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Corewell Health
Grand Rapids, MI; SITE - Continuing Care - 1239 E Beltline Ave NE - Grand Rapids
Source: Corewell Health careers · View original posting
From Corewell Health's posting. “We” and “our” refer to the employer.
Flexible Scheduling: Offering you the choice of 5 8-hour shifts or 4 10-hour shifts.
Job Summary
Utilizes clinical judgment and expertise to coordinate care management/behavioral health interventions. Develops strategies to ensure cost effective, quality care outcomes to patients with complex care needs. Identifies options for levels of care for individuals and populations of patients, focusing on strategies that will promote optimal health. Assesses, plans, monitors, and provides therapeutic interventions as appropriate.
Collaborates with patient and family to facilitate understanding of diagnosis and to provide therapeutic interventions to support necessary lifestyle and behavior changes. Partner with patients, families, and other health care providers to ensure understanding the impact the disease or illness has on the patient's mental and emotional health. Respond to crisis situations and engage with patients and families to access the appropriate level of care across the continuum. Emphasis of duties may vary depending upon area of assignment.
Essential Functions
Works in close collaboration and communication with physicians and other members of the health care team in order to minimize duplication of effort, promote teamwork, and ensure seamless coordination of services within and between teams and across campuses.
Assists with patient evaluation and treatment to further their understanding of significant social and emotional factors underlying a patient’s health problem(s). Actively participates in care conferences as appropriate.
Mobilizes patient/significant others’ to utilize their own strength to make necessary lifestyle and behavior changes. Acts as a patient advocate to ensure their desires are recognized and followed to the greatest extent possible. Identifies and responds to any situations representing risk to the patient, their family, the organization and/or the community.
Partners with community agencies to coordinate care across the continuum to offer options, tools, and resources to allow patients the opportunity to achieve his or her desired goals.
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