CARE COORDINATOR

Brattleboro Memorial Hospital•Brattleboro, VT

About The Position

POSITION SUMMARY: Embedded in the Primary Care, the Care Coordinator provides consultation to the medical and social service treatment teams providing screening, case management and resource coordination and assisting in discharge planning when appropriate. The Care Coordinator is an integral member of the care team and provides case management, discharge planning and resource coordination to patients as well as provides routine follow ups on services for patients of Brattleboro Family Medicine. DEPT. SCOPE OF SERVICE: The BMH-owned or managed physician practices provide medical services in various specialties and offices including pediatrics, OB/GYN, cardiology, orthopedics, general surgery, family practice and internal medicine. The practices are staffed by physicians and other licensed providers who are supported by clinical staff (RNs, LPNs or medical assistants) and clerical staff (receptionists, transcriptionists, file clerks). Hours vary by practice.

Requirements

Bachelor’s degree in science or arts.
3-5 years recent experience in Care Coordinator/Care Management preferred.
Hospital experience preferred
Current Healthcare Provider CPR certification
OSHA Category I - Tasks that involve exposure to blood, body fluids, or tissues require use of techniques of Universal Precautions as evidenced with blood borne pathogens standards.
On-the-job time is spent in the following physical activities.
Standing - Up to 1/3
Walking - Up to 1/3
Sitting - 2/3 or more
Talking or Hearing - 2/3 or more
Use of hands to finger, handle or feel - Up to 1/3
Pushing/Pulling - None
Stooping, kneeling, crouching or crawling - None
Reaching with hands and arms - Up to 1/3
Tasting or smelling - None
This position requires that weight be lifted, or force be exerted.
Up to 10 pounds - 2/3 or more
Up to 25 pounds - 1/3 to 1/2
Up to 50 pounds - Up to 1/3
Up to 100 pounds - None
More than 100 pounds - None
This position has special vision requirements.
Close Vision (clear vision at 20 inches or less)
Color Vision (ability to identify and distinguish colors)
Ability to Adjust Focus (ability to adjust eye to bring an object into sharp focus)
This position requires exposure to the following environmental conditions.
Wet, humid conditions (non-weather) - None
Work near moving mechanical parts - Up to 1/3
Fumes or airborne particles - Up to 1/3
Toxic or caustic chemicals - Up to 1/3
Outdoor weather conditions - None
Extreme cold (non-weather) - None
Extreme heat (non-weather) - None
Risk of electrical shock - None
Work with explosives - None
Risk of radiation - None
Vibration - None
The typical noise level for the environment is:
Very Quiet
Quiet
Moderate Noise
Loud Noise
Hearing
Ability to hear calls
Ability to hear instructions from physician/department staff/others

Nice To Haves

3-5 years recent experience in Care Coordinator/Care Management preferred.
Hospital experience preferred

Responsibilities

Provides consultation with team members, and takes referrals from them to outside resources
Collaborates with clinicians to assess and establish plan of care for complex patients including setting priorities with the patient/family.
Assists individuals and families with identifying and prioritizing goals.
With individuals, formulates time-limited treatment plans that target clearly identified treatment goals with a means of measuring success and treatment completion
Provides care coordination and resource connection.
Establishes relationship with community team, other providers, partner community agencies, and identified support systems for patients, collaborating as indicated.
Completes periodic reports as required by BMH and or the state.
Adheres to professional and ethical conduct at all times.
Maintains accurate and timely clinical documentation in the EHR.
Demonstrates the ability to coordinate patient care with a proactive approach to both acute and chronic conditions while being an advocate for the patient’s rights, value and belief systems.