Care Coordinator-RN

Greater Regional has a full time opportunity for an RN to work as a Care Coordinator. This individual works to coordinate team-based care to provide health services to individuals through effective partnerships with patients, their caregivers, families, community resources, and their physician. The Care Coordinator will make arrangements to promote the ability of the patient to provide self-care in their home environment and facilitate referrals to outside agencies as necessary. Effective communication skills and familiarity with community services are necessary for the success of this role. This position will work primarily with Med Surg, Diabetic Education, and ER needs for care coordination but will cross train in all areas. Assess patient and family’s unmet health and social needs and provide assistance to resources to meet these needs. Attend and actively participate in all Care Coordination related training and meeting activities as required by department director. Develop a care plan based on mutual goals with the patient, family, and provider’s emergency plan, medical summary, and ongoing action plan, as appropriate for chronic care and traditional care management patients. Monitor patient adherence to plan of care and progress toward goals in a timely fashion, and facilitate changes as needed. Maintain contact with family (with patient’s permission) to report on changes in health, current goals, discharge planning, and encouragement to participate in care planning. Promote healthy behaviors in all populations and ensure navigation assistance with community resources. Provide patient assistance and understanding of test results, medication management, and adherence to follow-up appointments. Develop systems to prevent errors (e.g., effective medication reconciliation and shared medical records). Provide effective communications to improve health literacy. Collaborate with outside organizations on implementing or maintaining legal matters as needed. Remain current on Federal and State rules and regulations and policy and procedures. Mobilizes meetings, resources, and interviews, as needed, to achieve expected goal to assist in achieving desired clinical outcomes within the desired timeframe. Requirements Previous experience with Care Coordination, Case Management, or Home Health preferred but not required BSN or working towards a bachelor's level education RN with current licensure, BSN required within 3 years, and previous experience preferred in Care Coordination, Case Management, or home health or; A bachelor’s degree in social work or a bachelor’s degree in human services field including but not limited to sociology, special education, rehabilitation counseling and psychology; and One year of supervised social work experience in a healthcare setting working directly with individuals 3-5 years of experience in clinical or community health settings Previous experience with health IT systems and data reports preferred Previous experience with mobilizing community resources, navigating patients through the healthcare continuum, and working with disparate populations For the 8th year in a row, Greater Regional has been named one of the Top 50 Workplaces in Iowa, which we credit to our employees shared cultural values. We are also proud to announce Greater Regional is one of the Top 100 Critical Access Hospitals in the nation 7 years running. Greater Regional offers an outstanding benefits package to all full-time employees which includes IPERS, tuition reimbursement, wellness screenings, wellness reimbursements, and more. Patients have a choice in health care, they choose Greater Regional Health. You have a choice in employment, choose Greater Regional Health! ***In order for current employees to be eligible to receive a referral bonus, the applicant cannot have worked at GRH previously and the applicant must include the full name of a current GRH employee on their UKG application in the blank provided. New hires must be hired for a regular, non-casual position to be eligible for bonus. New hires must not drop status for two years after hire for referring employee to get the full bonus. Managers will not be eligible if referring a new team member to their respective department.*** Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr Greater Regional Health