1+ months

Care Coordinator - Boulder, CO

Boulder, CO 80302
  • Job Code

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

Care Coordinator is responsible for assisting in the development and implementation of case management in Behavioral Health Services. The position requires the ability to promote the coordination, collaboration and continuity of care from admission through discharge and post-discharge. The position necessitates leadership skills with the ability to direct and evaluate all aspects of patient care, and to assure that care is delivered a timely, effective and efficient manner. The position interacts with payors to determine the appropriate length of stay, care interventions and discharge plan, utilizing the resources available within the patient's care network. The position requires an ongoing knowledge of managed care and how best to deal with payors. Excellent organizational skills, the ability to consistently multitask and communicating well with others are critical aspects of this position. The ability to interact, educate and develop a therapeutic alliance with families of patients is essential.

Primary Responsibilities:

  • Professional Behavior:
    • Conduct all patient-care activities with respect for patient's privacy and right to confidentiality and autonomy
    • Use discretion in relaying administrative concerns, decisions or discussion with other staff
    • Admission Process:
    • Assist in admission and orientation of patients
    • Review initial assessment(s) and assist in completion
    • Conduct patient assessment evaluation and communication to the attending M.D. and treatment team
  • Treatment Planning:
    • Provide leadership in completion of the Master Treatment Plan and ongoing treatment goals
    • Develop, coordinate and complete discharge planning
    • Facilitate patient access to needed resources and aid in the development of alternatives as necessary to meet identified needs
    • Maintain collateral contacts with family or support systems, outside agencies and professionals as necessary
    • Attend and participate in team clinical supervision, team meeting and treatment planning
  • Chart Review:
    • Review patient charts to:
      • Update treatment plans
      • Assure services are consistent with JCAHO, ADAD and 27-10 Regulations
      • Follow BHS Standards and Guidelines
      • Review chart for drug screen results
  • Case Management:
    • Meet with patients during each scheduled treatment day to assess and evaluate status and discuss measurable treatment goals
    • Actively involve the patient, family and support system in planning and implementation of care
    • Maintain communication with patient's referring therapist, psychiatrist and/or primary care physician
    • Discuss Advanced Directives with patient as appropriate
    • Assist in managing the patient milieu
    • Participate in program QA/SQI as assigned by Program Manager
    • Reports all symptoms related by the patient or observed to the patient's psychiatrist
    • Thoroughly, effectively and accurately documents all patient clinical information in the medical record
    • Develops, maintains, and terminates therapeutic relationships with patients/families/significant others while maintaining appropriate boundaries
    • Function as an advocate for the patient and/or family/significant others as appropriate to the role
    • Set effective limits as appropriate with program philosophy and treatment plan
    • Communicates the discharge plan to the patient, the patient's support system and the appropriate outpatient providers
    • Notify outside agencies as mandated by law, i.e., Adult Protection, Child Protection etc.
  • Utilization Management:
    • Performs precertification and concurrent review of patients with payors in a timely manner to ensure adequate reimbursement
    • Provides regular communication to managed care/insurance provider regarding goals, progress in treatment, attendance and discharge plan
    • Initial review completed within 24 hours of admission, or the next available working day. Patients screened for appropriateness of admission and level of care
    • Identification of cases that do not meet criteria for continued hospitalization. Develop an alternative plan with the attending physician to explore discharge planning options and alternatives to hospitalization. Document all findings in the record. Communicate the decisions and plan to all appropriate parties. Communication of the discharge plan to the managed care/insurance companies
    • Communication of the discharge plan to the managed care/insurance company
    • Communicate the authorization number to the admissions office per policy
    • May need to verify and update the insurance benefit listed
    • Refers identified problems to QA, Risk Management or Medical Staff QA
  • Discharge:
    • Facilitate discharge planning immediately by working with the patient's family, significant supporters, outside providers and community resources
    • Evaluate the need for post hospital services and determine the appropriate discharge plan for all cases
    • Educate the patient/family as to the options/choices for the patient upon discharge. Communicate the recommendations of the treatment team
    • Complete preauthorization for post-discharge care when needed
    • Collaborate with all providers regarding the discharge plan, i.e. Turning Point, Recovery Program, Mapleton Counseling Center, outside therapists, outside psychiatrists, Wardenburg Clinic, the PCP, etc.
    • Whenever possible obtain specific appointments with all providers following up with the patient after discharge
  • Hospital Required:
    • Employees are expected to comply with all regulatory requirements, including Joint Commission Standards
    • Familiar with organization, department and job specific, fire, safety and disaster policies
    • Must adhere to Standard Precautions which include:
      • The use of protective barriers as appropriate:
        • gloves
        • masks
        • gowns
        • pocket masks
        • safety glasses
      • Handling and disposing of infectious waste appropriately
      • Hand washing as appropriate
    • Performs other duties as assigned
    • Maintain other licenses as necessary
    • Participate in Quality Improvement as assigned by Program Manager

When applicable, employees must be able to adjust the essential functions they perform appropriately to the age of their patient/customer. Employees must demonstrate knowledge of the principles of growth and development and the knowledge and skills necessary to provide for the primary population of patients served in the department. Employees demonstrate the ability to alter care and patient/family education based on the age or developmental level of the patient.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.



Posted: 2020-09-22 Expires: 2020-11-20

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Care Coordinator - Boulder, CO

UnitedHealth Group
Boulder, CO 80302

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