Primary Care Post-Acute Care Navigator - Prn

You belong here! At Family Health West, you're more than an employee, you're family.
When you enter our facility, you know it's Family Health West because, well, the color speaks for itself. You'll be part of a team that strives to bring color to care in a vibrant environment by creating fun, effective treatment programs helping to empower and inspire our patients while providing the tools and care they need to achieve their wellness goals.
When we say you'll do what you love, we mean it! Welcomed by open arms and warm smiles, you'll join a team that encourages professional growth. We are sure to put on our listening ears when you share new ideas and approaches to care because that's what got us to the top! You'll wear your badge proudly, knowing that you contribute each day, to providing care that is unmatched, in western Colorado.
So, what are you waiting for?! Fill out the application now, and when you hit send do a little happy dance knowing that you just made our day. If it still sounds too good to be true, come see for yourself. Call us to schedule a tour and meet your new best friends!
About Family Health West
Our roots go deep -- founded by the community in 1946, it's no wonder our hospital feels like coming home. We were built from the ground up with the hands of our own community, a labor of dedication and hope by our people, for our people, for the future.
At Family Health West we go beyond what corporate hospitals deliver, we've created a culture of prosperity where warmth, passion, and care flourishes. As we focus on continually improving outcomes for patients, our network of healthcare providers includes a 25-bed critical access hospital, one of the largest rehab providers in western Colorado, outpatient surgical services, specialty clinics, emergency services, skilled nursing, and assisted living facilities.
Nestled at the base of the Colorado National Monument, Family Health West has an outdoor paradise at your back door. The community culture is fitting for outdoor lovers, bikers, hikers, or those just simply soaking in the panoramic views.
ESSENTIAL FUNCTIONS:

• Determine if the post-acute admission is appropriate given a patient's clinical presentation and advise if other options, such as home with services, is an optimal alternative. Review documentation and/or assess a patient's clinical presentation and collaborate with the provider for optimal alternatives when advised.
• Reliable and punctual attendance is essential; expected to be at job as scheduled each scheduled day.
• Communicate necessary information to others as appropriate.
• Monitor patients while at post-acute facilities, including those receiving home health care, looking for:
  
  • Any deviation from the standard of care for patients
  • Patients being in the post-acute care setting and/or receiving services longer than expected
  • Patients not receiving expected services
  • Patients getting complications in the post-acute setting that puts them at risk for admission to ED and/or hospital
• Address issues discovered while monitoring patients.
• Present all findings to a PAC committee, including steps to address the findings.
• Contact providers, staff and/or administration to resolve the findings.
• Coordinate discharge planning needs with post-acute facilities to ensure the patient has:
  
  • Proper follow-up with the PCP and specialists
  • Equipment for transition to home
  • Home health services arranged, starting when the patient is discharged
  • Care management support, including transitions of care
• Coordinate efforts with facilities' care management programs.
• Employ effective use of knowledge, critical thinking, and skills to:
  
  • Advocate quality care and enhanced quality of life
  • Prevent patient complications during post-acute stay
  • Advocate decreased post-acute stay when appropriate
  • Maintain accurate records of all patient-related interactions in hospital's EHR
  • Work in an intensive, fast-paced environment with minimal supervision
  • Ability to stay organized and interact well with others in any situation
• Excellent computer skills, including proficiency in MS Word and Excel.
• Proficiency in typing, grammar, data entry, office machines, basic math, and general office procedure.
• Proficient with standard office equipment (i.e., multi-line phone, fax, copier, etc.).
• Excellent verbal and written communication skills, including ability to effectively communicate with both internal and external personnel.
• Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA, and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
• Other job duties as assigned.

EDUCATION:
Education: Associate's degree in medical field from an accredited school. Educational background in nursing, social work, or other health related profession.
Licenses: Prefer State of Colorado Nursing License or Licensed Social Worker.
Certifications: No professional certification required.
Experience: 2-4 years working in a post-acute setting, management of eligibility for Medicare Part A coverage for skilled nursing stay and discharge planning.
Knowledge, Skills, and Abilities:

• Computer proficiency (MS Office - Word, Excel, Outlook) including being able to effectively maintain written and computer records in accordance with regulatory agencies.
• Establish an approachable demeanor at all times.
• Strong follow-through, quick decision making, and abilities to effectively problem solve.
• Team player, ability to build strong relationships and strong teams.
• Strong verbal and written communication skills with patients, team members, supervisors, and executive level members.
• Strong organizational and time management skills.
• Self-motivated, self-starter, ability to set priorities and keep to project schedules.

WAGE RANGE: $29.95-$45.52
Immunizations required foremployment, including COVID-19.
FHW offers a full benefits package including:
FOR ALL EMPLOYEES:
Employee Assistance Program
403 (B) with 4% match from FHW and zero day vesting schedule
FOR FULL TIME EMPLOYEES WORKING AT LEAST 30 HOURS A WEEK
Medical Plan Options:

1. PPO plan with copay/coinsurance and lower deductible
2. High Deductible Health Plan with the option for a Health Savings Account.

• Telemedicine includes in both plan options.

Dental
Vision
Life Insurance/ Accidental Death and Dismemberment Insurance
Disability Insurance with a Short and Long Term Option.
Critical Illness and Accident Plans
Cafeteria Options: Health Reimbursement/ Flex Savings / Dependent Childcare
A host of other options to include: Pet Insurance, Identity Protection, Travel protection, etc.