Job Summary
Plans and prioritizes care for individuals and population of clients, focusing on strategies that will promote optimal health within populations. Provides peer support and role modeling related to the development of life skills and health/wellness to individuals and families during home visits, if applicable. Demonstrates expertise, current knowledge in patient care and management of a caseload of clients of varying complexity and seeks to improve patient, family and health systems/community outcomes through the application of educational concepts/skills and preventive care in a managed care environment.
Essential Functions
Visit homes to determine client and family needs. Perform home health assessment, if applicable, including blood pressure, pulse, BMI and foot checks. Develops prioritized plan to meet needs, and provides services. Follow-up with families, community agencies and volunteers to evaluate effectiveness of services provided and plan for future needs.
Assesses internal and external referrals to identify patient/significant others’ needs, level of intensity, insurance benefits and other patient resources.
Develops plan of care and makes recommendations to PCPs, specialists and other members of the health care team regarding care management strategies, identifying strategies to maximize continuity of care across the continuum.
Assesses the educational needs of clients, families and members of the health care team and develops and implements appropriate teaching strategies or makes appropriate referrals.
Communicates and collaborates with patient/significant others/providers/payers to coordinate services that improve access to appropriate services across the continuum of care and which promotes optimal health in a cost-effective manner.
Documents patient data, plan, interventions and outcomes according to department guidelines.
Maintains knowledge of current trends and developments in the field by reading appropriate books, journals and other literature, and attending related conferences, seminars, etc.
Ensures that processes and services are continuously monitored for quality, cost effectiveness, and efficiency. Engages in process and quality improvement activities. Makes and implements recommendations to improve operational efficiency and to implement new services for areas of responsibility.
Qualifications
Required Associate's Degree nursing, social work, occupational or physical therapy or health related field
Preferred Bachelor's Degree related field
2 years of relevant experience related field Required
LIC-Registered Nurse (RN) - STATE_MI State of Michigan Upon Hire required Or
LIC-Physical Therapist - STATE_MI State of Michigan Upon Hire required Or
CRT-Occupational Therapist, Registered (OTR) - NB-COT National Board for Certification in Occupational Therapy Upon Hire required Or
LIC-Physical Therapist Assistant - STATE_MI State of Michigan Upon Hire required Or
CRT-Occupational Therapy Assistant, Certified (COTA) - NB-COT National Board for Certification in Occupational Therapy Upon Hire required Or
CRT-Registered Dietitian (RD) - CDR Commission on Dietetic Registration Upon Hire required Or
LIC-Master Social Worker (MSW-Master) - STATE_MI State of Michigan Upon Hire required Or
CRT-National Certified Counselor (NCC) - UNKNOWN Unknown Upon Hire required Or
LIC-License Practical Nursing (LPN) - STATE_MI State of Michigan Upon Hire required
CRT-Basic Life Support (BLS) - AHA American Heart Association Healthier Communities and United Lifestyles Only 60 Days required Or
CRT-Basic Life Support (BLS) - ARC American Red Cross Healthier Communities and United Lifestyles Only 90 Days required
LIC-Driver's License - STATE_MI State of Michigan Healthier Communities and United Lifestyles Only Upon Hire required
Physical Demands
Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 25 lbs
Waist to Waist > 5 lbs: Seldom up to 25 lbs
Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
Waist to Overhead > 5 lbs: Seldom up to 5 lbs
Bilateral Carry > 5 lbs: Seldom up to 25 lbs
Unilateral Carry > 5 lbs: Seldom up to 10 lbs
Pushing Force > 5 lbs: Seldom up to 20 lbs
Pulling Force > 5 lbs: Seldom up to 15 lbs
Sitting: Occasionally
Standing: Occasionally
Walking: Occasionally
Forward Bend - Standing: Seldom
Forward Bend - Sitting: Seldom
Trunk Rotation - Standing: Seldom
Trunk Rotation - Sitting: Seldom
Squat: Seldom
Stair Climbing: Seldom
Crawling / Kneeling: Seldom
Reach - Above Shoulder: Seldom
Reach - at Shoulder or Below: Seldom
Handling: Occasionally
Forceful Grip > 5 lbs: Seldom
Forceful Pinch > 2 lbs: Seldom
Finger/Hand Dexterity: Frequently
Visual Acuity ¹ [None = No; Seldom = Yes]: Seldom
Primary Location
SITE - Blodgett Hospital - 1840 Wealthy St SE- Grand Rapids
Department Name
Resource Rehab - GR
Employment Type
Part time
Shift
Day (United States of America)
Weekly Scheduled Hours
4
Hours of Work
8:00am-4:30pm
Days Worked
Monday - Friday Variable
Weekend Frequency
N/A
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Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
People are at the heart of everything we do, and the inspiration for our legacy of outstanding outcomes, innovation, strong community partnerships, philanthropy and transparency. Corewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team of 60,000+ dedicated people—including more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities—and Priority Health, a provider-sponsored health plan serving more than 1.2 million members. Through experience and collaboration, we are reimagining a better, more equitable model of health and wellness.