Care Coordinator - Craig, United States - Memorial Regional Health

Description

• N/A

• Assesses, plans and implements care strategies that are individualized to the patient.
• Obtains consent to contact appropriate organizations and to participate in programs/services, as well as to share information with the patient's care team.
• Identifies and initiates referrals for social service and health care programs, including financial, psychosocial, community and state supported services.
• Facilitates access to social and community services (ex. food assistance, transportation, housing/utilities, etc.), behavioral health (ex. substance use disorder treatment and recovery), and health care services.
• Assists with applying for public benefits (ex. SNAP, TEFAP, TANF, WIC, etc.).
• Manages patient care plans throughout the continuum of care, as a single point of contact for the
• Communicates the required social need and health-related information with appropriate stakeholders to ensure high-level coordinated care and ensure services are provided expeditiously to patients.
• Maintains documentation of encounters with patients/clients and completes documentation requirements according to department standards.
• Advocates for patients and families as needed to ensure patient needs and choices are fully represented and supported by the care team.
• Builds supportive, collaborative relationships with patients, helping to empower, educate and assist them with needs.
• Serves as a community liaison and advocate by coordinating linkages and referrals to improve social, environmental, and health conditions.
• Identifies and maintains a network of community resources and ancillary services (MRH-based and external); participate in patient education and refer patients to appropriate resources.
• Some in-field visiting to patient/client homes or in the
• Participates in the development of standardized processes and procedures that create and
• Performs other duties as Occasional weekend work to support special events.

• Demonstrates 100% commitment to performance in accordance with the CHOICE values of MRH and representing the organization in a positive and professional manner.
• Establishes and maintains effective verbal and written communication and good working relationships with all patients, staff, and vendors.
• Adheres to MRH attire/dress code per policies and
• Utilizes initiative; strives to maintain a steady level of productivity; self-motivated; and manages activity and
• Completes annual education, training, in-service, and licensure/certification requirements; and attends departmental and organizational staff meetings or reads meeting minutes.
• Maintains patient confidentiality at all
• Reports to work on time as scheduled; completes work within designated
• Actively participates in departmental and organizational performance improvement and continuous quality improvement activities.
• Strives to uphold regulatory requirements to ensure continual compliance with departmental, hospital, state, and federal regulations and policies.
• Follows policies and procedures for infection control, safety, and risk management to ensure a safe environment for patients, the public, and staff.

• Must be at least 16 years of age (21 for driving positions with a valid driver's license).
• Must be able to legally work in the United
• Must be able to pass a background
• Must be able to pass a drug screen and breath alcohol test (if applicable).
• Must complete employee health

• Bachelor's degree or higher, preferably in nursing, social work, public health, or other healthcare- or social services-related field, preferred but not required, OR
• Unencumbered Registered Nurse (RN), Licensed Practical Nurse (LPN), or Medical Assistant (MA) license/certification in the State of Colorado, preferred but not required, OR
• Patient Navigation Certificate of Completion, through the Patient Navigator Training Collaborative or Equivalent, at time of hire or within 6 months of hire

• Minimum 2 years' experience in a health care, social service, or other relevant setting providing social needs and/or other resource facilitation assistance, preferred.

• Apply National Patient Safety goals to care and
• Work within a Healthcare Electronic Medical Record to chart and review patient data, and run
• Communicate effectively, both in writing and
• Establish and maintain effective working relationships with employees at all levels throughout the
• Interpret, adapt, and apply guidelines and
• Identify and resolve problems in a proactive, collaborative
• Commitment and leadership in regard to advancing diversity and
• Initiative and self-motivation; strive to maintain steady level of productivity and good time
• Strong analytical and critical thinking skills; attention to detail and
• Outstanding customer service
• Experience using MS Word, Excel, and Outlook.