Summary: At the direction of professional Care Management, Social Work or Behavioral Health staff, conducts and documents socio-economic review and screening to support the coordination of care.
FTE Status: Full Time
FTE: 0.8, 64 hours per pay period
Responsibilities: Coordinates with outside agencies, post-acute care or specialty facilities, transportation agencies, and others as indicated. Assists clients and patients in connecting with appropriate Physicians, insurers, Payer programs, and other resources to meet social and clinical needs.
Collaborates with the care management and behavioral health teams for effective patient or client outreach, care coordination and hand-overs across the continuum of care. Refers patients and provides educational resources to patients per protocols.
Conducts scripted phone calls and accesses systems to retrieve patient information for clinical care team and send appropriate information for placement or transfer. Retrieves record, imaging and diagnostic results, pathology and other requests for treatment teams.
Arranges care conferences as needed. Supports Inpatient and Ambulatory multidisciplinary team meetings as assigned. Works with internal and external resources to coordinate placement, discharge planning, case management, behavioral health and follow-up care.
Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.
High School diploma or GED.
Required Licensure/Certification: None required.
Minimum Experience: None required.
Preferred: 1 year relevant experience.
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Internal Number: 12243
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