Value Based Care Specialist

Community Clinic

Value Based Care Specialist at Community Clinic improving patient care through quality coordination and program management. Engage with patients, healthcare teams, and management to achieve care improvement goals.

Posted 6/30/2026full-timeRogers • 🇺🇸 United StatesJuniorMid-LevelWebsite

About the role

Key responsibilities & impact

Track and coordinate follow-up care for patients discharged from hospitals and emergency departments
Contact patients post-discharge to assess needs and schedule follow-up appointments
Ensure timely documentation of all transitional care activities in the electronic health record (EHR)
Serve as a liaison between patients, internal care teams, and external providers
Monitor and report on value-based care quality metrics
Use population health tools to identify patients with care gaps
Support administration for APCM, CCM, and RPM programs
Document care coordination activities, patient communications, and service delivery
Conduct patient outreach to schedule follow-up visits
Educate patients on health center services

Requirements

What you’ll need

Active Registered/Certified Medical Assistant (RMA or CMA)
High School Diploma or GED
Proficient in use of electronic health records and Microsoft Office Suite
2+ years of experience in care coordination, quality improvement, or healthcare preferred
Bilingual in English and Spanish or Marshallese preferred

Benefits

Comp & perks

Health, Vision, Dental and Life Insurance
403(b) Retirement plan (automatic employer contribution of 5% per paycheck!)
Paid Time Off and Holidays
Employee Discounts for Care

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Care CoordinationQuality ImprovementPatient OutreachDocumentationHealth Education

Soft Skills

CommunicationLiaison SkillsOrganizational Skills

Certifications

Registered Medical Assistant (RMA)Certified Medical Assistant (CMA)