Value-Based Care Coordinator (Part-Time)

About Us

About Trinova Medical

Trinova Medical is a patient-focused internal medicine practice in Pensacola, FL. As a participant in value-based care, we are committed to keeping our patients healthy through proactive, coordinated care and to closing gaps in preventive and chronic disease management.

The Role

Position Overview

We are seeking an experienced, highly organized Value-Based Care Coordinator to help us achieve our end-of-year quality and risk-adjustment goals. This is a self-directed, hybrid role responsible for chart review and HCC coding, quality-registry management, and direct patient outreach to close care gaps. It is an excellent fit for an experienced care professional — such as a Medical Assistant, LPN, certified coder, HEDIS/quality abstractor, or care coordinator — with value-based care, population health, or chronic care management experience who can manage a project independently while collaborating closely with our clinical team. This is a seasonal position — now through the end of the year — with the potential to extend into 2027 based on performance and practice needs.

Day-to-Day

What You'll Do

• Prepare and maintain payer worklists and quality registries in eClinicalWorks (eCW) across key measures: HCC/risk adjustment, blood pressure control, diabetes (A1C), diabetic retinal exams, statin therapy, and Annual Wellness Visits
• Review patient charts and accurately capture and reconcile HCC diagnosis codes as supported by clinical documentation and practice protocols
• Conduct high-volume patient outreach by phone and text to close care gaps — scheduling visits, requesting outside records (such as retinal exam results), and coordinating follow-up
• Support blood pressure control efforts: identify patients who are uncontrolled or overdue, facilitate home blood-pressure monitoring and remote patient monitoring (RPM) enrollment, and route clinical documentation to the RN and APRN team
• Support diabetes (A1C) control outreach and statin-therapy gap closure in partnership with providers
• Assist with Annual Wellness Visit and Health Risk Assessment (HRA) completion, escalating any clinical concerns to the provider team
• Maintain accurate gap-closure documentation and registries, and support CCM/APCM billing workflows
• Collaborate closely with RNs, APRNs, and front-desk/scheduling staff

Requirements

Qualifications

• Clinical background sufficient to review charts and engage patients confidently — e.g., Medical Assistant (CMA/RMA), LPN, certified coder (CRC/CPC), HEDIS/quality abstractor, or experienced care coordinator
• Experience in value-based care, population health, HEDIS quality measures, HCC/risk-adjustment coding, or chronic care management (CCM) — required
• Proficiency with eClinicalWorks (eCW) strongly preferred
• Demonstrated ability to work independently and manage a project with minimal supervision
• Excellent communication skills and comfort with high-volume patient outreach by phone and text
• Strong organizational skills, attention to detail, and comfort working with registries and spreadsheets
• Familiarity with HCC coding and risk adjustment; Certified Risk Adjustment Coder (CRC) credential a plus
• Professionalism, reliability, and a collaborative approach

Compensation

Schedule, Location & Compensation

• Competitive pay: $26–$30 per hour, commensurate with experience
• Part-time, approximately 20–28 hours per week
• Hybrid — a combination of in-office (Pensacola, FL) and remote work
• Seasonal through December 2026, with the potential to extend into 2027
• A flexible schedule and the opportunity to make a meaningful, measurable impact on patient care

Apply

How to Apply

If you are an experienced, self-directed care coordinator who takes pride in quality and follow-through, we would love to hear from you. Click Apply Now to submit your application. We review every applicant and respond promptly.

Quick Summary

$26–$30 / hour

Part-Time · ~20–28 hrs/week
Hybrid — Pensacola, FL
Seasonal through Dec 2026

Good Fit For

Medical Assistants & LPNs
Certified Coders (CRC/CPC)
HEDIS/Quality Abstractors