UnityPoint Health

Inpatient Care Coordinator- Younker 7 and Younker 8

Requisition ID
2025-160373
Category
Nursing
Location
US-IA-Des Moines
Address
1200 Pleasant St
Affiliate
3020 UnityPoint Health Des Moines
City
Des Moines
Department
Care Coordination
State
IA
FTE
1.0
FLSA
Exempt
Scheduled Hours/Shift
Monday-Friday 8am-4:30pm, 40 hours/week
Work Remotely within the US
No
Work Type (Portal Searching)
Full Time Benefits

UPH Additional Information

Why UnityPoint Health?  

 

Commitment to our TeamWe’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.   

 

Culture – At UnityPoint Health, you matter. Come for a fulfilling career and experience a culture guided by uncompromising values and an unwavering belief in doing what's right for the people we serve.   

 

Benefits – Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.   

 

Caring is what we do, and it starts with our team members: expect paid time off, parental leave, 401K matching and an employee recognition program as we support you both personally and professionally.  

 

You can only give your best when you feel your best, and we help you live well with dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members to give you peace of mind.   

 

We strive to make things easier and more personal in health care to set us apart from the rest, and you can experience that commitment through early access to earned wages with Daily Pay, a tuition reimbursement program designed to help you further your career and adoption assistance to help you grow your family in the way that works for you.   

 

Diversity, Equity and Inclusion CommitmentAt UnityPoint Health, we honor the ways people are unique and embrace what brings us together. Our collective goal is to champion a culture of belonging where everyone feels valued and respected.  

 

Development – We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.  

 

Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve.   

 

Hear more from our team members about why UnityPoint Health is a great place to work at  https://dayinthelife.unitypoint.org 

Overview

Inpatient Care Coordinator- Younker 7 and Younker 8

Full-Time 40 hours/week

Days, Monday-Friday

Benefit Eligible

The Care Coordinator integrates and coordinates the clinical care of individuals.  Facilitates the interdisciplinary plan of care in order to meet multiple service needs, promotes continuity through elimination of fragmentation of care/service and facilitates the effective utilization of resources.  Serves as educator and a central source of communication for the individual and their support systems.   

Responsibilities

Key Accountability—Care Coordination 

  • Screens 100% of adult Medical Surgical In-patient and observation patients and assesses the individual’s health status including clinical conditions, support systems and resources to identify needs and make referrals to appropriate multi-disciplinary services.
    • Prioritizes patients for care coordination based on defined criteria.
  • Monitors and coordinates an interdisciplinary plan of care in partnership with the individual and their support services for needs and services across the health care continuum and for transition through the levels and locations of care.
  • Assumes accountability for the development and implementation of an effective discharge plan for complex care patients.  Works with internal and external resources to co-ordinate a timely safe transition of patient to the appropriate level of care.
  • Lead and participates with the interdisciplinary team in daily rounds, planning delivery and evaluation of patient-focused care for prioritized patients.
  • Documents the case management plan to include: clinical needs, barriers to quality care, effective utilization of resources and pursues denials of payment and referrals in a timely, legible manner.
  • Tighter integration with ambulatory care management team, especially with high risk, chronically ill patients.
    • Standardize alert to cross continuum care managers when patients are admitted
  • Works closely with providers for discharge planning and determining the next level of care 
  • Collaborates with patients, caregivers, internal/external healthcare providers, agencies and payers to plan and execute a safe discharge
  • Collaborate with Utilization Management team on continued stay review.

Key Accountability - Discharge Planning

  • Collaborates with patients, caregivers, internal/external healthcare providers, agencies and payers to plan and execute a safe discharge
  • Identify and facilitate post-acute resource needs: Home Care, Community based Referrals, Diagnostic testing, Outpatient Therapies (Pulmonary Rehab, Cardiac Rehab, Physical and/or Occupational Therapy), Palliative Care or Hospice.
  • Ensure that the patient’s degree of vulnerability has been captured and documented on the Transitions of Care report.
  • Ensure verbal communication with the ambulatory / cross continuum care manager regarding patients who have moderate or red vulnerability at transition.
  • Document who will assume the care coordination/management role for these patients and for what period of time in the Common Care Plan and the Transition of Care report, if known.
  • Review the predictive tool for readmission and document the risk for readmission.  Implement additional interventions to mitigate the risk for readmission such as two follow-up appointments – one at the time the predictive tool indicates the patient is at highest risk for readmission
  • Facilitate reconciliation of discharge medication orders, alert PCP staff to In-Patient /Out Patient formulary changes
  • Utilize the med –to-bed program for patients with poly pharmaceuticals

Key Accountability - Education

  • Optimize utilization of Healthwise for Patient Education
  • Communicate patient/family learning needs that surface to the direct care nurse. Collaborate with direct care nurse on education plan.
  • Refer to content experts as appropriate i.e. wound care team, Diabetic Educators, Respiratory Therapy or PT.
  • Document education related to medication adherence
  • Facilitate patient self-management education.

Key Accountability—Revenue Cycle

  • Demonstrates a working knowledge of financial and reimbursement processes to facilitate medical cost management, including best practices, effective utilization of resources, linking clinical and financial aspects of care, and access to care and level of care.
  • Serves as a resource and educator to patient, family, staff and physicians regarding financial aspects of individual patient’s resources which may affect the transition of patients through the healthcare system.
  • Provides education for the individual and family and for the team regarding benefits, utilization of resources, levels of care, and expectations of the transition process throughout settings across the healthcare continuum.  Facilitates empowerment of the patient and family in self-management and health care decision-making.

Qualifications

Education:

 

 

 

Bachelor of Arts/Science degree in health care related field or BSN preferred. 

 

Experience:

 

 

 

 

Two years of clinical experience in focused areas working with multidisciplinary teams. 

 

License(s)/Certification(s):

 

 

Current RN Licensure in state of residence.

 

Knowledge/Skills/Abilities:

 

 

 

 

Writes, reads, comprehends and speaks fluent English.

Basic computer knowledge using word processing, spreadsheet, email and web browser.

 

Other:

 

 

 

Use of usual and customary equipment used to perform essential functions of the position.

 

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed