Healthcare Coordination Specialist

2 weeks ago

Des Moines, Iowa, United States UnityPoint Health Full time
Overview
Inpatient Care Coordinator - Care Coordination
Full-Time, 40 hours per week

Shift:
Monday-Friday, 8am-4:30pm

Benefits Eligible
The Care Coordinator plays a vital role in integrating and managing the clinical care of patients.

This position facilitates the interdisciplinary care plan to address various service needs, ensuring continuity by minimizing fragmentation of care and optimizing resource utilization.

The Care Coordinator serves as an educator and a key communication link for patients and their support systems.

Why UnityPoint Health?
Commitment to our Team - Recognized as a Top 150 Place to Work in Healthcare, we take pride in our dedication to our team members.

Culture - At UnityPoint Health, your contributions are valued.

Join us for a rewarding career within a culture that is driven by strong values and a commitment to doing what is right for those we serve.

Benefits - Our comprehensive Total Rewards program provides a variety of benefits options tailored to meet your needs at every stage of life.

Diversity, Equity, and Inclusion Commitment - We are dedicated to ensuring that every voice is heard, regardless of role, race, gender, religion, or sexual orientation.

Development - We believe that providing support and development opportunities is essential for a remarkable employment experience.

Community Involvement - Be a crucial part of our mission to enhance the health of the individuals and communities we serve.

Responsibilities
Key Accountability - Care Coordination

Conducts comprehensive screenings for all adult Medical Surgical inpatients and observation patients, assessing their health status, clinical conditions, support systems, and resources to identify needs and facilitate referrals to appropriate multidisciplinary services.

Monitors and coordinates an interdisciplinary care plan in collaboration with patients and their support systems, ensuring comprehensive care across the healthcare continuum and during transitions between care levels and locations.

Takes responsibility for developing and implementing effective discharge plans for complex care patients.

Engages with the interdisciplinary team during daily rounds to plan, deliver, and evaluate patient-centered care for prioritized patients.

Documents the case management plan, including clinical needs, barriers to quality care, and resource utilization, while pursuing timely denials of payment and referrals.

Works closely with the ambulatory care management team, particularly for high-risk, chronically ill patients.
Collaborates with healthcare providers for discharge planning and determining the next appropriate level of care.
Works with patients, caregivers, internal and external healthcare providers, agencies, and payers to ensure safe discharge planning.
Collaborates with the Utilization Management team for continued stay reviews.
Key Accountability - Discharge Planning
Partners with patients, caregivers, internal and external healthcare providers, agencies, and payers to ensure safe discharge.
Identifies and facilitates post-acute resource needs such as Home Care, Community-based Referrals, Diagnostic Testing, Outpatient Therapies, Palliative Care, or Hospice.
Ensures that the patient's vulnerability level is documented on the Transitions of Care report.

Communicates with the ambulatory/cross-continuum care manager regarding patients with moderate or high vulnerability during transitions.

Documents the care coordination/management role for these patients in the Common Care Plan and Transition of Care report, if known.

Reviews predictive tools for readmission and documents the associated risks.
Facilitates the reconciliation of discharge medication orders.
Utilizes the med-to-bed program for patients with multiple medications.
Key Accountability - Education
Maximizes the use of Healthwise for Patient Education.
Communicates patient and family learning needs to the direct care nurse.
Refers to content experts as necessary.
Documents education related to medication adherence.
Facilitates patient self-management education.
Key Accountability - Revenue Cycle
Demonstrates knowledge of financial and reimbursement processes to support medical cost management.
Acts as a resource and educator for patients, families, staff, and physicians regarding financial aspects of individual patient resources.

Provides education to individuals and families about benefits, resource utilization, levels of care, and expectations during the transition process.


Qualifications
Education:
Bachelor's degree in a healthcare-related field or BSN preferred.

Experience:
Two years of clinical experience in relevant areas working with multidisciplinary teams.
License(s)/Certification(s):
Current RN Licensure in the state of residence.

Knowledge/Skills/Abilities:
Fluent in reading, writing, and speaking English. Basic computer skills including word processing, spreadsheets, email, and web browsing.

Other:
Utilization of standard equipment necessary to perform essential functions of the position.

Area of Interest:
Nursing;

FTE/Hours per pay period:
1.0;

Department:
Care Coordination;

Shift:
Monday-Friday, 8am-4:30pm, 40 hours/week;

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