The Coordinator serves as a liaison between the hospital and community agencies or facilities for the exchange of clinical and referral information. Responsible for identifying high risk patients from a psychosocial/financial perspective, assesses the psychological needs of patients and families and provides information, support, counseling, care management, and referrals to appropriate resources. Works collaboratively with the addiction care team to ensure patient needs are met and care delivery is coordinated across the continuum.
Works in conjunction with physicians, nurses, addiction specialists and others in the design, implementation, and evaluation of the addiction medicine care model.
Identifies the targeted population within his and her practice site and risk stratifies all members to prioritize needs and direct interventions.
Develops and implements appropriate treatment plans and interventions.
Completes appropriate Federal, State and Local Forms.
Initiates and monitors completeness, accuracy and timeliness of all documentation, as required.
Coordinates care with appropriate resources and performs and facilitates home visits with the Community Health Assistant, in collaboration with the PCP, PA Single County Authorities, and other appropriate community resources.
The Coordinator may visit the patient's home, attend primary care visits, specialty visits or alternate level of care, as appropriate, in the management and coordination of complex substance use disorder patients.
Documents in appropriate electronic system by the close of business each day.
Consults with Attending physician and physician representative or Advisor and Medical Director and leadership as necessary to resolve barriers through appropriate administrative and medical channels.
Works with Addiction Services Leadership to continuously evaluate process, identify problems, and propose process improvement strategies to enhance the care delivery model.
Participates in on call systems, per policy or per program designation, priorities and adjusts workload priorities based on feedback from physicians and immediate supervisor.
Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.
Bachelor's Degree-Social Work (Required), Master's Degree- (Preferred)
Minimum of 2 years-Related work experience (Required)
Certification(s) and License(s)
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh FoodFarmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencingprograms, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 1...3 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers. What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.