MOBILE INTEGRATED HEALTHCARE COORDINATOR
- Conduct Comprehensive In Home Assessments. Identify medical, behavioral, and social needs in the patient’s home environment.
- Communicate and Coordinate with Healthcare Providers. Relay findings to primary care, care managers, and specialty teams to help close care gaps.
- Coordinates access to community-based health services in underserved and general populations, including primary care, public health, community-based programs, disease management, prevention and wellness, and mental health.
- Identifies changes in patient status that require immediate initiation of 911 emergency services and/or communication with the appropriate Transitional Care member and/or other medical providers managing the patients care to determine treatment plans.
- Provides clinical care, up to NJ paramedic scope of practice, in accordance with NJAC 8:41 & 8:49 regulations and agency specific clinical protocols
- Serves, as part of a multi-disciplinary team, as a natural bridge to support persons with SUD and their families in accessing care or support
- Provides follow-up, in partnership with a peer recovery coach/patient navigator, and as part of a multi-disciplinary team, to patients recently reversed with Naloxone and/or administered opioid partial agonist-antagonist
- Supports Chronic Disease Management. Monitors and reinforces care plans for chronic conditions such as CHF, COPD, diabetes, and hypertension and SUD.
- Provides post-discharge home visit, with the goal of reducing morbidity and hospital admission/ readmission.
- Provides education to first responders regarding resources available to SUD patients to better prepare them to provide this information to patients/families.
Welcome to Cooper University Health Care With a more than 135-year history of healing, Cooper is the place South Jersey turns to when they need care. As the leading academic medical system in the area, with South Jersey’s only Level 1 Trauma Center, more than 100 outpatient offices, and more than two million patient visits a year, it’s the perfect place to build a career of care in a truly diverse and inclusive environment. Whether you’re a medical professional or possess other skills, you’ll want to be with Cooper.
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