Care Guide

Intermountain Health • Intermountain Health Utah Valley Hospital, UT

1d • $18 - $26 • Onsite

About The Position

The Care Guide provides operational support and transition duties for care management services for identified patients. This position 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, value-based, and patient-centered care management services. The Care Guide is responsible for managing identified cases, care management pre-screening, patient consultation, and transition management, to facilitate operations of the Care Management team. Care Management team services may include clinical quality measures, utilization management (UM), transition planning and social work (SW) services.

Requirements

• Certificate, Associate degree, or Bachelor's degree in a healthcare field. Education must be obtained from an accredited institution. Degree will be verified.
• 36 credit hours of college coursework, two years of experience navigating a complex organizational system (e.g., college/university studies, military service, healthcare organization, federal programs).
• two years of military service experience
• two years of work experience in healthcare
• Strong interpersonal, written, and verbal communication skills.
• Experience working in a collaborative, team-oriented environment.
• Strong computer skills and willingness to continuously improve them: navigating reporting platforms, managing data spreadsheets, word processing, e-mail and the internet
• Experience managing competing demands in a high-paced environment.

Nice To Haves

• Two years of college healthcare related coursework.
• Bilingual in English and Spanish/Portuguese
• Understanding of medical and pharmacological terminology.

Responsibilities

• Develops relationships and collaborates with case/care management staff across the continuum to promote process integration, seamless transitions from one case/care management program to another, continuity of care, and avoid duplicative care management services/process.
• Monitors pending and prioritized referrals for the CM team.
• Pre-screens new cases and assigns an appropriate primary planner based on patient needs.
• Collaborates with team member to improve clinical quality measures.
• Responsible for patient follow-up calls to re-enforce education, self-management, and other necessary care planning actions.
• Collaborates, educates, communicates, and networks with healthcare providers across the continuum to ensure the patient's care planning needs are met.
• Advocates on behalf of patient, communicating and collaborating with healthcare providers, payers, physicians, and community-based services to assist in establishing an appropriate and integrated care for each patient.
• Promotes and supports mental health integration by collaborating 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.
• Promptly and accurately performs assigned duties to facilitate day-to-day operations and communication in relationship to care management services.
• Promptly escalates concerns to appropriate chain of command.
• Supports interdisciplinary care conferences, using collaborative practice models that promote interdisciplinary care planning and teamwork.
• 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 and current patient needs in area(s) of responsibility to ensure that productivity standards are met.

Benefits

• 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.
• Up-front tuition coverage paid directly to the academic institution through the PEAK program.
• 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree