RN - Care Coordinator - In-patient

Position: RN - Care Coordinator - In-patient HOT JOB
Pay Range:

Pay Range:$41.66 - $58.69

SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.

Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short-term disability, and more.

This position works closely with the inpatient multidisciplinary care team and provides pro-active integrated social services care management that supports the biopsychosocial needs of patients admitted to the hospital from birth to end of life. This position works directly with patients and their families in providing support, planning for discharge from the hospital, identifying barriers to discharge, assisting with financial and housing needs, working with state and federal agencies in providing information for placement needs, identifying custodial issues, referring patient in crisis to behavioral health, handles referral and consults from providers in primary care and outlying clinics within scope of responsibilities.

Responsible for all swing bed admission assessments and patient disposition. This position provides supportive counseling, encouragement, coaching, and linkage with essential community services that support everyone's unique healthcare needs.#                                                          # $25K Sign On and $10K Relocation for qualified hire!#                                                             #
** Key Essential Functions and Accountabilities of the Job
*** Works closely with the inpatient multidisciplinary team as a member of the Care Coordination team to assess the biopsychosocial needs of any patient admitted to the hospital for medical care.
* Responsible for discharge planning working in collaboration with the Inpatient Care Coordinators to include identifying barriers to discharge, documentation, identifying community resources and agencies that may be needed at the time of discharge, identifying Durable Medical Equipment (DME) needs, developing discharge plan in agreement with patient and/or family/caregiver.
* Completes swing bed assessments at the time of admission into subacute rehabilitation services and ensures the patient and/or family/caregiver understand this level of care and participation requirements.
* Facilitates or co-facilitates patient/family care conferences to ensure the patient and family/caregiver have knowledge and understanding of acute/chronic illness, understand the plan of care, and to provide guidance in navigating the health care system.
* Assists patients to make decisions about their health care and whether they would like family/caregiver involved in those decisions (i.e., Advance Directive, Power of Attorney, POLST, etc).
* Identifies what community resources are available to assist the patient and/or family/caregiver during hospitalization and recovery; submitting any requests that may support the patient in meeting basic living requirements (i.e., housing, meals, transportation, etc.).
* Assisting patients with any financial or legal matters (i.e., banks statements, referral to lawyers, applying for VA/VOICE services, applying for Medicaid, etc.)
* Assisting patient with long term care or assisted living needs; assisting with application process, verifying payer source, arranging for transportation and escort to facility.
* Finding alternative solutions to meet the physical and emotional needs of each patient.
* Assisting patients with dental/denture care, podiatric care, eye care, and hearing services while a patient is in the hospital.
* Refers to Social Service Clinician (LCSW) for chemical dependence, mental health, and crisis support intervention.
* Maintains complete and accurate records as required by SEARHC policy and state and federal regulations.
* Participates in daily and weekly (Swing Bed) multidisciplinary team meetings.
* Participates in staff/team trainings and…