The Community Care Coordinator is a member of Interdisciplinary Team (IDT) caring for the patient in ensuring the patients individual needs are identified and addressed in a timely manner, act as patient advocate to address primary physical and social needs including assessing and linking community resources available to the patient, as well as ensuring patients assigned have timely access to services they need while respecting the rights and wishes of the patient and family.
In this role, the selected candidate will provide intensive case management to high risk patients post discharge; directly involved in managing the multiple elements that comprise a persons successful transition from hospital to home.
In this role, you will build meaningful relationships with a specified number of seniors and their families as you provide assistance with activities of daily living, attend to individual care needs and get to know their unique preferences and personalities.
In this role, the selected candidate will comply with all departmental required data collection and auditing activities, participates in quality improvement activities and participates in project-based work.
In this role, the selected candidate will be responsible for the implementation of effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate resource utilization.
In this role, you will provides a range of services, including skilled nursing care, assisted living, post-acute medical and rehabilitation care, hospice care, home health care and rehabilitation therapy. Demonstrates problem solving and decision making abilities.
In this role, the selected candidate will utilize clinical judgment, independent analysis, critical thinking, time management and detailed knowledge of the Care Navigation Program to facilitate the coordination of care for patients assigned to the Care Navigation unit.