Care Coordinator Geriatrics - Yale New Haven Health

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

Reports to the Associate Director of Geriatrics Services and works in collaboration with physicians, Advance Practice Practitiioners, home care staff and other healthcare professionals to maintain and improve the health and function of elderly individuals who are transiently or permanently homebound. The geriatrics homecare care coordinator will assess the functional, social, and health needs of homebound patients, and will work with the patient's physicians, community providers, and family to ensure that all the patient's care needs are met. This position will work with all of the patient's medical providers to ensure that their care is well coordinated and integrated. The care coordinator will investigate all possible resources for the patient, and the patient's eligibility for these resources. This position will utilize the EPIC electronic medical record to document all of the social and functional issues that affect the patient. The geriatric homecare care coordinator will work with the patient's homecare physician and other physicians to ensure that care can be provided in the home environment, and to prevent avoidable emergency department visits and hospitalizations.

EEO/AA/Disability/Veteran

• 1. RESPONSIBILITIES
• 1.1 Effectively work in collaboration with physicians, other clinicians, family members, care givers, and visiting nurse services to develop an individualized plan of care for the patient; communicate this plan to all members of the patient care team.
• 2. General RN Duties
• 2.1 Types correspondence (memos and letters), statistical forms and procedures and is able to maintain complete patient records while keeping complete patient confidentiality.
• 3. May assist and/or perform chaperone duties for patient medical procedures as needed.

EDUCATION

BSN Required

EXPERIENCE

3-5 years clinical experience in Geriatrics and Care Coordination/Case Management experience. Evidence of essential leadership, advocacy, communication, education and counseling, and resource research skills.

LICENSURE

Current RN licensure in the State of Connecticut.

SPECIAL SKILLS

*Core philosophy or values consistent with a patient-centered approach to care. *Culturally effective capabilities demonstrating a sensitivity and responsiveness to varying cultural characteristics and beliefs. *Demonstrates professional, appropriate, effective and tactful written, verbal, and nonverbal communication with patients, families, medical staff, colleagues, vendors, and other departments throughout the continuum of care to promote continuity of care and services and enhance clinical image. *Demonstrates positive professional customer service being respectful of all patients, coworkers and providers. *Demonstrates a positive attitude by smiling and being courteous to all patients, coworkers and providers, making every effort to be nonjudgmental with comments and conversation. *Acknowledges patient's rights on confidentiality issues, maintains patient confidentiality at all times, and follows HIPAA guidelines and regulation. *Participates in orientation and staff development activities as requested. *Strong interpersonal and leadership skills. *Proactively acts as patient advocate, responding with empathy and respect to resolve patient concerns and recognized opportunities for improvement through patient concerns. *Complies with dress code and strives to act professionally in words and actions at all times. *Participates effectively as a team member in the clinic being accountable, helpful and welcoming to coworkers, providers and patients. *Proactively continues to educate self to provide quality care and improve professional skills. *Demonstrates effective teaching techniques, applying adult learning principles. *Demonstrates ability to coordinate appropriate education materials for patients and their support systems. *Valid Driver's License *Must be able to travel to various delivery network locations.

PHYSICAL DEMAND

MMR is required. Varivax (chicken pox vaccine) or evidence of prior chicken pox is required. Hepatitis B (or signed declination) is required for those with potential exposure to blood/body fluids. Tdap and influenza vaccination are strongly encouraged.

Must have valid CT driver's license and a dependable vehicle to travel to patient's homes. Must possess a valid CT Nursing License. BSN Required: 3-5 years clinical experience in Geriatrics and Care Coordination/Case Management experience.