The General Health Specialist assists the DON with timely and accurate completion of both the RAI and Care Management process from admission to discharge in accordance with company policies and procedures, State and Federal guidelines, and all other entities as appropriate (e.g. minimum Data Set, discharge and entry tracking forms, etc.) Maintains responsibility for coordinating information systems operations and education for the clinical department. The MDS Coordinator is a member of the inter-disciplinary team who implements, coordinates and maintains rehabilitative services. The General Health Specialist is a qualified individual with knowledge of CDC guidelines and definitions of healthcare associated infections (HAIs), Joint Commission standards, federal and state regulations. The General Health Specialist is responsible for developing and implementing in-service programs, policies and procedures related to infection prevention and control. The General Health Specialist is responsible to ensure success of the CCM program. The CCM Coordinator is responsible to assess, plan, implement and evaluate the needs of patients to manage their chronic care needs.
DUTIES AND RESPONSIBILITIES:
Works in collaboration with Interdisciplinary Team to assess the needs of the resident.
Assists with the coordination and management of the Care Management meeting, to include review of the residents care and setting of the Assessment Reference Date.
Complies with federal and state regulations regarding completion and coordination of the RAI process.
Monitors MDS and the care plan documentation for all residents. Ensures documentation is present in the medical record to support MDS coding.
Supports the tracking system of the MDS schedules (timeframes and due dates).
Maintains the frequency and accurate data entry of residents' information into appropriate computerized MDS programs.
Facilitates and attends the Interdisplinary team meeting and other meetings in order to gather information, communicate changes, maintain and update records.
Demonstrates comprehensive knowledge of epidemiology and infection control process in the healthcare setting.
Demonstrates understanding of standard and isolation precautions as set forth by the CDC.
Attends continuing education programs and maintains current knowledge of all aspects of infection control.
Demonstrates knowledge of microbiology, and modes of transmission of disease entities.
Demonstrates ability to teach principles and practical application of infection control to all levels of healthcare personnel.
Demonstrates ability to develop infection control policies and procedures.
Confers with staff nurses on all patient care units on a regular basis to determine occurrence of healthcare associated infections (HAIs).
Confers with medical and nursing staff to determine appropriate implementation of isolation precautions.
Investigates infections, especially those occurring above established thresholds, and/or in clusters.
Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
Works collaboratively with the Employee Health staff and assists with initiating work restrictions related to illness from a communicable disease or infection. .
Communicates appropriate reports to the Performance Improvement Committee.
Assists with in-service education related to infection prevention and control for all departments.
Assists in the development, implementation and improvement of infection control practices.
Serves as coordinator for the CCM program.
Assists healthcare providers in developing annual comprehensive chronic condition care plans.
Orients and educates patients and their families by meeting them; explaining the role of the care coordinator; participate in care planning, and document continuing care requirements.
Serves as patient advocate to ensure continuity of care by following patients receiving CCM services across various care settings: Inpatient, Outpatient, Emergency, Home Health, etc.
Provides clinical education and support to patient and family around medical processes, procedures, treatments, medications, and management of health and wellness.
Perform chart reviews, patient assessments, interview staff/physician, and patient/family, to make thorough and appropriate community referrals.
Generate and cultivate referrals based on patient needs and choice.
Works collaboratively with all providers and clinical/office staff in pursuit of patient satisfaction and quality care.
Maintains patient charts in EHR systems per documentation policies.
Facilitates patient access to community resources as appropriate.
Manages patient registries.
Perform other job related duties and assigned tasks as requested; which may include: cross training and/or other job functions as temporary work loads and volumes require.
Demonstrates the ability to deal with pressure to meet deadlines, to be accurate, and to handle constantly changing situations.
Demonstrate the ability to deal with a variety of people, deal with stressful situations, and handle conflict.
Licensed to practice as a Registered Nurse in the State of Montana.
Two years' experience in long-term care, clinical experience involving direct patient and provider interaction and two years' experience in a supervisory position preferred. Experience across the continuum of care preferred.
Knowledge of long-term care, OBRA and rehabilitation care helpful.
As a not-for-profit community health system, Benefis is driven to provide the highest level of care. We serve nearly 230,000 residents across a 15-county region that is bigger than Connecticut, Massachusetts, New Hampshire and Vermont combined. Benefis is the largest non-governmental employer in the Great Falls area, with more than 3,000 employees.Benefis has 530 licensed beds (that includes 146 beds in long-term care, 71 in assisted living and 20 beds at Peace Hospice of Montana) and partners with over 250 area physicians.Our hospital has been recognized for its exceptional work in quality care by providing a wide range of programs and services to help you live the best life possible. We’re here to help you “Live well.”Benefis Health System came about when two Christian-based hospitals became one. Our founders believed in providing good care to all in need, and trusted that this would be accomplished. The Benefis name was derived using Latin root words: "Bene-" meaning good, and "fis-" for faith and trust. It’s these same root words that make up such terms as ‘beneficial’ and ‘confidence’.Benefis has been a trusted provider of care for more than 125 years. And our name speaks to o...ur commitment: good care one can put faith in.Benefis is consistently ranked among America’s top hospitals by the nation’s leading healthcare ratings organizations for a range of services, including cancer care, joint replacement, stroke treatment, wound care and home health.To learn more about our services, continue looking through our website at WWW.BENEFIS.ORG or call 406.455.5000.