Community Care Guide

Intermountain Healthcare; Las Vegas (NV); Hybrid; USD 29,000 - 44,000; Full time

Benefits offered by this job

Benefits package

Job summary

Intermountain Healthcare seeks a full-time care coordination professional to support high-risk patients through referral management, pre-screening, scheduling, and transition planning. You will collaborate with care teams, patients, families, and providers to ensure efficient, patient-centered services across the program.

You will conduct patient outreach, document interactions in the medical record, monitor caseloads, and participate in interdisciplinary conferences to improve transitions of

Qualifications

• Minimum 3 years of experience in patient care or care management.
• Excellent interpersonal and communication skills.
• Knowledge of HIPAA regulations and patient confidentiality.

Responsibilities

• Screen, monitor, and prioritize referrals; track caseloads.
• Promptly contacts new patients by phone to introduce the program and obtain consent.
• Coordinate transition planning and collaborate with care teams and providers.
• Document activities in the medical record per guidelines and billing standards.

Skills

Three years of experience

Excellent interpersonal skills

Able to adapt quickly

Education

Certification, Associate Degree, or Bachelor's degree in a healthcare field

Job description

Job Description:Provides operational support and transition duties, as assigned, for identified highest risk complex patients.Provides extraordinary care. Works collaboratively with the care management team, patients, family caregivers, significant others, healthcare providers, payers, community-based providers, and other involved parties to provide effective, efficient, and patient-centered services.Responsible for referral management of cases, care management pre-screening, patient scheduling, patient consultation, transition management, and other duties as assigned, and in accordance with Intermountain Health's policies, procedures, guidelines, and professional licensure, to facilitate effective and efficient operations of the team.Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings.Job SpecificsApplication Requirements : Please upload a current resume that includes your work history and relevant licenses or certifications.Benefits Eligible: YesFTE: Full timeShift: Fully remote, required in-person meetingsClick learn about additional Intermountain benefitsJob Essentials:Understands, practices, and promotes the philosophy and guiding principles of the department.Demonstrate knowledge of HIPAA regulations and maintain the confidentiality of patient information to be compliant with internal policies and procedures.Referral Management: Screen, Monitors pending and prioritized referrals. Maintains a record of the average daily caseload and workload.Patient Consultation: Promptly contacts new patients by phone to introduce them to the program, obtain verbal consent to participate, and schedules the initial assessment/evaluation.Interventions: Responsible for patient follow-up calls, as assigned by the (care team, to re-enforce education, self-management, and other care planning actions needed. Collaborates, educates, communicates, and networks with healthcare providers across the continuum to ensure the patient’s care planning needs are met.Intervention: Advocates on behalf of the patient, communicating and collaborating with healthcare providers, payers, physicians, and community-based services, where appropriate, to assist in establish an appropriate and integrated care plan for each patient. Promotes mental health integration by collaboration with mental health/behavioral health providers.Responsible for designated transition management duties to ensure an effective transition of care from one healthcare setting to another. Actively participates in system and regional process improvement initiatives to improve transitions of care.Establishes and maintains current community-based services and provider resource lists.Promptly and accurately performs duties, as assigned, to facilitate effective and efficient day-to-day operations and communication. Promptly escalates concerns to appropriate chain of command.Effectively and efficiently lead interdisciplinary care conferences and huddles, using collaborative practice models that promote interdisciplinary care planning and teamwork.Clerical/Support: Completes timely and accurate documentation in the medical record using knowledge of documentation standards for the department to facilitate communication with team members. Documentation is done in compliance with all clinical guidelines and billing/reimbursement standards. Organizes and prioritizes daily work by assessing new, current, and discharging patient needs in area(s) of responsibility.Ensure that productivity standards and expectations are met.Works with other team members and leadership to develop standard work and best practicesThe following duties may not be performed in all areas:Clinical Support: Prioritizes (triage) patient needs identified through phone, electronic, in accordance with established guidelines, standing orders, and protocols. Reports significant changes in patient condition or other patient information to the care team. Following provider instructions, demonstrates accurate, timely, and efficient follow through with pharmacy refills, scheduling out of clinic procedures, obtaining, reporting, and tracking of lab results, leaving phone messages, and distributing faxes. Maintains inventory of supplies. Orders and restocks as needed to ensure availability for patient care.Minimum QualificationsThree years of experience in patient care, care management, transition/discharge planning, medical assistance, healthcare coaching, or patient care coordination - and - Certification, Associate Degree, or Bachelor's degree in a healthcare field.Excellent interpersonal and communication skills.Ability to adapt quickly as needs arise.Knowledge of available health resources.Preferred QualificationsBachelor's degree from an accredited institution.Discharge/transition planning, healthcare coach, health advocate, or medical assistant experienceLifting, twisting, standing, seeing, manual dexterity, speaking, sitting.Location:Central Office - Las VegasWork City:Las VegasWork State:NevadaScheduled Weekly Hours:40The hourly range for this position is listed below. Actual hourly rate dependent upon experience.$20.82 - $31.67We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.At Intermountain Health, we use the artificial intelligence (\"AI\") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.All positions subject to close without notice.