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

2 years of relevant experience related field

LIC-Registered Nurse (RN) - STATE_MI State of Michigan Upon Hire Or

LIC-Physical Therapist - STATE_MI State of Michigan Upon Hire Or

CRT-Occupational Therapist, Registered (OTR) - NB-COT National Board for Certification in Occupational Therapy Upon Hire Or

CRT-Speech Language Pathologist - ASHA American Speech-Language-Hearing Association Upon Hire Or

LIC-Physical Therapist Assistant - STATE_MI State of Michigan Upon Hire Or

CRT-Occupational Therapy Assistant, Certified (COTA) - NB-COT National Board for Certification in Occupational Therapy Upon Hire Or

CRT-Registered Dietitian (RD) - CDR Commission on Dietetic Registration Upon Hire Or

LIC-Master Social Worker (MSW-Master) - STATE_MI State of Michigan Upon Hire Or

CRT-National Certified Counselor (NCC) - UNKNOWN Unknown Upon Hire Or

LIC-License Practical Nursing (LPN) - STATE_MI State of Michigan Upon Hire

CRT-Basic Life Support (BLS) - AHA American Heart Association Healthier Communities and United Lifestyles Only 90 Days Or

CRT-Basic Life Support (BLS) - ARC American Red Cross Healthier Communities and United Lifestyles Only 90 Days

LIC-Driver's License - STATE_MI State of Michigan Healthier Communities and United Lifestyles Only Upon Hire

Preferred

Bachelor's Degree related field

How Corewell Health cares for you

Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.

On-demand pay program powered by Payactiv

Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!

Optional identity theft protection, home and auto insurance, pet insurance

Traditional and Roth retirement options with service contribution and match savings

Eligibility for benefits is determined by employment type and status

Primary Location

SITE - Corewell Health Center for Wellness - 133 W Main St - Benton Harbor

Department Name

Health Equity - CHS

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8:00 a.m. to 5:00 p.m.

Days Worked

Monday to Friday

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.