**Employment Type:** Full time **Shift:** **Description:** Position Title: Coordinator, Integrated Care Department: MercyOne Genesis ACO Purpose: Posses specialized training in self-management support and behavior modification that provide "nurse visits" for patients in the Population Health Focus Program. Intensive care and care planning for patients with complex and/or chronic medical conditions. Works with physicians to facilitate effective and efficient transitions post-discharge from the hospital, and throughout their post acute care management. Works collaboratively with all members of the multi-disciplinary team to ensure patient needs are met and care delivery is coordinated across the continuum, as well as appropriately reimbursed by payers, and that resources are efficiently and effectively utilized to overcome barriers to treatment. Daily work activities include working closely with other healthcare providers to coordinate disease care, patient service as well as patient and provider satisfaction. Serves as a liaison between the hospital and community agencies or facilities for the exchange of clinical and referral information. Report To: Post Acute & Transitions Program Manager Supervisory Responsibility: Guidance: The job requires the provision of occasional guidance and training to others. The job does not have formal or official supervisory responsibilities. Materials Responsibility: Very Limited. Work requires very limited responsibility for material resources. Examples of resources could include personal work materials, supplies or equipment, or very small amounts of cash. The employee has a very limited or indirect amount of control over these resources. Although human error might require the repair or replacement of materials, usually the cost of correcting these errors is minor. The variety and volume of resources is also very limited. Problems associated with material resources are very uncomplicated. Key Relationship: Co-workers/Health System Employees, Outside Agencies/Other Health Care Providers, General Public/Visitors/Volunteers, Physicians/Medical Office Staff, Students/Interns/Residents/Outside Instructors, Patients, Families, and Significant Others, Vendors/Clients, Third Party Payors/Insurance Companies, Auditors/Review Agencies, Local Governments **POSITION SPECIFICATION** Education: Associate's Degree Field Of Study: Nursing Special Training: Health Coach Certification training to be provided after hire. Basic Life Support. Training Preferred: Quality Improvement, Behavioral Interviewing, Coaching Skills, Disease Management, Bilingual in Spanish, Certification in Case Management, Professional Utilization Review or Managed Care knowledge, Interqual Admission/Continued Stay criteria knowledge. Licensure/Registration: Registered Nurse in Iowa and Illinois within 1 year of hire; Valid Driver's License, Auto Insurance-Genesis minimum limits required. Experience: More than 1 year experience required. Interpersonal Skills: Interaction is with a variety of people inside or outside the organization. Communications are of moderate difficulty and sensitivity. Contact with others may involve detailed & lengthy dialogues & exchanges of information. Requires a moderate amount of interpersonal skills. Interactions involve dealing with moderately complicated problem situations or stressful encounters. Physical Demands: Working Conditions: There is limited exposure to adverse environmental conditions. Some undesirable or unpleasant environmental characteristics may occur but the physical environment is generally safe and there is minimal health risk. No safety equipment or unusual precautions are required. The occasional exposure to these minor adverse conditions would be limited to 35% or less of the work day. Possible Exposure to Blood Borne Pathogens: Yes **Our Commitment to Diversity and Inclusion** Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity. EOE including disability/veteran