drjobs Inpatient Care Coordinator- Powell 5 and Younker 5

Inpatient Care Coordinator- Powell 5 and Younker 5

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Job Location drjobs

Des Moines, IA - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Overview

Inpatient Care Coordinator Powell 5 and Younker 5

Iowa Methodist

FullTime 40 hours/week

Days MondayFriday

Benefit Eligible

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

Key AccountabilityCare 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.
    • Prioritizes 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 patients. Works 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.
    • Standardize 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.

Key Accountability 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 readmission. Implement 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

Key Accountability 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.

Qualifications

Education: Associates degree in nursing (ADN)

Experience: Two years of clinical experience in focused areas working with multidisciplinary teams

License(s)/Certification(s): Current RN Licensure in state of residence.

Dept of Labor Level 2 Work: Exerting up to 20 pounds of force occasionally or up to 10 pounds of force frequently and/or a negligible amount of force constantly to move objects. Requires walking or standing to a significant degree pushing or pulling arm or leg controls or maintaining a production rate pace. Light work requires physical exertion of forces greater than that of sedentary work.


Required Experience:

IC

Employment Type

Full-Time

Company Industry

About Company

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