UnityPoint at Home 

Patient Care Coordinator

Full Time Benefits 1.0 FTE 

Variable day-time weekday hours with call rotation.

At UnityPoint Health, you matter. We’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.  

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.  Here are just a few:      

• Expect paid time off, parental leave, 401K matching and an employee recognition program.   

• Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.  

• Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.   

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.   

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. 

Find a fulfilling career and make a difference with UnityPoint Health.

Quality of Care 

• Regularly reviews available reports to ensure team is meeting process and outcome measures, including but not limited to: OASIS, potentially avoidable events, hospital utilization, HHCAHPS. 

• Assists in development in individual, team or regional action planning for quality of care areas in need of improvement. 

• Reviews documentation alerts and coordinates with clinicians to make timely corrections as needed. 

• Responsible for utilization management and review of plans of care and admission documentation. 

• Determines when case conference is needed based on review of high risk patients. 

• Reviews supplies and/or medications for formulary use and manages utilization. 

• Assists clinical supervisor(s) with identification of opportunities for improvement in productivity, quality, documentation, service delivery and attainment of financial outcomes. 

• Provides coverage for supervisor during absences and participates in leadership call responsibility as assigned by region. 

• Performs clinical duties including patient/ family visits as business needs dictate 
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• Care Coordination 

  • Monitors care delivery of high risk patients and assists with care planning, visit scheduling, and phone call visits as needed. 
  • Facilitates communication between the interdisciplinary team, physicians, patients and family members. 
  • Facilitates case conferences to ensure care coordination and appropriate discharge planning. 
  • Assists with facilitation of referrals to other services, community resources, etc. as needed. 
  • Assigns cases to appropriate team members based on patient needs/acuity, patient location and clinical staff expertise. 
  • Responsible for fulfilling the regulatory role of clinical manager 
  • Making patient and personnel assignment. 
  • Coordinating patient care. 
  • Coordinating referrals. 
  • Assuring that patient needs are continually assessed. 
  • Assuring the development, implementation and updates of the individualized plan of care. 
  • Is available (or assigns a designee) at all times during operating hours. 
  • Ensures the quality of services offered and adequate staffing. 

Subject Matter Expert 

• Expert in service line rules and regulations 

• Reviews documentation to ensure compliance with state regulations, conditions of participation and payer requirements. 

• Ensures care delivery by team(s) is in compliance with state regulations, standards of professional practice by discipline, conditions of participation and payer requirements. 

• Super-user of electronic health record. 

• Responsible for OASIS and/or HIS review and accuracy. 

Education: Graduate of State Board approved program for Registered Nurses 

Experience: 2-3 years home care and/or hospice case management experience. If fulfilling regulatory role of clinical manager must have 2 years of home care experience with one year of supervisory experience. 

License(s)/Certification(s):

Valid driver’s license when driving any vehicle for work-related reasons.  

Current license to practice nursing according to state where service is provided.  

COS-C certification must be obtained within 12 months of hire  

CPR Certification.  

Valid Mandatory Reporter course completion by state requirement. 

Knowledge/Skills/Abilities:

Strong interpersonal skills. 

Ability to work as a team member. 

Strong computer skills. 

Ability to understand and apply guidelines, policies and procedures. 

Strong organizational and time management skills. 

Ability to critically think and make clinical decisions based on verbal and written communication.