Resource Specialist, NBMC (Per Diem, Days)

NorthBay Health•Fairfield, CA

1d•$35 - $44•Onsite

About The Position

At NorthBay Health, The Resource Specialist will perform a combination of duties designed to maximize the utilization of hospital resources, improve population health outcomes, and coordinate post-hospital care for patients in support of the Population Health Case Management Team. These comprehensive duties include communication and coordination with payers, outside agencies, and other departments to assist with patient discharge and supporting Population Health Case Management Team accountabilities. The Resource Specialist must demonstrate adherence to the department and system policies, procedures, quality assurance, guidelines, and goals of the department, the organization, and the broader population health strategy. The Resource Specialist takes day-to-day direction for priorities from the Utilization Management Manager or designee.

Requirements

Demonstrates NorthBay Health’s True North Values: Nurture Care, Own It, Respect Relationships, Build Trust, and Hardwire Excellence. These values guide behavior, accountability, teamwork, and commitment to high-quality patient care.

Responsibilities

Maintains regular communication with Population Health Case Management Team, appropriate management staff, outside agencies, and other hospital departments to ensure a coordinated approach to patient care that supports population health initiatives and equitable access to resources.
Prepares necessary paperwork for the Population Health Case Management Team, ensuring it aligns with population health goals by supporting continuity of care post-discharge and addressing social determinants of health.
Provides support to the Population Health Case Management Team by faxing, copying charts, making follow-up phone calls, and entering documentation in Cerner and naviHealth per policies and procedures, ensuring that interventions and services provided promote health equity and improved outcomes for diverse patient populations.
Initiates and documents Advanced Directive paperwork with patients as directed, including educating patients on options that reflect their cultural and personal preferences, contributing to person-centered care and population health improvement.
Initiates, documents, and tracks patient appointments, meetings and care conferences in collaboration with Population Health Case Management Team, supporting timely and effective care transitions that contribute to reducing readmissions and improving population health.
Interacts with review organizations, third-party payers, and outside agencies to expedite resources for patient discharge plans, while ensuring resource access is equitable and aligned with patient care goals that enhance population health.
Interacts with patients and/or families to provide resource options, including considering social determinants of health and aligning post-discharge care with available community-based services. Alerts the Population Health Social Workers to possible patient intervention opportunities.
Assists patients and families with transportation, placement and other requests for patient needs on an outpatient basis in order to reduce unnecessary ED and inpatient acute utilization.
Verifies insurance benefits and contracted agencies for patient care options post-discharge, prioritizing care models that support preventative care and enhance population health outcomes.
Reviews post-hospital care (SNF, DME, Home Health, Crisis, etc.) in accordance with the interventions and discharge plan created by the Inpatient Case Management team, while ensuring that patient care strategies contribute to reducing health disparities and improving overall community health.
Maintains and updates resources on the K drive and notifies the Population Health Team of updates, ensuring resources reflect the most current population health trends and available community programs.
Attends and participates in daily huddles, as appropriate, with a focus on identifying opportunities to improve care coordination and overall health outcomes for populations at risk.
Upon the request of Population Health Case Management Team, produces and distributes all necessary correspondence, incorporating strategies that promote continuity of care and better post-discharge health outcomes for all patient populations.
Produces necessary correspondence, including hospital transfer information, for the Population Health Case Management Team, with a focus on ensuring smooth transitions that reduce readmissions and promote long-term health for diverse populations.
Organizational standards for Joint Commission, Department of Human Services, Patient Safety, CMS Conditions of Participation, and the Department of Health will be met, with an emphasis on maintaining quality standards that improve patient health outcomes at both the individual and population levels.
Performs audits as assigned, identifying trends that may inform interventions to enhance population health and reduce avoidable healthcare utilization.
Performs special functions and other duties as assigned, with attention to addressing the health needs of vulnerable or underserved populations.

Benefits

medical
dental
vision insurance
life coverage
disability coverage
long-term care coverage
paid time off
vacation
sick leave
holidays
bereavement
403(b) retirement plan with employer match
education reimbursement for eligible roles
professional development and training programs
Employee Assistance Program
wellness programs
recognition programs
shift differentials
market-based compensation review and increases subject to approval and organizational performance