The Care Coordinator for Acute Inpatient Rehab plays a critical role in facilitating comprehensive patient care within the inpatient rehabilitation setting. This position is responsible for coordinating patient assessments, treatment plans, and discharge processes to ensure high-quality, patient-centered care. The ideal candidate will work collaboratively with multidisciplinary teams to support patients’ rehabilitation goals, optimize resource utilization, and promote effective communication among all stakeholders.
Essential Duties
- Patient Assessment: Conduct thorough assessments of patients’ medical, psychosocial, and functional needs upon admission and throughout their stay.
- Care Planning: Collaborate with healthcare providers to develop, implement, and revise individualized treatment plans in alignment with patients' goals.
- Interdisciplinary Collaboration: Serve as a liaison among patients, families, and the healthcare team, ensuring all parties are informed and involved in the care process.
- Discharge Planning: Coordinate discharge plans by evaluating patient needs, arranging follow-up care, and providing necessary resources and referrals.
- Documentation: Maintain accurate and up-to-date patient records, ensuring compliance with legal and regulatory requirements.
- Patient Education: Educate patients and families about rehabilitation processes, resources, and aftercare to promote successful transitions and outcomes.
- Quality Improvement: Participate in quality improvement initiatives, monitoring outcomes and implementing best practices to enhance patient care.
Non-essential Duties
- Attend departmental meetings and contribute to discussions regarding service improvements and operational efficiencies.
- Engage in ongoing professional development and training to stay current with industry standards and practices.
- Assist with administrative tasks as needed, including scheduling and data entry.
Required Experience
- Minimum of 2 years of experience in healthcare coordination, preferably in an inpatient rehabilitation setting.
Preferred Experience
- Strong organizational, communication, and interpersonal skills.
- Proficiency in electronic health records (EHR) systems.
- Ability to work effectively in a fast-paced environment.
Required Licensure/Education
- Bachelors degree in Nursing or Masters in Social Work
- Current Illinois RN or Social Work license
Preferred Education
- Masters degree preferred.
Employee Health Requirements
Exposure/Sensory Requirements:
- Exposure:
- Chemicals: Refer to MSDS sheets
- Video Display Terminals: Average
- Blood and Body Fluids: Diagnostic composite of patients, frequent contact with intravenous devices, and high potential for contact with contaminated body fluids (blood, stool, vomitus) and administration of blood does create a high risk. use of needleless IV system, universal precautions and protective equipment minimize risk.
- TB or Airborne Pathogens: Patient diagnostic presentations do pose high risk; however, usage of protective wear, appropriate size TB mask from fit test and universal precautions reduces risk.
Sensory requirements (speech, vision, smell, hearing, touch):
- Speech: Required to communicate with patient/families/staff/doctors, coworkers, ancillary personnel and other department heads. Ability to ask for help.
- Vision: Required to observe patients and their physical assessment, ability to read reports, ability to read machines.
- Smell: Helpful to note presence of incontinence, vomitus, blood; electrical/fire safety.
- Hearing: Necessary to hear alarms, calls for help and to hear patient verbalizations; ability to listen for lung, bowel, heart sounds.
- Touch: Necessary to assess patients, need to distinguish between hot and cold.
- Activity/Lifting Requirements:
- Shift: Variable for 24-hour coverage
Percentage of time during the normal workday the employee is required to:
- Sit: 10%
- Twist: 4%
- Stand: 40%
- Crawl: 0%
- Walk: 25%
- Kneel: 1%
- Lift: 10%
- Drive: 0%
- Squat: 1%
- Climb: 1%
- Bend: 30%
- Reach above shoulders: 3%
The weight required to be lifted each normal workday according to the continuum described below:
- Up to 10 lbs: Frequently
- Up to 20 lbs: Frequently
- Up to 35 lbs: Frequently
- Up to 60 lbs: Occasionally
- Up to 75 lbs: Not Required
- Up to 100 lbs: Not Required
- Over 100lbs: Not Required
Describe and explain the lifting and carrying requirements:
- Lifting of patients off their beds that are unable to move independently is done with assistive lifting equipment.
- Horizontal movement of patients to and from carts/beds who are unable to move independently is done with assistive lifting equipment.
- Lifting equipment - carry 25'- 150' waist high (IV bags, patient trays).
- Carry charts 25'- 150' waist high. Filled laundry bags are filled half full so as not to weigh over 35 lbs.
- Carry fire extinguishers up or down 3-4 flights of stairs and several yards in an emergency.
Maximum consecutive time (minutes) during the normal workday for each activity:
- Sit: 30
- Twist: 15
- Stand: 60
- Crawl: 0
- Walk: 10
- Kneel: 0
- Lift: 5
- Drive: 0
- Squat: 2
- Climb: 1
- Bend: 15
- Reach above shoulders: 2
- Repetitive use of hands (Frequency indicated): Simple grasp 10 lbs. Normal weight <5lbs.
- Pushing & pulling - 50-200 lbs. Occasionally
- Fine Manipulation: Typing in computer, medical/supply dispensing cabinet, using pens to chart, drawing up meds in syringe and administration, starting IV's.
- Leg Strength: Up to 50 lbs. Occasionally- repetitive use of foot or feet in operating machine control: utilized in positioning beds during transport; x-ray, surgery or in an emergency situation from floor to floor, locking beds or cardiac chairs.
Environmental Factors and Special Hazards:
- Environmental Factors (Time Spent):
- Inside hours: Varies
- Outside hours: 0
- Temperature: Normal Range
- Lighting: Average
- Noise levels: Average
- Humidity: Normal Range
- Atmosphere: Odors
- Special Hazards:
- Chemical -drugs/work with patients receiving chemotherapy-Explosive-oxygen; Radiation-cesium implants and radioactive iodine therapy direct radiation for radiology equipment; mechanical- use of Hoover lift bed scales, motorized wheelchairs, bathtub lift chair.
- Protective Clothing Required: As required for chemotherapy or in cases of isolation, i.e. gloves, gowns, masks, goggles.