Care Coordinator - Clinic - PIC Pocatello - FullTime
Listed on 2026-01-12
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Healthcare
Healthcare Nursing
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Description
Mountain View Hospital is looking for a Care Coordinator - Clinic to join our team!
Description
Mountain View Hospital is looking for a Care Coordinator - Clinic to join our team!
Job Summary
The Care Coordinator supports MVH’s initiatives toward clinical integration and accountable care strategies to achieve the triple aim in healthcare:
1) improving quality and patient satisfaction,
2) improving outcomes and the overall health of the population, and
3) reducing the total cost of care. Through risk stratification tools available by Population Health, the Care Coordinator identifies patients with a need for early intervention related to discharge education, transitional care or disease management and coordinates intervention with PCPs and other care providers. The Care Coordinator also refers to medical and behavioral health providers as appropriate for further intervention.
Benefits
Taking care for our community starts with taking care of our own team. Mountain View Hospital is proud to offer its employees competitive and comprehensive benefit packages. Benefits include:
- Medical, Dental and Vision Insurance
- Paid Time Off (vacation, holidays and sick days) and Medical Paid Time Off
- Retirement Plans (401K with up to 6% match)
- Earned Quarterly Bonus Program
- Education Reimbursement Program
- Discount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community Hospital
Duties And Responsibilities
- Work under direct supervision of nurse supervisor to provide excellent patient care to all clients.
- Participate in the transition of the clinic into the ACO/PCMH.
- Engages with population health team on Quality Based programs in the clinics.
- Offers solutions to road blocks while implementing programs.
- Run needed reporting to track MIPS and ACO measures
- Run CCM and Annual Wellness Visit outreach reporting for all clinics to work through and help with outreach.
- Monitor high risk patients within the clinic and follow up appropriately with clinic staff or RN care coordinator within Population Health.
- Helps to ensure all deadlines are met during transition stages.
- Offers education and tutoring to nurses involved in the program. May also provide
- Will participate in webinars, conferences, education meetings, and transitional calls.
- Is able to perform a head-to-toe assessment on all patients and performs reassessments as per policy. This includes: pediatric, geriatric, the general patient population, and EMTALA appropriate medical screening exams.
- Have a solid understanding of the CCM program.
- Revises Care Plans as indicated by the patient’s response to treatment and provider direction.
- Performs patient care responsibilities considering needs specific to the standard of care for patient’s age.
- Is knowledgeable of medications and their correct administration based on age of the patient and their clinical condition.
- Follows the five medication rights and reduces the potential for medication errors.
- Formulates a teaching plan based on identified patient learning needs and evaluates effectiveness of learning, family is included in teaching as appropriate.
- Is able to perform treatments and provide services and education to level of licensure.
- Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families. Functions as a liaison between administration, patients, physicians and other healthcare providers.
- Interacts professionally with patient/family and involves patient/family in the formation of the plan of care.
- Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide…
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