Inpatient Care Coordinator-Care Coordination
Inpatient Care Coordinator-Care Coordination
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1 Vacancy
Job Description
Overview
The Care Coordinator integrates and coordinates the clinical care of individuals. Facilitates the interdisciplinary plan of care in order to meet multiple service needs promotes continuity through elimination of fragmentation of care/service and facilitates the effective utilization of resources. Serves as educator and a central source of communication for the individual and their support systems.
Why UnityPoint Health
At UnityPoint Health you matter. 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.
Our competitive Total Rewards program offers benefits options that align with your needs and priorities no matter what life stage youre 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 longterm disability and more. We even offer pet insurance for your fourlegged 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.
Responsibilities
Care Coordination
Screens 100% of adult Medical Surgical Inpatient and observation patients and assesses the individuals health status including clinical conditions support systems and resources to identify needs and make referrals to appropriate multidisciplinary services.
oPrioritizes patients for care coordination based on defined criteria.
Monitors and coordinates an interdisciplinary plan of care in partnership with the individual and their support services for needs and services across the health care continuum and for transition through the levels and locations of care.
Assumes accountability for the development and implementation of an effective discharge plan for complex care with internal and external resources to coordinate a timely safe transition of patient to the appropriate level of care.
Lead and participates with the interdisciplinary team in daily rounds planning delivery and evaluation of patientfocused care for prioritized patients.
Documents the case management plan to include: clinical needs barriers to quality care effective utilization of resources and pursues denials of payment and referrals in a timely legible manner.
Tighter integration with ambulatory care management team especially with high risk chronically ill patients.
oStandardize alert to cross continuum care managers when patients are admitted
Works closely with providers for discharge planning and determining the next level of care
Collaborates with patients caregivers internal/external healthcare providers agencies and payers to plan and execute a safe discharge
Collaborate with Utilization Management team on continued stay review.
Discharge Planning
Collaborates with patients caregivers internal/external healthcare providers agencies and payers to plan and execute a safe discharge
Identify and facilitate postacute resource needs: Home Care Community based Referrals Diagnostic testing Outpatient Therapies (Pulmonary Rehab Cardiac Rehab Physical and/or Occupational Therapy) Palliative Care or Hospice.
Ensure that the patients degree of vulnerability has been captured and documented on the Transitions of Care report.
Ensure verbal communication with the ambulatory / cross continuum care manager regarding patients who have moderate or red vulnerability at transition.
Document who will assume the care coordination/management role for these patients and for what period of time in the Common Care Plan and the Transition of Care report if known.
Review the predictive tool for readmission and document the risk for additional interventions to mitigate the risk for readmission such as two followup appointments one at the time the predictive tool indicates the patient is at highest risk for readmission
Facilitate reconciliation of discharge medication orders alert PCP staff to InPatient /Out Patient formulary changes
Utilize the med tobed program for patients with poly pharmaceuticals
Education
Optimize utilization of Healthwise for Patient Education
Communicate patient/family learning needs that surface to the direct care nurse. Collaborate with direct care nurse on education plan.
Refer to content experts as appropriate i.e. wound care team Diabetic Educators Respiratory Therapy or PT.
Document education related to medication adherence
Facilitate patient selfmanagement education.
Revenue Cycle
Demonstrates a working knowledge of financial and reimbursement processes to facilitate medical cost management including best practices effective utilization of resources linking clinical and financial aspects of care and access to care and level of care.
Serves as a resource and educator to patient family staff and physicians regarding financial aspects of individual patients resources which may affect the transition of patients through the healthcare system.
Provides education for the individual and family and for the team regarding benefits utilization of resources levels of care and expectations of the transition process throughout settings across the healthcare empowerment of the patient and family in selfmanagement and health care decisionmaking.
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.
Care Coordinator 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 any questions or concerns regarding compliance to the immediate attention of hospital administrative appropriate action on concerns reported by department staff related to compliance.
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:
Bachelor of Arts/Science degree in health care related field or BSN preferred.
Experience:
Two years of clinical experience in focused areas working with multidisciplinary teams.
License(s)/Certification(s):
Current RN Licensure in state of residence.
Knowledge/Skills/Abilities:
Writes reads comprehends and speaks fluent English.
Basic computer knowledge using word processing spreadsheet email and web browser.
Other:
Use of usual and customary equipment used to perform essential functions of the position.
Required Experience:
IC
Employment Type
Gig
