Care Coordinator RN
Care Coordinator RN
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Job Description
UPH Additional Information
Why UnityPoint Health
Commitment to our Team Were proud to be recognized as a Top 150 Place to Work in Healthcare by Beckers 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 whats 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 youre 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 longterm disability and more. We even offer pet insurance for your fourlegged 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 Commitment At 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 purposeto 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
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. Responsible for reviewing and updating plan of care with healthcare team when applicable. Assesses monitors analyzes and documents resources utilized in the provision of patient care. 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.
Responsibilities
Care Coordination
- 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 coleads 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 patients transition through all levels of care and provides communication between community resources and the patient and/or family.
Assessment/Planning
- 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
- Uses established protocols to assess and promptly documents the patients health care needs to assure an accurate legal record of patients care
Relationship Building
- 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
Qualifications
Minimum Requirements
Identify items that are minimally required to perform the essential functions of this position.
Preferred or Specialized
Not required to perform the essential functions of the position.
Education:
Registered Nurse
AD in Nursing BSN preferred
CMAC (Certification as a Case Management Administrator)
Experience:
3 to 5 years clinical experience as an RN with at least 1 year working with the diagnostic population to which the care coordinator will be assigned
Experience in postacute care
License(s)/Certification(s):
RN licensure in State of Iowa
Valid drivers license when driving any vehicle for workrelated reasons.
Knowledge/Skills/Abilities:
- Excellent communication skills particularly in facetoface personal contact with patients and families
- Critical thinking and problem solving skills and coping effectively with stressful situations. Must possess time management skills
- Knowledge of social services in a health care setting including crisis intervention support counseling and discharge planning
- Understand the concepts of levels of care payment systems and insurance requirements
- Working knowledge of community information and resources for referrals
- Knowledge and skills necessary to provide services/care appropriate to the age and diagnosis of patients served across the continuum of care in accordance with the hospital/departmental/unit standards
- Maintain working knowledge of applicable Federal State and local laws and regulations as well as other policies and procedures in order to ensure adherence in a manner that reflects honest and professional behavior
Discretion in handling highly confidential information from patients and ability to work with highly diverse populations
Other:
Use of usual and customary equipment used to perform essential functions of the position.
Required Experience:
IC
Employment Type
Gig
