The Care Coordinator will systematically review data and collaborate with all involved teams and support services to ensure that patient and family needs are met. Identifies and prioritizes clinical and psychosocial goals; problem-solves as needed to ensure follow-through with multidisciplinary team. Ensures optimal outpatient coordination, excellent collaboration between teams, with a focus on patient experience and outcomes.
Qualifications
Minimum Education High School Diploma or GED (Required) Associate's Degree (Preferred)
Minimum Work Experience 1 year (Required)
Required Skills/Knowledge Excellent communication skills required. Ability to work with diverse groups. Ability to de-escalate difficult situations and perform service recovery as needed. Knowledge of clinical processes and hospital procedures. Bilingual (English-Spanish) communication skills preferred
Functional Accountabilities Professional Practice/Research
Identifies patients/families for Care Coordination services in a systematic manner.
Completes ongoing staff education regarding coordination of care, culturally sensitive care, compassion fatigue, and other relevant topics.
Structural Empowerment
Follows through on any service needs or requests until complete and satisfactory resolution; updates the team as needed.
Assists in prioritizing need for outpatient and inpatient services e.g. community-based mental health services, Children’s National specialty services.
Exemplary Professional Practice
Completes documentation of all relevant conversations, meetings, and referrals.
Actively communicates with team members and escalates any family concerns or needs to the appropriate person or service.
Actively participates in team meetings
New Knowledge, Innovations, and Improvements
Sends regular updates to the leadership team regarding family support and patient status.
Leadership
Updates team members as frequently as needed to ensure “one voice” consistent communication to families.
Acts as a liaison among clinical services (e.g., primary care, psychiatry, psychology) and between clinical services and support services (e.g. social work, case management).
