OnePeak Medical ยท 1 month ago
Care Quality and Navigation Coordinator
Medford, OR
Full-time
Onsite
Senior Level
5+ years expOnePeak Medical is redefining primary care with a mission to deliver personalized, integrative care. They are seeking an experienced Lead Care Quality Coordinator to operationalize and improve their Care Quality function, manage quality programs, and ensure compliance with standards across multiple clinics.
Medical DevicePrimary and Urgent Care
Responsibilities
Serve as the primary owner and builder of the Care Quality function across the organization
Partner with the Compliance, Clinical/Medical and Operational Leadership to develop the establishment and coordination of the Company's Quality Committee to promote cross-functional partnership and accountability for quality program initiatives, including implementation and oversight of the annual Quality Improvement Plan and of evidence-based Care Guidelines
Translate clinical standards and quality program requirements into clear, operational workflows that providers and staff can consistently follow
Lead the integration of Care Guidelines and quality program requirements into NextGen (templates, order sets, smart text, workflows) to support consistency at the point of care
Define and track key quality metrics, including outcomes, patient experience, variation in care delivery, and PCPCH-related measures
Maintain accurate documentation and produce executive-ready reports and dashboards for leadership review
Help manage, maintain, and operationalize PCPCH across applicable clinics, ensuring ongoing compliance with standards and successful attestations
Own the day-to-day operational execution of PCPCH requirements, including documentation, workflows, staff training, and audit readiness
Support additional quality programs (payer quality initiatives, internal quality projects, value-based care requirements, accreditation-related programs) as they are introduced or expanded
Partner with Operations, Compliance, and Clinical Leadership to ensure quality program requirements are embedded into normal clinic operations, not treated as add-on work
Develop and deliver ongoing training programs to ensure providers and staff understand Care Guidelines, PCPCH requirements, and quality expectations
Act as a clinical quality resource and change agent, supporting adoption and sustained compliance with quality and care coordination standards across sites
Create durable training materials, SOPs, tip sheets, and toolkits to support consistency, scale, and audit readiness
Collaborate with providers and care teams to improve coordination for complex or high-risk patients across the organization
Manage and operationalize all Transitional Care Management (TCM) workflows across the organization, ensuring consistency, compliance, and timely execution following hospital or facility discharges
Oversee patient Chronic Care Management (CCM) and care navigation services, including eligibility identification, enrollment workflows, documentation standards, and ongoing operational support
Build and maintain patient navigation pathways, connecting patients to appropriate internal services and external community resources (social services, specialty care, behavioral health, community-based programs)
Identify breakdowns in care transitions and navigation, and design improved communication, handoff, and follow-up workflows
Partner with Operations, Clinical Leadership, and Compliance to ensure TCM, CCM, and navigation services are clinically appropriate, operationally efficient, and aligned with billing and regulatory requirements
Support a patient-centered, whole-person approach to care delivery across departments
Qualification
Required
Bachelor's degree in healthcare administration, nursing, public health, care coordination, quality improvement, or a related field (or equivalent practical experience)
5+ years of experience in healthcare quality, care coordination, clinical operations, population health, or related roles
Demonstrated experience building, implementing, or significantly improving care quality programs, care coordination workflows, or clinical standards
Hands-on experience operationalizing quality initiatives (e.g., PCPCH, value-based care programs, accreditation or payer quality programs)
Strong understanding of care coordination models, including Transitional Care Management (TCM), Chronic Care Management (CCM), and patient navigation
Experience working cross-functionally with providers, operations, compliance, and leadership teams
Ability to analyze clinical and operational data, identify gaps, and translate insights into actionable improvements
Company
OnePeak Medical
OnePeak Medical is an innovative primary care medical practice group.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
unknownKey Investors
NB Group Investors
2021-07-15Private Equity
Leadership Team
Nisha Jackson
Founder, CEO
Company data provided by crunchbase