Care Coordinator Specialist

3 days ago


Annapolis, Maryland, United States Luminis Health Full time

Job Title: Care Coordinator Specialist

Estimated Salary: $60,000 - $70,000 per year

About Luminis Health

Luminis Health is a leading healthcare organization dedicated to delivering exceptional patient care and improving community health. Our team of experienced professionals is committed to making a positive impact in the lives of our patients and their families.

Job Description

We are seeking a skilled Care Coordinator Specialist to join our team. As a Care Coordinator Specialist, you will play a vital role in coordinating patient care, ensuring seamless transitions, and addressing complex situations. Your expertise will help us deliver exceptional patient outcomes and improve community health.

Key Responsibilities:

  1. Conduct comprehensive psychosocial assessments for patients identified by Care Coordinators and/or interdisciplinary teams.

  2. Develop individualized care plans, addressing patient needs related to adjustment to illness, disability, critical care issues, acceptance of discharge recommendations, need for long-term care placement, end-of-life, grief, trauma, abuse, neglect, substance abuse, and mental health issues.

  3. Coordinate with Care Coordinators, social workers, and other healthcare professionals to provide transition of care strategies in complex situations such as substance abuse, psychiatric, or dual diagnosis placement/services, ventilator-dependent patients, inpatient dialysis services, patients with no insurance needing skilled nursing facility placement, patients requiring guardianship, long-term/custodial placement.

  4. Identify community services and resources available to patients and families, facilitating linkage with those services.

  5. Communicate progress and status of referred patients, collaborate with the interdisciplinary team, and make recommendations based on continued evaluation and collaboration.

  6. Evaluate patient/family progress toward established goals, participate in Care Conferences and Complex Care rounds as indicated to address patient/family issues/barriers and help facilitate safe transitions of care.

  7. Integrate medical record and nursing information in assessment and interventions.

  8. Ensure timely, appropriate, and accurate evaluation and reporting of suspected child/elder abuse and/or neglect, assess for domestic violence issues, and involve domestic violence program coordinators as indicated and appropriate.

  9. Document interventions in patient's medical records following department standards.

Requirements:

  • Masters of Social Work degree.

  • Six months experience in healthcare delivery systems required, preferably acute care.

Benefits:

Luminis Health offers a competitive benefits package, including salary, benefits, and opportunities for professional growth and development. Our employees enjoy a range of perks, including paid time off, tuition assistance, employee referral bonuses, and more.



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