Case Management Coordinator- Ryan White Services

Community Health Network•Indianapolis, IN

About The Position

The Case Management Coordinator is responsible for the assessment, planning, implementation, coordination, monitoring, and evaluation of services and resources to ensure quality patient outcomes and appropriate utilization of health care and social services and resources. The Case Management Coordinator is responsible for supporting the navigation team to provide seamless care delivery and management of the complex social needs of the patient and their family.

Requirements

1 year of current clinical experience or experience commensurate with the role required
Bachelor’s Degree in Social Work or health care related field required.
Master’s Degree in Social Work is also acceptable.

Responsibilities

Confers with navigation staff and other ancillary patient care departments regarding ongoing plan of care, resource needs, barriers or delays.
Participates in developing and implementing the goal-directed plan of care, which is prioritized and based on intermediate goals and specific outcome criteria.
Coordinates and facilitates care in a knowledgeable, skillful, and consistent manner.
Performs documentation and patient records in a timely, accurate, clear, and concise manner.
Records pertinent date in required areas for other team members to provide care/services in an efficient, continuous manner.
Demonstrates awareness and sensitivity to the rights of patients/significant others, as identified within the institutional values.
Demonstrates sound knowledge base and actions in the care and decision making for designated patient populations and seeks guidance appropriately.
Participates actively in staff development activities for navigation team.
Demonstrates self-directed learning and participates in continuing education to meet own professional development.
Demonstrates awareness of legal issues in all aspects of patient care.
Participates in management of situations in a manner that reduces risk.
Participates in development and evaluation of the navigation team functions.
Participates in meetings, reports, and other activities that support the navigation team functions.
Demonstrates effective communication methods and skills, using lines of authority appropriately.
Conducts planning and needs assessment for identified patients that are consistent and provide for continuity of care for the patient.
Implements referrals for patients to include referrals to home health agencies, other network resources, community based resources; including transportation, housing, financial and other unmet needs to provide safe and appropriate transitions between levels of care.