UnityPoint Health

  • Patient Care Coordinator

    Requisition ID
    2018-51893
    Category
    Nursing
    Location
    US-IA-Sioux City
    Address
    2905 Hamilton Blvd
    Affiliate
    9400 UnityPoint at Home Affiliate
    City
    Sioux City
    Department
    Admin- HC- SC
    State
    IA
    FTE
    1.0
    FLSA
    Exempt
    Scheduled Hours/Shift
    Monday- Friday, 8a-5p and Occasional On Call
    Work Type (Portal Searching)
    Full Time Benefits
  • Overview

    Unity Point at Home

    Patient Care Coordinator

    Monday- Friday, 8a-5p, Occasional Call

    Full-Time Benefits, 40 Hours/ Week

     

    As a member of the clinical leadership team, assists in directing patient care in the home care and/or hospice setting in

    accordance with professional nursing standards. Provides oversight of the delivery of direct patient care through care

    coordination and guiding the collaboration among the interdisciplinary team.

    Responsibilities

    Key Accountability: 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, HIS, hospital utilization, CAHPS.
    • 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 staff during absences/vacation request and participates in leadership call responsibility as assigned by region.

    Key Accountability: 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.
    • Serves in regulatory role of clinical manager (HOME CARE ONLY)

    Key Accountability: 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.

    Basic UPH Performance Criteria

    • Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.
    • Demonstrates ability to meet business needs of department with regular, reliable attendance.
    • Employee maintains current licenses and/or certifications required for the position.
    • Practices and reflects knowledge of HIPAA, TJC, DNV, OSHA and other federal/state regulatory agencies guiding healthcare.
    • Completes all annual education and competency requirements within the calendar year.
    • Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Brings anyquestions or concerns regarding compliance to the immediate attention of hospital administrativestaff. Takes appropriate action on concerns reported by department staff related to compliance.

    Qualifications

    QUALIFICATIONS:

     

    Education:

    • Graduate of State Board approved program for Registered Nurses 
    • BSN Preferred 

    Experience:

    • 2-3 years home care and/or hospice case management 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. (home care only). CPR Certification. Valid Mandatory Reporter course completion by state requirement. Integrated Care Management certification or successful completion of certification within one year of employment.

     

     

     

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