Community Care Connector - Gaylord, United States - Sibley County, MN

Description

Salary : $58,011.20 Annually

Location : Gaylord, MN

Job Type: Full-Time

Job Number:

Department: Public Health and Human Services

Opening Date: 05/28/2024

Closing Date: 6/12/2024 4:00 PM Central

Description

Under the general direction of the Public Health Supervisor, the Community Care Connector assures that members receive the services necessary to meet their needs and experience smooth transitions between care settings. Connectors also assure that communication between care settings and communication between South Country, County and community partners and resources occur in order to support member's needs. Desired outcomes are attained through collaborative problem-solving approaches.
The Connector works to assure a collaborative approach between the South Country and County team members. The position will develop positive relationships with and between SCHA, County, local health care providers, nursing facilities and members. They will help to ensure timely and accurate communication between team members. The Connector serves as the South Country liaison within the community/county, working towards positive outcomes for the member and South Country. The position promotes preventive services, early intervention to members and utilizes referral services available throughout the county.

Duties/Responsibilities

Collaborate
1. Assist in identifying moderate to complex members by informing South Country of members health issues;
2. Assist in creating and maintaining reports and follow-up as requested by South Country.
3. Promote early intervention and preventative services to members and importance of establishing care with a primary care provider.
4. Work with South Country to ensure members appropriate use of the Emergency Department, hospitalization, and re-admissions to hospital through telephonic, written or face-to-face follow-up with members after discharge to promote provider follow-up.
5. Collaborate with South Country to schedule and assist with the facilitation of the South Country meetings.
6. Assist with transitions of care through working with discharge planners, providers, members and/or authorized representatives.

•Communicate
1. Reach out and follow up with members and connect members to resources.
2. Document in TruCare members responses to outreach as directed by South Country
3. Develop relationships with key community partners and resources Develop and maintain strong communication and relations with South Country and county entities.

•Coordinate
1. Organize and attend monthly interdisciplinary care team meetings.
2. Refer members and/or families, county, providers, community resources to Member Services or other appropriate SCHA staff for benefit and issue resolution.
3. Refer member issues to county staff and/or other agencies as needed to assure member's access to community services and resources;
4. Coordinate activities and information with the County Supervisor.

•Other duties as assigned.
PROFILE REQUIREMENTS:

•Works as a team with South Country and County staff

•Promotes SCHA policies and mission in performing all duties and responsibilities

•Incorporates best practice into all process initiatives

•Excellent communication skills

•Working knowledge of community services and resources

•Working knowledge of SCHA products and operations including the website.
Minimum Requirements

A valid MN Driver's license.
MINIMUM QUALIFICATIONS OF EDUCATION & EXPERIENCE
Registered Nurse, licensed in Minnesota; OR Social Worker; or Bachelor Degree in a related field

DEGREE INFORMATION:
Type of degree: (B.S., M.A., etc.) AA or BA/BS

Major field of study or degree emphasis:Nursing, Social Work, or BA in a related field

No previous experience required beyond educational.

Additional Information

Remote/Hybrid possible once meeting certain requirements & qualifciations.

Skilled in:

• Evaluating and performing client health assessments; screenings and care planning.
• Writing individual health plans and health plans for at-risk clients in accordance with relevant rules and regulations and program policies and guidelines.
• Interpreting and applying polices, rules, guidelines and procedures pertaining to the planning and delivery of health care services.
• Evaluating, assessing and making nursing health care assessments.
• Providing skilled nursing care, immunizations, and/or health testing for clients.
• Basic math skills.
• Operating and using computers and office productivity software (e.g. word processing, email, presentational and spreadsheet applications, etc.) in. documenting and maintaining health records, files, forms and reporting
• Time management and group facilitation skills.
• Presentational skills.
• Educating and informing county residents, individuals and families concerning health issues, concerns, communicable disease prevention and control, nutrition, pregnancy, child development and infant care.
• Virtual and in-person communication, writing and interpersonal skills as applied to interaction with coworkers, supervisor, the general public, etc. sufficient to persuade and/or influence others in matters relevant to department operations and health issues.
• Flexibility in schedule for after business hours events.

Essential knowledge and specialized subject knowledge required to perform the essential functions of the job:

• Principles, practices, issues, trends and techniques in the field of public health and nursing.
• Public health and nursing concepts, practices and trends related to public health; communicable diseases, their etiology, transmission, control, prevention and general epidemiology issues.
• Knowledge of public health programs, services, and assessment criteria/tools.
• Knowledge of nursing technical procedures, care, treatments and processes.
• Knowledge of current trends in the delivery of health care services and effective delivery of Public Health Nursing Services.
• Knowledge of emergency preparedness issues and processes within the County.
• Legislative rules and regulations pertaining and impacting public health issues, services and program activities.
• Community resources and related services within and outside of the County.

Physical requirements associated with the position can be best summarized as follows:

Medium Work:

Exerting up to 50 pounds of force occasionally, up to 25 lbs frequently, and/or a negligible amount of force constantly to lift, carry, push, pull or otherwise move objects, including the human body.

Unusual or hazardous working conditions related to performance of duties:

Duties associated with the job involve travel and exposure to blood, body fluids, contagious diseases, sharps, public contact or other environmental risks requiring constant precautions and safety considerations when dealing with the public in their homes or in the community. Duties include responding to public health emergencies and being exposed to disease and contagious outbreaks. Risks and hazards can be minimized to some extent by risk management procedures, safety precautions/equipment, training and professional judgment.

Employees scheduled to work at least 30 hours/week participate in the following benefit programs:

• PERA Pension Plan
• Health Insurance
• Basic Term Life Insurance
• Optional Short Term Disability
• Optional Flexible Spending Medical & Dependent Day Care Arrangement
• Optional Dental
• Optional Vision
• Optional Term Life Insurance
• Optional Long Term Disability
• Optional Deferred Compensation Plan
• Holiday and Paid Time Off
• Possibly eligible for Public Student Loan Forgivness

Holidays (unless designated otherwise by collective bargaining agreement)

New Year's Day (January 1)
Martin Luther King Day (3rd Monday in January)
President's Day (3rd Monday in February)
Memorial Day (last Monday in May)
Juneteenth (June 19th)
Independence Day (July 4th)
Labor Day (1st Monday in September)
Veteran's Day (November 11)
Thanksgiving Day (4th Thursday in November)
Friday following Thanksgiving Day
Christmas Eve afternoon (only when December 24 falls on a Monday, Tuesday,
Wednesday or Thursday - offices close at 12:00 noon)
Christmas Day (December 25)

Paid Time Off
0 + Years = 7.70 hours per pay period. Maximum 200 hours per year.
3 + Years = 8 hours per pay period. Maximum of 208 hours per year.
5 + Years = 8.62 hours per pay period. Maximum 224 hours per year.
8 + Years = 8.93 hours per pay period. Maximum of 232 hours per year.
10 +Years = 9.54 hours per pay period. Maximu of 248 hours per year
15 +Years = 10.47 hours per pay period. Maximum of 272 hours per year.
20+ Years = 10.77 hours per pay period. Maximum of 280 hours per year.

Probationary Period

Employees serve a twelve-month probationary period.

01

I understand that in order for my application to receive every consideration in the selection process, I must complete the following supplemental questions, in addition to the application. I certify that all the information provided on the application and supplemental questions is true, to the best of my knowledge.

• Yes
• No

02

Do you wish to claim veteran preference points?

• Yes
• No

03

Do you have a valid MN driver's license?

• Yes
• No

04

Which of the following best describes your level of education?

• High School Diploma or GED
• Some college
• Associates
• Bachelors
• None of the above

05

What field is your degree? If you don't have a degree answer N/A

06

Do you have a RN License?

• Yes
• No

07

Are you certified in First Aid or CPR?

• Yes
• No

08

Please describe any experience you have that qualifies you for this position?

09

References are required, have you supplied at least 2 or more references on your application?

• Yes I have supplied 2 or more references.
• I understand the requirement but have not supplied references.

Required Question