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Job Description:

The Community Care Guide provides operational support and transition-related duties, as assigned, for patients identified as high-risk and complex. This role is dedicated to delivering extraordinary care.

The Community Care Guide works collaboratively with the care management team, patients, family caregivers, significant others, healthcare providers, payers, community-based providers, and other involved parties to ensure services are effective, efficient, and centered around the patient.

Responsibilities include managing referrals, conducting care management pre-screening, scheduling patients, consulting with patients, overseeing transition management, and performing other duties as assigned. All tasks are carried out in accordance with Intermountain Health’s policies, procedures, guidelines, and professional licensure standards to support the effective and efficient operation of the team.

We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, and Washington.

Position Details:

Although the position is mostly remote, there may be times when the care guide may need to go to our office space at Mckay-Dee Hospital depending on business needs. On average, this role is 90% remote. During a 4 week training/onboarding time the expectation is to work five-8 hour shifts Monday- Friday from 8:00 am-4:30 pm, but then will be given an option to switch to four-10s.

Job Essentials:

+ Understands, practices, and promotes the philosophy and guiding principles of the department.

+ Demonstrate knowledge of HIPAA regulations and maintain the confidentiality of patient information to be compliant with internal policies and procedures.

+ Referral Management: Screen, Monitors pending and prioritized referrals. Maintains a record of the average daily caseload and workload.

+ Patient Consultation: Promptly contacts new patients by phone to introduce them to the program, obtain verbal consent to participate, and schedules the initial assessment/evaluation.

+ Interventions: Responsible for patient follow-up calls, as assigned by the (care team, to re-enforce education, self-management, and other care planning actions needed. Collaborates, educates, communicates, and networks with healthcare providers across the continuum to ensure the patient’s care planning needs are met.

+ Intervention: Advocates on behalf of the patient, communicating and collaborating with healthcare providers, payers, physicians, and community-based services, where appropriate, to assist in establish an appropriate and integrated care plan for each patient. Promotes mental health integration by collaboration with mental health/behavioral health providers.

+ Responsible for designated transition management duties to ensure an effective transition of care from one healthcare setting to another. Actively participates in system and regional process improvement initiatives to improve transitions of care.

+ Establishes and maintains current community-based services and provider resource lists.

+ Promptly and accurately performs duties, as assigned, to facilitate effective and efficient day-to-day operations and communication. Promptly escalates concerns to appropriate chain of command.

+ Effectively and efficiently lead interdisciplinary care conferences and huddles, using collaborative practice models that promote interdisciplinary care planning and teamwork.

+ Clerical/Support: Completes timely and accurate documentation in the medical record using knowledge of documentation standards for the department to facilitate communication with team members. Documentation is done in compliance with all clinical guidelines and billing/reimbursement standards. Organizes and prioritizes daily work by assessing new, current, and discharging patient needs in area(s) of responsibility.

+ Ensure that productivity standards and expectations are met.

+ Works with other team members and leadership to develop standard work and best practices

+ The following duties may not be performed in all areas:

+ Clinical Support: Prioritizes (triage) patient needs identified through phone, electronic, in accordance with established guidelines, standing orders, and protocols. Reports significant changes in patient condition or other patient information to the care team. Following provider instructions, demonstrates accurate, timely, and efficient follow through with pharmacy refills, scheduling out of clinic procedures, obtaining, reporting, and tracking of lab results, leaving phone messages, and distributing faxes. Maintains inventory of supplies. Orders and restocks as needed to ensure availability for patient care.

Minimum Qualifications

+ Three years of experience in patient care, care management, transition/discharge planning, medical assistance, healthcare coaching, or patient care coordination

+ Certification, Associate Degree, or Bachelor's degree in a healthcare field.

+ Excellent interpersonal and communication skills.

+ Ability to adapt quickly as needs arise.

+ Knowledge of available health resources.

Preferred Qualifications

+ Bachelor's degree from an accredited institution.

+ Discharge/transition planning, healthcare coach, health advocate, or medical assistant experience

Physical Requirements:

Lifting, twisting, standing, seeing, manual dexterity, speaking, sitting.

Location:

McKay-Dee Medical Building

Work City:

Ogden

Work State:

Utah

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$20.51 - $31.20

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits) .

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.