Where Ambition and
Innovation Meet with Care

Job Details

SIDRA2660 - Care Coordinator

Department: Allied Health Div
Division: Support Services Dept
Contract Type: Full Time
Closing Date: 31-Dec-2017
Organizational Profile:

Sidra Medicine is a state of the art academic medical center that will function to the level of the highest international standards. Its clinical focus is on the specialty care of women and children.

Sidra’s Vision is: “Sidra Medicine will be a beacon of learning, discovery and exceptional care, ranked among the top medical centers in the world”.

Achieving this vision will encompass three essential activities:

World Class: Patient and Family Centered Care Health Education Biomedical Discovery

Once fully operational by mid-2018, Sidra Medicine will handle 275,000 outpatient appointments, 11,000 procedures, 100,000 emergency attendances and deliver over 9,000 babies per year, adding capacity to a rapidly growing population and delivering world-class specialist care.

The hospital will include 10 operating theatres, 400 beds, 100 percent single rooms with a private bathroom, a birthing center and an emergency department.

Department Profile:

The Allied Health Department is a diverse mix of professions and services working together to provide patients with the comprehensive care that they require. Allied Health will provide services to neonatal, pediatric and adolescent patients of all specialties, as well as obstetrical and gynecological patients.

The vision of the Department of Allied Health is to provide outstanding care, rehabilitation, and patient/ family support through the provision of high quality clinicians and services working in an interdisciplinary environment that integrates education, research, and innovation into its model of care.

Job Summary:

The Care Coordinator provides family centered support services to women, children and families. The primary focus of the Care Coordinator is to use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy to meet an individual’s and family’s comprehensive health needs through proper communication. The Care Coordinator responds to patient, family and health care member’s inquiries, providing anticipatory guidance and care coordination across the health care continuum. He/She works in collaboration with other members of the health care team, both within and outside of Sidra and acts as a primary liaison between agencies. The incumbent uses various options and services to promote quality, cost-effective outcomes.

The Care Coordinator provides evidence-based patient care by integrating research with practice. He/She promotes continuous improvement and helps to generate innovative ideas within care coordination practice that supports Sidra Medical and Research Center, Care Coordination and Social Work staff, the community and most importantly patient and family centered care practices. 

The Care Coordinator maintains a commitment to life-long learning and creates, utilizes and/or disseminates new knowledge to patients and their families, the public and other professional’s internal/external healthcare professionals. 
Key Roles & Responsibilities:
  • Initiates and coordinates assessments, responds to patient, family and health care members' inquiries, providing anticipatory guidance and care coordination, and liaises with other support diagnostic/ health services in coordinating patient referrals
  • Collaborates with the health care team and patient/ family in developing the plan of care
  • Provides patient/ family support by ensuring they receive information regarding appropriate and available community health and educational resources
  • Assumes accountability for assessing, planning, implementing and evaluating patient/ family needs along with assisting the Social Worker I and patient care team with the discharge planning for identified patients
  • Acts as a liaison, between, the interdisciplinary team, community health and educational services and agencies to clarify information, responsibilities and recommendations to ensure the needs of the patient/ family are addressed
  • Establishes a collaborative working relationship with community- based health care and service providers
  • Collaborates with the multidisciplinary team and/ or nursing colleagues on research-oriented opportunities
  • Evaluates the length of stay of the patient and ensures appropriateness of services provided in order to effectively achieve safe and comprehensive discharge
  • Collaborates to gather and utilize data to produce results/ indicators to facilitate continual performance improvement, and service improvement activities by clinicians
  • Produces reports and data as required by accrediting bodies and regulatory agencies
  • Coordinates closely with transport team for inter-facility transports
  • Participates in regular patient care conferences to facilitate more efficient use of resources, suggest best practices to reduce length of stay and provide greater patient and family satisfaction
  • Assists the Social Worker I to facilitate complex discharge planning with the team, patient, family and community agencies by attending meetings to ensure comprehensive follow-up
  • Advocates for the woman/ child and their family or caregiver for resources within the hospital and the community by assessing financial status and their current requirements
  • Collaborates with the Social Worker and other community resources to try and meet the financial and other basic needs of the patient and family as required
  • Provides total individualized patient care according to the core standards of patient care, established policies and procedures and evidence based practices
  • Documents all relevant information correctly, appropriately and in a timely manner
  • Refers to other medical specialties when necessary for optimal patient and family care
  • Liaises with the appropriate services in the community and provides transfer/ discharge information as necessary for continuity of care
  • Educates the patient/ family and other members of the health care team regarding the case management services plan
  • Provides expert consultation to patients/ families, staff, community agencies, satellite centers, and national and international centers
  • Participates in community outreach activities e.g. school-based services, home care
  • Identifies care coordination research opportunities and participates in and/ or develops and promotes research
  • Disseminates research and clinical findings through publications, presentations, seminars, etc.
  • Reports equipment failures, safety and security issues, and/ or reduction of supply inventory to Supervisor - Care Coordination or designee
  • Empowers patients/ families to make informed choices and attain self-management capabilities by providing them with information, support and directing to the relevant support services when appropriate
  • Promotes patient satisfaction as a team member by demonstration of extraordinary service
  • Utilizes a professional practice framework and evidence based care, by identifying improvements while minimizing risks to provide optimal care for our patients and families
  • Promotes an environment of safe patient care by identifying areas of risk and reporting them to Supervisor - Care Coordination
  • Complies with policies for personal and patient safety and for the prevention of healthcare associated infections
  • Contributes to the achievement of cost effective patient care by maintaining awareness of patient resource utilization
  • Contributes to special projects/ assignments linked to care coordination strategic priorities and professional practice model
  • Participates in the continued development, implementation, and evaluation of Sidra Policy and Procedures to align with international best practices
  • Liaises and works within an inter-professional practice team to ensure high quality, holistic, and safe family centered care
  • Promotes and shares knowledge via mentorship/ preceptorship programs in line with relevant research and evidence based practice aimed at developing competence and performance
  • Takes a lead role in the development of programs that seek to measure outcomes and quality, including audit and research studies under the guidance, support and direction of senior staff
  • Actively participates in patient education programs
  • Develops and sustains (maintains) own knowledge, clinical skills (mandatory training) and professional (portfolio or profile) awareness and maintains a professional profile. Provides documented evidence of performance and maintenance of skills consistent with position
  • Participates in new staff/ student orientation
  • Assists in maintaining a suitable learning environment and acts as a preceptor/ mentor in the supervision and teaching of  students and new staff to develop their competence
  • Actively welcomes and provides support for new staff/ students to the unit. Contributes to the retention of all staff to meet the service specific turnover rate goal
  • Performs other related duties as assigned
  • Maintains confidentiality of patients at all times
  • Adheres to Sidra’s standards as they appear in the Code of Conduct and Conflict of Interest policies

 In view of the evolving needs and opportunities within Sidra during this early-operational phase, this position may be required to perform other duties as assigned and reporting relationships may vary.

Essential Requirements:
  • Bachelor’s Degree in Nursing or Master's in Social Work
  • 5 years relevant clinical experience
  • Current Valid Registration and Licensure in Country of Origin
  • Member of leading professional association in Country of Origin
  • Demonstrated thorough knowledge of Care Coordination principles and practices
  • Demonstrated ability to apply and integrate knowledge and skills into practice
  • Demonstrated ability to teach, assess and develop educational materials for staff and patients
  • Evidence of effective communication skills
  • Experience in organizing data and generating thorough, accurate, timely reports
  • Knowledge of the physical and psycho-social needs of children/ families with medical, disabilities, and/ or mental health conditions
  • Knowledge of child development theories
  • Knowledge of child protection issues and relevant legislation concerning children
  • Working knowledge of other health care disciplines and their role in client care
  • Demonstrated ability to work collaboratively and effectively in an inter-professional environment
  • Demonstrated ability to communicate both verbally and in writing, and to deal effectively with co-workers, physicians, other health care professionals, patients and their families, and external agencies
  • Demonstrated ability to plan, organize and prioritize work
  • Demonstrated ability to deal with and/ or guide others in resolution of conflict issues
  • Demonstrated ability to teach students and other team members both formally and informally
  • Ability to present at in-services within the hospital and community
  • Demonstrated problem solving abilities
  • Knowledge of community resources
  • Demonstrated ability to advocate for families as they navigate the health care system
  • Working knowledge of research processes and methodology
  • Demonstrated physical ability to perform the duties of the position
  • Effective team member
  • Motivated and enthusiastic
  • Proficiency with Microsoft Office suite
  • Fluency in written and spoken English
Sidra’s Organizational Values:
  • Trust: Being competent; acting consistently, reliably and predictably; acting with honesty and integrity; respecting patient, employee and commercial confidentiality; delivering on commitments
  • Care: Acting with empathy, kindness and compassion; being humble; listening and responding; acting with cultural sensitivity; Caring for patients and staff
  • Teamwork: Sharing information and knowledge and learning from demonstrated expertise; being respectful, and thereby earning respect of others; acting with professionalism; leading and following; collaborating and being accessible
  • Transparency: Frequent and honest communication; open access to information for decision making; willingly acknowledge shortcomings; speaking up about concerns; publishing performance indicators
  • Innovation: Freedom to innovate; welcoming ideas and encouraging creativity; supporting talent; creating confidence; celebrating successes
  • Efficiency: Providing measurable value; using data to drive decision making; having and achieving clear goals; building processes that work; continuously improving outcomes in patient and family care
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