UnityPoint Health

  • Care Coordination Program Coordinator-IP

    Requisition ID
    2018-52886
    Category
    Physician Services and Medical Affiars
    Location
    US-IA-Sioux City
    Address
    2720 Stone Park Blvd
    Affiliate
    7520 UnityPoint Heath SC St Lukes
    City
    Sioux City
    Department
    Case Management- SLRMC
    State
    IA
    FTE
    1.0
    FLSA
    Exempt
    Scheduled Hours/Shift
    M-F 8-4:30
    Work Type (Portal Searching)
    Full Time Benefits
  • Overview

    Responsible for the coordination, integration and facilitation of all care and services for the patient by all members of the health care team.  Performs admission assessment, screening for appropriateness, and monitoring of plan of care to address physical and psychosocial needs, and provides problem solving assistance. Coordinates services, discharge planning, referrals to appropriate community agencies and assists with Advance Directives when appropriate. Promotes communication and collaboration among all members of the health care team to ensure that specific patient outcomes are achieved and variances from accepted parameters are evaluated and addressed as needed. Additionally this position serves as a mentor and resource providing support and assistance to the care coordinators as related to care coordination role, responsibility, and professional development.

    Responsibilities

    Care Coordination/Assessment/Planning - 40% annually

    • Provides care coordination and discharge planning services to assure that the patient progresses through the continuum of care and has resources in place for community support
    • Coordinates the integration of care coordination functions into patient care, discharge, and transition planning processes with the healthcare team, external service organizations, agencies and healthcare facilities
    • Provides information regarding internal and external resources and services to patients and/or families as well as the healthcare team
    • Coordinates and facilitates access to services and patient care progression using best practice interventions that will produce favorable patient outcomes within a target LOS
    • Completes and documents assigned quality audits and avoidable day reporting
    • Leads or co-leads Care Coordination Rounds per policy and refers patients for Complex Care Rounds
    • Engages in process improvement work and quality initiatives to ensure efficient, high quality multidisciplinary care is provided
    • Completes all necessary paperwork to facilitate the patient's transition through all levels of care and provides communication between community resources and the patient and/or family
    • Assesses all assigned patients in person and integrates family information to determine potential and actual risks to recovery and the next level of care needed
    • Accountable for developing and coordinating the implementation of Discharge Plan A and alternative Plan B, including documentation in the medical record
    • Provides skilled intervention for the support and/or resolution of patient and family crises, problem solving, and decision making
    • Improves patient and/or family understanding of and adjustment to the medical diagnosis and plan of care

    Leadership - 40% annually

    • Collaborate across the continuum within designated region to collectively improve care coordination and population health initiatives
    • Demonstrate clinical leadership as a role model for other team members and provide direction that ensures top of licensure duties for all team members
    • Utilize critical thinking in making independent judgments related to patient care. Maintain responsibility and accountability for the knowledge of conditions of assigned patient populations.
    • Collaborate with Care Coordination Director to support onboarding of new care coordinators to the role and responsibility of their position
    • Providing ongoing support as a content expert and role model related to the care manager role
    • Assist Care Coordination Director with identifying variability to the work and operational opportunities within the region or specialty
    • Assist with optimizing workflows as they exist in the EHR for care coordination and support care coordinators to utilize data to support care coordination functions
    • Assist with development of onboarding and educational materials in collaboration with the Care Coordination Director
    • Engage in process improvement work and quality initiatives to ensure efficient, high quality multidisciplinary care is provided

     

    Relationship Building - 10% annually

    • Collaborates with physicians, nursing, social work, and multiple disciplines, departments, payers, and agencies to eliminate barriers to efficient delivery of care in the appropriate setting
    • Coordinates and facilitates patient centered interdisciplinary care and communication, ensuring progress toward goal attainment
    • Supports and coaches accurate clinical documentation by physicians and other healthcare team members
    • Builds a network of positive working relationships that advocate for the patient

    Basic UPH Performance Criteria - 10% annually

     

    • 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 any questions or concerns regarding compliance to the immediate attention of hospital administrative staff.  Takes appropriate action on concerns reported by department staff related to compliance.

    Qualifications

    Education:

    • Registered Nurse

    Experience:

    • 3 to 5 years clinical experience in a clinical setting with recognized expertise
    • Experience in care coordination / case management / population health or comparable leadership experience

    License(s)/Certification(s):

    • RN licensure in State of Iowa
    • Valid driver’s license when driving any vehicle for work-related reasons.

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