What are the responsibilities and job description for the Integrated Care Coordinator Nurse position at Seven Counties Services?
PURPOSE
Under moderate supervision, responsible for comprehensive coordination of care for patients and their families/caregivers. May provide direct care when client need necessitates which may include but not limited to linking clients to healthcare services; assisting in navigating services; assisting with addressing barriers to both behavioral health and medical services; monitoring clients’ use of appropriate healthcare services; and, follow-up on any concerns relevant to the healthcare provided.
ESSENTIAL JOB FUNCTIONS
- Provides first point of clinic contact for all new clients. Explain services available and focus on engagement of client to access services.
- Completes health screenings, nursing assessments and triage healthcare needs for new and ongoing clients.
- Participates in team meeting to develop a plan of care to address client needs.
- Assists clients in navigating the healthcare environment to ensure access to appropriate care.
- Advocates on client’s behalf with healthcare providers and managed care organizations to ensure timely care.
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Assists with coordination/access to services that address social determinants of healthcare outcomes:
- Provides transportation to healthcare appointments, when needed
- Identifies other needs, when necessary, that ensure access to healthcare
- Assists in obtaining access to housing (search for housing, applications, financial assistance, communication with landlord), as necessary, when housing status destabilizes health status and presents a barrier to receiving appropriate healthcare.
- Assists with access to other community resources e.g., public assistance and financial benefits.
- Develops knowledge base of other healthcare providers in the service area and collaborate, as needed
- Documents tracking for appointments, medication, and other healthcare needs for assigned clients, as needed
- Provides education and support wellness activities such as such as healthy eating, physical activity, and healthy behaviors
- Assists clients who have recently discharged from inpatient treatment, incarceration, residential care, and/or Emergency Department visits to ensure a transition to outpatient care using evidence-based transitional/navigation services to prevent readmissions.
- Provides caring contacts to clients estimated to be at high risk for suicide to ensure continuity of care.
- Collaborates with client, family/significant others to develop support networks.
The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform job-related tasks other than those specifically presented in this description.
EDUCATION
- Licensed Practical Nurse preferred with current active license to practice in Kentucky.
- Medical Assistant may be considered based on academic preparation and relevant experience
EXPERIENCE
- Three years of nursing experience in a hospital, physician office, or behavioral care clinic.
- Experience in community setting or integrated care environment
PHYSICAL DEMANDS
- Position may require lifting of 20 pounds maximum, with frequent lifting or carrying of items weighing up to 10 pounds, or requires significant periods of walking or standing
- Possible exposure to the threat of bodily harm from clients or families.
- Normal tasks may involve exposure to blood, bodily fluids, or tissue.
- Reliable transportation for frequent travel.
Time Type:
Full time
We continually help our community and employees flourish... one life at a time. As a Seven Counties Services employee there are many perks to enjoy. Below are just some of the great benefits you might be eligible for with Seven Counties Services.
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Health & Wellness
- Medical Coverage
- Dental Coverage
- Vision Coverage
- Flexible Spending Account
- Health Savings Account
- Short Term Disability
- Long Term Disability - Company Paid
- Wellness Programs - Company Paid
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Financial Wellbeing
- Competitive Compensation Packages
- Life Insurance - Company Paid
- Accidental Death & Dismemberment Insurance - Company Paid
- 403b Retirement Plan with Company Funded Matching
- Retirement and Financial Planning Services
- Employee Discounts including Dell Computers, Verizon Wireless, Liberty Mutual, Costco, and Enterprise Rent-a-Car
- Loan Forgiveness options through federal programs (National Health Service Corps & Public Service Loan Forgiveness)
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Career Development and Growth
- At Seven Counties Services training is one of our highest priorities. We provide company paid professional training for various skills, certifications, and continuing education
- Opportunities for growth and movement - We encourage our employees to consider new growth opportunities with us
- Leadership Academy for our rising stars, supervisors, and leaders
- Seven Counties Services and Center for Clinical Excellence teach provide staff with industry best practices and processes
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Work Life Balance
- Paid Time Off - Generous PTO for Vacations, Illness, Personal Days, Etc. (Paid Holidays)
- Flexible Work Schedules to promote a Healthy Work Life Balance
- Employee Assistance Program - assists employees with personal problems and/or work-related problems that may impact their job performance, health, mental and emotional well-being
Seven Counties Services is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, gender, disability, sexual orientation, marital status, or protected veteran status.