Community Care Guide - Southwest Geography

Job Description: Provides operational support and transition duties, as assigned, for identified highest risk complex patients. Provides extraordinary care. Works collaboratively with the care management team, patients, family caregivers, significant others, healthcare providers, payers, community-based providers, and other involved parties to provide effective, efficient, and patient-centered services. Responsible for referral management of cases, care management pre-screening, patient scheduling, patient consultation, transition management, and other duties as assigned, and in accordance with Intermountain Health's policies, procedures, guidelines, and professional licensure, to facilitate effective and efficient operations of the team. Job Essentials: Understands, practices, and promotes the philosophy and guiding principles of the department. Demonstrate knowledge of HIPAA regulations and maintain the confidentiality of patient information to be compliant with internal policies and procedures. Referral Management: Screen, Monitors pending and prioritized referrals. Maintains a record of the average daily caseload and workload. Patient Consultation: Promptly contacts new patients by phone to introduce them to the program, obtain verbal consent to participate, and schedules the initial assessment/evaluation. Interventions: Responsible for patient follow-up calls, as assigned by the (care team, to re-enforce education, self-management, and other care planning actions needed. Collaborates, educates, communicates, and networks with healthcare providers across the continuum to ensure the patient’s care planning needs are met. Intervention: Advocates on behalf of the patient, communicating and collaborating with healthcare providers, payers, physicians, and community-based services, where appropriate, to assist in establish an appropriate and integrated care plan for each patient. Promotes mental health integration by collaboration with mental health/behavioral health providers. Responsible for designated transition management duties to ensure an effective transition of care from one healthcare setting to another. Actively participates in system and regional process improvement initiatives to improve transitions of care. Establishes and maintains current community-based services and provider resource lists. Promptly and accurately performs duties, as assigned, to facilitate effective and efficient day-to-day operations and communication. Promptly escalates concerns to appropriate chain of command. Effectively and efficiently lead interdisciplinary care conferences and huddles, using collaborative practice models that promote interdisciplinary care planning and teamwork. Clerical/Support: Completes timely and accurate documentation in the medical record using knowledge of documentation standards for the department to facilitate communication with team members. Documentation is done in compliance with all clinical guidelines and billing/reimbursement standards. Organizes and prioritizes daily work by assessing new, current, and discharging patient needs in area(s) of responsibility. Ensure that productivity standards and expectations are met. Works with other team members and leadership to develop standard work and best practices The following duties may not be performed in all areas: Clinical Support: Prioritizes (triage) patient needs identified through phone, electronic, in accordance with established guidelines, standing orders, and protocols. Reports significant changes in patient condition or other patient information to the care team. Following provider instructions, demonstrates accurate, timely, and efficient follow through with pharmacy refills, scheduling out of clinic procedures, obtaining, reporting, and tracking of lab results, leaving phone messages, and distributing faxes. Maintains inventory of supplies. Orders and restocks as needed to ensure availability for patient care. Minimum Qualifications Three years of experience in patient care, care management, transition/discharge planning, medical assistance, healthcare coaching, or patient care coordination - and - Certification, Associate Degree, or Bachelor's degree in a healthcare field. Excellent interpersonal and communication skills. Ability to adapt quickly as needs arise. Knowledge of available health resources. *Prefer a candidate local to the St. George area - this is a flexwork position that will require attendance to in person meetings and complete office based tasks.* Preferred Qualifications Bachelor's degree from an accredited institution. Discharge/transition planning, healthcare coach, health advocate, or medical assistant experience Physical Requirements: Lifting, twisting, standing, seeing, manual dexterity, speaking, sitting. Location: St George Regional at Foremaster Work City: St. George Work State: Utah Scheduled Weekly Hours: 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $20.51 - $31.20 We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here. Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice. Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment. To find out more about us, head to our career site here. Sign up for job alerts! Click ‘sign in’ at the top right corner, create a candidate account, and when we have opportunities that meet your interests, you will receive an email with the job details. Intermountain Health strives to make the application process accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email recruitment@imail.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Introduce yourself to our Talent Acquisition team and we will get in touch if there is a role that seems like a good match. Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor. All positions subject to close without notice. Thanks for your interest in continuing your career with our team!