Integrated Health Home Care Coordinator

2 weeks ago

Fort Dodge Iowa, United States UnityPoint Health Full time
Overview:
IHH Care Coordinator

UnityPoint Health - Fort Dodge, Berryhill Center

FTE: 1.0 (Full-time, 40 hours per week)
Shift: Monday-Friday 8am-4:30pm

 

 

Why UnityPoint Health?

Culture – At UnityPoint Health, you Come for a fulfilling career and experience guided by uncompromising values and unwavering belief in doing what's right for the people we serve.

Benefits – Our competitive program offers benefits options like 401K match, paid time off and education assistance that align with your needs and priorities, no matter what life stage you’re in.

Diversity, Equity and Inclusion Commitment – We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.

Development – We believe equipping you with support and is an essential part of delivering a remarkable employment experience.

Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve.

Visit us at (url removed)/careers to hear more from our team members about why UnityPoint Health is a great place to work.

Responsibilities:
Care Management
• Keep patient family or others informed as to the patient’s progress throughout treatment as the patient desires.
• Complete and update safety plan
• Lead psychoeducational groups – some regions don’t but it would be within their scope, if they have BPD might suggest a steps group, not leading formal education
• Maintain timely and accurate documentation participates in multi-disciplinary team
• May develop and maintain the patient’s treatment plan throughout the patient’s course of treatment with input from the care team. May assist in patient rounding.
Discharge Planning:
• Primary responsibility for coordinating care to facilitate discharge
• Make necessary referrals
• Provide patient education relating to post-acute levels of care/services
• Assure patient’s SDOH needs are met for an effective discharge plan
• Coordinate pharmacy and outpatient services follow up
• Assure that patient has a 7 day follow up post discharge
• Align transportation and follow up with natural supports on behalf of the patient
Collaboration and Coordination
• Participate in all required trainings and educational activities
• Participate in department level meetings and huddles
• Be responsive to email, phone messages and patient portal messages

Qualifications:
Education:

Bachelor’s degree in Social Work

 

Experience:

Experience working with individuals with SMI or SED. 6 months experience working in a clinic or hospital setting preferred. 

 

License(s)/Certification(s):

May be required to obtain BLS within six months of hire.

 

Knowledge/Skills/Abilities:

Ability to delegate wisely, exercise good judgment, maintain good interpersonal relationships, adapt to change, evaluate critically and think creatively. Individual will demonstrate knowledge and skills necessary to provide appropriate care to adolescents, adult and geriatric patients with severe and persistent mental illnesses. Individual will demonstrate effective written and verbal skills allowing communication with physicians, co-workers, other clinic/hospital personnel, as well as the public. Position requires good organizational skills.

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