Care Management Program Coordinator

Phelps Health
21hOnsite

About The Position

Phelps Health is a 2000-employee-strong hospital and healthcare system serving the heart of small-town Missouri. No matter where you start with us, we’re committed to taking our team to the top. If you’re ready for the challenge of providing life-saving care or supporting those who do, read on to find your fit in the Phelps Health family. General Summary The Care Coordinator delivers a set of care coordination activities, assuring that patients receive timely, high quality and efficient health care and support services within and outside of the medical home through the development and implementation of a care plan and development of patient self-management skills.

Requirements

  • Graduate of an accredited School of Nursing, Social Work or related field required.
  • Two years experience in a health care setting required.
  • Missouri or Compact RN license, if applicable.
  • Considerable mental concentration for sustained periods of time with frequent interruptions.
  • Standing, walking, sitting, and light lifting (15 lbs) required.
  • Potential exposure to body fluids.

Nice To Haves

  • Case management experience preferred.
  • Case Management certification preferred.

Responsibilities

  • Provides assistance with social services and social determinants of health needs, such as advanced directives, transportation assistance, financial resources, mental health resources, medication assistance, food pantries, shelters, utility assistance, housing, mandated reporting/hotline referrals, and health education.
  • Provides information and assistance with Medicaid; disability; financial assistance; and government assistance applications.
  • Ensures referrals are processed in a timely manner; as well as locating and resolving barriers that may interfere with patient’s continuum of care.
  • Coordinates with hospital social workers and care managers to ensure a smooth transition following hospital discharge.
  • Provides patient education and self-management support.
  • Informs and sets up patients and/or guardian for the patient portal at the time of service and informs and educates patients regarding the benefits of signing up for the patient portal.
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