Job Description Details:
Care transition coaching and coordination.
Conduct targeted reviews of medical documentation.
Perform psycho-social assessment, identify patients in need of behavioral health support and refer as appropriate.
Work flow process facilitation.
Health plan clinical liaison; utilize health plan data and portals.
Valid driver's license and evidence of automobile insurance.
Associates in Nursing required; BSN preferred.
Local and out-of-state travel as needed. Participation in after-work activities as required. Evening and weekend work as necessary.
5 years of clinical and case management/health coach experience preferred
Clinic/Physician office, home care, public health and/or social service experience preferred.
Experience in patient education preferred
Knowledge of and practical use of good business English, spelling, arithmetic, practices and the ability to communicate effectively using written and verbal skills.
Proficient in email communications and internet usage along with basic use of Microsoft Excel and Word.
Knowledge of information technology to evaluate care effectiveness (care process, outcomes and cost) for individual users of health care and patient populations.
Experience with Allscripts Enterprise, Meditech, IDX and McKesson Medventive PHM preferred
Certification as needed or available for Health Coaching or Population Health Management
Certification in case management (CCM), public health and/or community health preferred
Basic Life Support (BLS) for the Healthcare Provider certified or obtained by the end of the orientation period
Knowledge of confidentiality, legal and liability issues
Ability to work autonomously within matrix environment without direct supervision or support
High degree of logical judgment, analytical thinking, patience, attention to detail, and diplomacy
Strong organizational, analytical, interpersonal, verbal and written communication skills
Ability to work effectively and collaboratively with multiple healthcare disciplines
Demonstrate a wide theory base and sound clinical skills to function as a nurse generalist
Trinity Health's Commitment to Diversity and Inclusion
Trinity Health employs more than 120,000 colleagues at dozens of hospitals and hundreds of health centers in 21 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.
Trinity Health offers rewarding careers in a community environment with all the advantages of working at one of the nation's largest health systems. We provide high-quality, people-centered care in 22 states through our network of hospitals, facilities, community-based services, and continuing care locations - including home care, hospice, Program of All Inclusive Care for the Elderly (PACE), and senior living facilities. If you are looking for a rewarding clinical or administrative position, you'll find exceptional career possibilities, opportunities for advancement and a job with meaning at Trinity Health.
Trinity Health employs more than 131,000 colleagues across 22 states. We honor and embrace a diverse representation of people, ideas and backgrounds. Our dedication to diversity is evident in our commitment to training, education, recruitment, retention and development, as well as community partnerships and supplier diversity.
Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences and health practices of the communities we serve and to apply that knowledge to produce positive outcomes. We recognize that each of us has a different way of thinking and perceiving our world, and that our differences not only serve to unite us, but also lead to innovative solutions.