsible for managing patient transitions between hospitals, clinics, and post-acute care providers. They conduct group and individual meetings with hospital leadership and post-acute administrators promoting timely access to appropriate levels of quality care while working to reduce readmissions, avoidable hospital services, length of stay and home health recertification. The CCC builds strategic relationships in the community with the goal of enhancing patient health and well-being and reducing healthcare costs. The CCC monitors data and presents to hospital leadership to identify trends in resource utilization and serves as a local subject-matter expert (SME) on all things ACO for their supported markets.
