Patient Care Coordinator

Description

Responsible for delivering a patient service model including assessment, planning, linkage, advocacy, and monitoring. 

Adhere to the highest standard of ethical and moral conduct, act in the best interest of HRMC and support the mission, vision and values of HRMC.

 Demonstrates the mission of HRMC by displaying REACH, our core value system:

• Respectful - We value the unique talents, ideas, contributions, and circumstances of each individual.
• Engaged - We value being active, positive participants at work and in our communities.
• Available - We value providing local access to care for our communities while being present for each other.
• Competent - We value knowledgeable, people-centered, innovative, and technology driven teams.
• Helpful - We value always helping others with kindness and compassion.

Essential Job Functions:

· Demonstrates HRMC’s Mission and Core Values of the hospital: Respectful, Engaged, Available, Competent and Helpful and demonstrates that patients, physicians, employees are customers and consistently seeks to exceed expectations. 

· Completes a psychosocial assessment with patient, family member, or both within the first twenty-four hours (work week) of the admission process

· Document on the day of completion with a written discharge plan that addresses use of the full continuum of care. 

· Collaborates closely with Social services, community liaisons, nursing staff and all other departments. 

· Collaborate with Utilization manager regarding criteria, length of stay and pre-authorizations. 

· Providers treatment updates to providers outside of the hospital and family members

· Provides placement and resource assistant services 

· Assists in the orientation and educational programs with students and employees including the understanding of systems, regulations and reimbursement of various payees.

· Builds bridges/relationships with other community facilities/agencies that will benefit the hospital’s operation and community planning services.

· Demonstrates the knowledge and skills necessary to provide care appropriate for pediatric, adolescent, adult and geriatric patients.

· Maintains current knowledge of available community resources for patient/family assistance and keeps appropriate nursing personnel informed of same.

· Acts as an information resource person regarding Federal, State and private agency review regulations and requirements. 

· Participates in daily rounding and discharge planning process including but not limited to the placing of patients in nursing/foster homes, swing bed admission, coordinating arrangements for patient/family needs and equipment for post discharge care at home along with financial assistance. 

· Responds to and supports urgent & emergency situations to support/assist patient, families and staff.

· Document each assessment and all other social visits accurately and in a timely manner.

· Participates/coordinates patient/family care conferences as deemed necessary.

· Prepares assessments timely in accordance to swing bed, dialysis and hospice patient rules and regulations depending on social service degree held.

· Provides social service activity for terminally ill patients and families including treatment, planning and consultation with other staff members. 

· Lead/support Interdisciplinary Rounding with timely (same day) documentation.

· Coordinate cares from beginning of stay thru Discharge

Other Job Duties:

· Assumes responsibility for professional development. Participates in in-services, internal committees, educational programs, mandatory & department meetings.

· Complete required HealthStream education, competencies, certifications and SQSS tasks.

·  Participate in department quality, risk and utilization plan. Prepare timely and accurately reports and data for the department as requested. 

· Promotes and maintains confidentiality of information regarding patients, families, health care personnel and facility.

· Presents professional appearance and demeanor.

· Reviews and complies with general hospital and departmental policies and procedures including infection control and universal precautions. 

· Works within the chain of command and performs other duties as assigned. 

  Qualifications:

· Associate’s degree or equivalent experience

· Bachelor’s degree in a health-related field preferred or related degree

· 2-3 years’ experience in a similar role 

· In-depth knowledge of medical terminology, collecting and interpreting medical information

· Demonstrates continuous patient focus within the daily responsibilities

· Coordinates 

· Communicates congenially and professionally with patients, families, coworkers and physicians along with outside organizations.

Knowledge, Skills, and Abilities

· Bilingual preferred

· At least 1 year experience in community services preferred

· Knowledgeable about services, community needs, and resources

· Organized and able to work independently

· Good computer Skills.