Patient Care Coordinator

Responsible for delivering a patient service model including assessment planning linkage advocacy and monitoring.

Adhere to the highest standard of ethical and moral conduct act in the best interest of HRMC and support the mission vision and values of HRMC.

Demonstrates the mission of HRMC by displaying REACH our core value system:

• Respectful We value the unique talents ideas contributions and circumstances of each individual.
• Engaged We value being active positive participants at work and in our communities.
• Available We value providing local access to care for our communities while being present for each other.
• Competent We value knowledgeable peoplecentered innovative and technology driven teams.
• Helpful We value always helping others with kindness and compassion.

Essential Job Functions:

Demonstrates HRMCs Mission and Core Values of the hospital: Respectful Engaged Available Competent and Helpful and demonstrates that patients physicians employees are customers and consistently seeks to exceed expectations.

Completes a psychosocial assessment with patient family member or both within the first twentyfour hours (work week) of the admission process

Document on the day of completion with a written discharge plan that addresses use of the full continuum of care.

Collaborates closely with Social services community liaisons nursing staff and all other departments.

Collaborate with Utilization manager regarding criteria length of stay and preauthorizations.

Providers treatment updates to providers outside of the hospital and family members

Provides placement and resource assistant services

Assists in the orientation and educational programs with students and employees including the understanding of systems regulations and reimbursement of various payees.

Builds bridges/relationships with other community facilities/agencies that will benefit the hospitals operation and community planning services.

Demonstrates the knowledge and skills necessary to provide care appropriate for pediatric adolescent adult and geriatric patients.

Maintains current knowledge of available community resources for patient/family assistance and keeps appropriate nursing personnel informed of same.

Acts as an information resource person regarding Federal State and private agency review regulations and requirements.

Participates in daily rounding and discharge planning process including but not limited to the placing of patients in nursing/foster homes swing bed admission coordinating arrangements for patient/family needs and equipment for post discharge care at home along with financial assistance.

Responds to and supports urgent & emergency situations to support/assist patient families and staff.

Document each assessment and all other social visits accurately and in a timely manner.

Participates/coordinates patient/family care conferences as deemed necessary.

Prepares assessments timely in accordance to swing bed dialysis and hospice patient rules and regulations depending on social service degree held.

Provides social service activity for terminally ill patients and families including treatment planning and consultation with other staff members.

Lead/support Interdisciplinary Rounding with timely (same day) documentation.

Coordinate cares from beginning of stay thru Discharge

Other Job Duties:

Assumes responsibility for professional development. Participates in inservices internal committees educational programs mandatory & department meetings.

Complete required HealthStream education competencies certifications and SQSS tasks.

Participate in department quality risk and utilization plan. Prepare timely and accurately reports and data for the department as requested.

Promotes and maintains confidentiality of information regarding patients families health care personnel and facility.

Presents professional appearance and demeanor.

Reviews and complies with general hospital and departmental policies and procedures including infection control and universal precautions.

Works within the chain of command and performs other duties as assigned.

Qualifications:

Associates degree or equivalent experience

Bachelors degree in a healthrelated field preferred or related degree

23 years experience in a similar role

Indepth knowledge of medical terminology collecting and interpreting medical information

Demonstrates continuous patient focus within the daily responsibilities

Coordinates

Communicates congenially and professionally with patients families coworkers and physicians along with outside organizations.

Knowledge Skills and Abilities

Bilingual preferred

At least 1 year experience in community services preferred

Knowledgeable about services community needs and resources

Organized and able to work independently

Good computer Skills.