Care Coordinator-Acute Care

Inpatient Care Coordinator RN

UnityPoint Health Fort Dodge

Why UnityPoint Health? 

• Commitment to our Team – We’ve been named a Top 150 Place to Work in Healthcare 2022 by Becker’s Healthcare for our commitment to our team members. 
• Culture – At UnityPoint Health, you matter. Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve. 
• Benefits – Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in. 
• Diversity, Equity and Inclusion Commitment – We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation. 

• Development – We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience. 
• Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve. 

Visit us at UnityPoint.org/careers to hear more from our team members about why UnityPoint Health is a great place to work. https://dayinthelife.unitypoint.org/ 

Interdisciplinary Team Leader

·         Coordinates the plan for the stay and the plan of care with patients, family and interdisciplinary team.

·         Ensures effective communication through the continuum to support ongoing progress toward identified outcomes 

·         Leads and participates with the interdisciplinary team in daily rounds, planning delivery and evaluation of patient-focused care. 

·         Ensures effective communication and flow of information to all appropriate care providers.

·         Identifies patients with potential palliative care needs and makes appropriate referral

Patient care & advocacy

·         Patient rounding - rounds on each patient daily.

·         Physician rounding – prioritizes and rounds with physicians daily to promote communication and effective discharge planning.

·         Assists in obtaining baseline information utilized for the development of individualized patient plan of care.

·         Provides direct and indirect patient and family care as needed to develop plan of care.

·         Assesses patient’s response to treatment and care through other care provider information or by examining patient directly 

·         Provides or oversees the education of the patient and family to understand illness and self care concepts 

·         Supports patient’s right to make decisions about care and treatment.

·         Develops a partnership with care providers and patient and patient’s family.

·         Ensures that patient goals are set with patient.

Plan of Care

·         Monitors patient’s progress against plan of care until discharge from designated patient care area.

·         Ensures the plan of care is accessible to the patient and family to assist them in understanding goals of care and movement toward these goals.

·         Performs or oversees the development and implementation of a plan of care.

·         Ensures the effective education of the patient and patient’s family to prepare for discharge, helps to facilitate patient discharges

·         Implements strategies to reduce resource consumption and length of stay for assigned patients e.g. appropriate use of telemetry, diagnostic testing for outpatient arena, such as treatments and infusions.

·         Identifies resources needed for optimal patient care, substantiates the need for resources.

·         Communicates changes in plan of care to the patient/family and the health care team members in a timely manner.

·         Involved and educates interdisciplinary team, patient/family on plan of care.

Outcomes Manager

·         Collects data on patient outcomes on the unit e.g. patient satisfaction, pressure ulcers, medication errors, falls, core measures, critical test results, etc.

·         Develops and utilizes tools to effectively evaluate, summarize and communicate patient’s progress toward outcomes to members of the healthcare team and patient and family.

·         Seeks opportunities to make improvements to reduce risk. 

·         Is involved in safety initiatives at the department and interdepartmental levels to improve care outcomes.

·         Perform interview to begin A3 on readmissions and coordinate with performance improvement.

·         Assure patient has Advance Directive (AD) and is clearly documented and communicated via the Durable Power of Attorney (DPOA), living will, IPOST as advanced directive.  If ADs are absent facilitates completion of appropriate forms.

·         Works with team members, other leaders and physicians to develop and trend performance improvement indicators based on national standards and best practices.

·         Leads and educates staff to ensure best practices are followed in relationship to adherence to care measures.

·         Responsible for the safe discharge planning/transition to next level of care and communication of plan to patient/family, physician, team members and next level of care.

·         Makes direct referrals to home care, next level of care, e.g. nursing facility in collaboration with social worker, palliative and hospice care as appropriate.

Leadership

·         Provides input to nursing leadership on the evaluation and competency of nursing staff.

·         Provides formal and informal educational opportunities on the unit Acts as role model and demonstrates expertise in conflict resolution and negotiation. 

·         Acts as a role model and demonstrates Standards of Behavior

·         Reviews compliance with regulatory agencies related to patient safety including Det Norske Veritas (DNV), Occupational Safety and Health Administration (OSHA), Centers for Medicare and Medicaid Services (CMS) and others. 

·         Delegates aspects of care to qualified personnel.

·         Acts as consultant to clinical staff in assisting or finding resources when unfamiliar procedures/treatments present.

·         On a daily basis delegates, supervises and evaluates the nursing care given by others while retaining accountability for the quality of care given to the patients.

·         Serves as a professional role model/mentor and change agent to develop and assist others.

·         Participates in real time problem solving utilizing the A3 tool; collects the current state and engages nursing staff in the process

·         Provides precise communication to other team members.

Professional Practice

·         Maintains clinical competence in the care of a designated patient population.

·         Disseminates & implements latest evidence based practices.

·         Certified Medical-Surgical Registered Nurse (CMSRN), Progressive Certified Nursing (PCCN) or Care Coordination and Transition Management Certification (CCCTM) preferred.