Department: HA - OP Care Coordination

Regions: Health Alliance

Job Category: Nursing

Employment Type: Full - Time

Job Post ID: 39083

Experience Requirements: 1 - 3 Years

Education Requirements: Associates Degree

Location: Urbana, IL

Usual Schedule: M-F 8a-5p

On Call Requirements: None

Work Location: HA at The Fields

Nursing Specialty: Professional

Secondary Category:

Weekend Requirements: None

Shift: Day

Holiday Requirements: None

Job Description:
** This Care Coordinator will primarily work with NICU, Pediatrics, Infertility and Prenatal patient populations* *
The Care Coordinator acts as the lead facilitator of the multidisciplinary case management team and is a Registered Nurse (RN). The focus of the role is managing and directing high-risk, high-cost members to appropriate resources, services and programs. In order to accomplish they evaluate and plan for comprehensive coordination of care and health services to manage members across the continuum. They partner and collaborate with the integrated team and partners in order to provide seamless exchange of information between providers, members, and caregivers with the ultimate outcome to improve quality, reduce costs and enhance member experience.

EDUCATIONAL REQUIREMENTS
College Diploma Nursing or BSN

CERTIFICATION & LICENSURE REQUIREMENTS
Registered Nurse. Professional License required in the markets in which Health Alliance conducts business. Case Management certification highly encouraged within 24 months.

EXPERIENCE REQUIREMENTS
Requires two (2) years nursing experience in clinical, healthcare, or social service settings. Case management experience preferred. Experience in one or more of the following areas is preferred: NICU, Peds, Prenatal, or Infertility Nursing.

SKILLS AND KNOWLEDGE
Understanding of the scope of care of other disciplines and ability to coordinate care across multidisciplinary teams and settings. Ability to use a creative problem solving approach. Strong sense of personal accountability and adaptability. Ability to skillfully navigate dialogue with members regarding risks versus benefits of lifestyle behavior change with an awareness of multi-cultural issues and resources. Capable and willing to achieve baseline competency with Motivational Interviewing. Awareness of when and how to access additional resources to meet needs of members. Strong advocacy skills necessary.
Essential Functions:

• Coordination communicates / discusses with the PCP and member.
• Assigned to embedded locations or geographic areas / service areas.