![Hackensack Meridian Health](https://media.trabajo.org/img/noimg.jpg)
Care Coordinator, Care Management
2 months ago
Overview
Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The Care Coordinator, Care Management is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment and discharge plan. Accountable for a designated patient caseload; assesses, plans, and facilitates with
patients, families and the multidisciplinary team to meet treatment goals, expected length of stay, and arrange for the appropriate next level of care. Oversees interfacility transitions and handoff between acute and post-acute services.
Responsibilities
A day in the life of a Care Coordinator, Care Management at Hackensack Meridian Health includes:
- Assesses patients by screening for potential discharge needs regardless of race, age, sex, religion, diagnosis and ability to pay. Meets directly with patient/family to assess needs and develop an individualized care plan in collaboration with the physician and other members of the health care team.
- Facilitates communication and coordination between members of the health care team and involves the patient and family in the decision making process, in order to minimize fragmentation of services, manage resources and remove barriers to the plan of care.
- Maintains current information of community resources and refers patients to those community resources appropriate for the patient's care. Consults with other community agencies and committees to identify potential resources to support patients and their families.
- Works collaboratively with all team members of the multidisciplinary and post acute care teams to secure timely and appropriate transitions to the next level of care.
- Develops a discharge plan, in collaboration with the patient and support persons, identifying goals that will provide maximum benefit for each patient. Ensures that the discharge plan meets the continuing care needs of the patient.
- Documents and communicates information to the multidisciplinary team in order to coordinate and maximize care. Ensures that the medical record reflects the education provided, coordination of services, referrals made and authorizations obtained.
- Participates actively on appropriate committees, workgroups, and or meetings.
- Identifies and refers quality issues for review to the Quality Management Program.
- Participates in multidisciplinary rounds, specific to assigned units. Brings forth issues which impact on discharge as well as length of stay in a timely manner, for discussion and resolution.\Performs appropriate reassessments and evaluates progress against care goals and the plan of care and revises plan, as needed. Ensures that the medical record reflects reassessment of the discharge plan at least weekly and upon any change in medical condition affecting the plan.
- Provides patients and families with resources and discharge options. Educates regarding the risks and benefits of discharge options and any available health care benefits.
- Provides appropriate CMS documents to the patient and family/support person as per regulatory guidelines (ie., Important Message 4 to 48 hours prior to discharge, appeal and HINN notices).
- Utilizes social determinants of health screening tools and resources during each intake assessment.
- Collaborates with all members of the multidisciplinary team to support the following functions; crisis intervention, counseling support and referrals, abuse and neglect reporting, adoption planning, guardianship, psychosocial assessments, observation management, capacity management, hospital throughput.
- Referrals should be made to the following as required/needed:
- Acute rehabilitation facilities
- Sub- Acute rehabilitation facilities
- Long Term Care facilities
- Assisted Living facilities
- Adult day program
- Level 1/Level 2 PASRR screening
- EARC screening
- Home Care
- Hospice
- Durable medical equipment
- Transport
- Dialysis
- Financial assistance
- Medication assistance
- Palliative Care
- Boarding home placement
- Mental health services
- Homelessness placement
- Substance abuse placement
- Division of Child Protection and Permanency
- Adult Protective Services
- Maintains annual competencies and ensures training and continuing education of the team in applicable platforms. (Epic, Xsolis Cortex, BI, Google Suites)
- Other duties and/or projects as assigned.
- Adheres to HMH Organizational competencies and standards of behavior.
Qualifications
- BSN or BSN in progress and/or willing to acquire within 3 years of hire or transfer into the position; or Masters Degree in Social Work.
- Effective decision-making skills, demonstration of creativity in problem-solving, and influential leadership skills.
- Excellent verbal, written and presentation skills.
- Moderate to expert computer skills.
- Familiar with hospital resources, community resources, and utilization management.
- Excellent written and verbal communication skills.
- Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms.
- Master's degree.
- NJ Licensed Registered Nurse or NJ Licensed Social Worker or NJ Licensed Clinical Social Worker.
- Care Management, CCMA or ACMA certification strongly preferred.
- Regular contact with medical personnel and its visitors.
If you feel the above description speaks directly to your strengths and capabilities, then please apply today
Our Network
Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility
As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.
-
Patient Care Coordinator
2 months ago
Hackensack, United States Ennoble Care Full timeJob DescriptionJob DescriptionAbout UsEnnoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, and Georgia. Ennoble Care's clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care...
-
Care Coordinator, Care Management
1 month ago
Hackensack, United States Hackensack Meridian Health Full timeOverview Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one...
-
Utilization Management Care Coordinator, RN
19 hours ago
Hackensack, New Jersey, United States Hackensack Meridian Health Full timeOverview At Hackensack Meridian Health, our workforce is integral to our mission of enhancing patient health and well-being. We prioritize a culture of collaboration and connection, ensuring that our employees thrive while delivering exceptional care to our community. The Utilization Management Care Coordinator plays a vital role within the healthcare team,...
-
Patient Care Coordinator
16 hours ago
Hackensack, New Jersey, United States CarePartners Living LLC Full timePosition Overview We are looking for a Patient Care Coordinator to join our dedicated Home Health team at CarePartners Living LLC. This position is essential in ensuring the delivery of exceptional patient care, managing operational functions, and fostering an outstanding patient experience. If you are passionate about patient care, effective care...
-
Patient Care Administrative Specialist
24 hours ago
Hackensack, New Jersey, United States Regional Cancer Care Associates Full timeRegional Cancer Care Associates (RCCA) is in search of a committed Patient Services Coordinator to enhance our team. This position is essential for providing a warm welcome to patients and their families, efficiently managing appointment scheduling, and handling incoming communications. The ideal candidate will possess strong multitasking abilities and a...
-
Patient Care Coord I
3 months ago
Hackensack, United States Regional Cancer Care Associates Full timeOverview Regional Cancer Care Associates (RCCA) is looking for an exceptional Patient Care Coordinator I to join the team. This position serves as the patients medical liaison among the practice, hospital, support services, and payors. Relies on instructions and pre-established guidelines to perform the functions of the job. Learns how to appropriately apply...
-
Healthcare Patient Coordinator I
6 hours ago
Hackensack, New Jersey, United States Regional Cancer Care Associates Full timePosition OverviewRegional Cancer Care Associates (RCCA) is seeking a dedicated Patient Care Coordinator I to enhance our patient support services. This role acts as the primary medical liaison for patients, facilitating communication between the practice, healthcare facilities, support services, and insurance providers. The position relies on established...
-
Senior Care Coordination Specialist
23 hours ago
Hackensack, New Jersey, United States Nurse Galinas Caregiving of NJ Full timeJob Title: Senior Care Coordination SpecialistNurse Galinas Caregiving of NJ is on the lookout for a dedicated and empathetic professional to fill the role of Senior Care Coordination Specialist.The successful candidate will possess a heartfelt commitment to enhancing the well-being of elderly clients and managing their ongoing health conditions within a...
-
Care Coordinator, Utiliz Mgmt
1 month ago
Hackensack, New Jersey, United States Hackensack Meridian Health Full timeOverviewOur team members are the heart of what makes us better. At Hackensack MeridianHealthwe help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning.It'salso about how we support one another...
-
Patient Care Coordinator
4 weeks ago
Hackensack, United States Great Expressions Dental Centers Full timeOrthodontics Patient Coordinator Hackensack, NJ, USA Req #2420 Wednesday, July 31, 2024 What you’ll do… As a Patient Coordinator, you will be the first point of contact for patients visiting or calling the dental office. Your primary responsibility is to provide exceptional customer service by greeting patients,...
-
Wound Care Patient Coordinator
8 hours ago
Hackensack, New Jersey, United States Healogics, Inc. Full timeAt Healogics, we take pride in the significant impact our work has on the lives of patients. We recognize that meaningful work comes with its challenges, and we are dedicated to supporting and rewarding our employees for their invaluable contributions. As the largest provider of advanced wound care services in the United States, Healogics treats over 300,000...
-
Patient Care Coordinator
4 weeks ago
Hackensack, United States Great Expressions Dental Centers Full timeOrthodontics Patient Coordinator Hackensack, NJ, USA Req #2420Wednesday, July 31, 2024What youll do As a Patient Coordinator, you will be the first point of contact for patients visiting or calling the dental office. Your primary responsibility is to provide exceptional customer service by greeting patients, scheduling appointments, managing patient...
-
Oncology Nurse Care Coordinator
6 hours ago
Hackensack, New Jersey, United States Mission Hospital Full timePosition OverviewAbout UsMission Hospital is dedicated to enhancing the quality of care through advanced technology, allowing our nursing staff to focus on patient-centered practices. Are you committed to providing exceptional care for oncology patients? We invite you to explore the opportunity of becoming an Oncology Nurse Navigator.Employee BenefitsAt...
-
Scheduling Coordinator
4 days ago
Hackensack, United States Regional Cancer Care Associates Full timeOverview: Regional Cancer Care Associates (RCCA) is looking for an exceptional Scheduling Coordinator to join the team. This position under general supervision, is responsible for scheduling patient appointments and tests in an efficient and timely manner. Answers all incoming calls and directs calls to appropriate personnel. Serves as a liaison between...
-
Travel registered nurse care
4 weeks ago
Hackensack, NJ, United States Samba Care Full timeSamba Care is seeking a travel nurse RN Nurse Navigator for a travel nursing job in Hackensack, New Jersey. Shift: 8 hours, days ~ Employment Type: Travel Samba Care Job ID #27429680. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. About Samba Care SambaCare is a...
-
Travel registered nurse care
4 weeks ago
Hackensack, NJ, United States Samba Care Full timeSamba Care is seeking a travel nurse RN Nurse Navigator for a travel nursing job in Hackensack, New Jersey. Shift: 8 hours, days ~ Employment Type: Travel Samba Care Job ID #27429680. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. About Samba Care SambaCare is a...
-
Care Management Supervisor
7 hours ago
Hackensack, New Jersey, United States Bergen's Promise Full timePosition OverviewAbout Bergen's Promise:Bergen's Promise operates as the Care Management Organization (CMO) for Bergen County, contributing to the New Jersey Children's System of Care. We are a dedicated, mission-oriented, non-profit agency focused on social services, accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF).Our...
-
Scheduling Coordinator
7 days ago
Hackensack, United States Regional Cancer Care Associates Full timeOverview: Regional Cancer Care Associates (RCCA) is looking for an exceptional Scheduling Coordinator to join the team. This position under general supervision, is responsible for scheduling patient appointments and tests in an efficient and timely manner. Answers all incoming calls and directs calls to appropriate personnel. Serves as a liaison between...
-
Surgical Intensive Care Unit Travel Nurse
5 hours ago
Hackensack, New Jersey, United States Supplemental Health Care Full timePosition Overview:Supplemental Health Care is actively seeking a travel nurse RN specializing in Surgical Intensive Care for an exciting opportunity. This role is ideal for dedicated professionals looking to enhance their careers while providing exceptional patient care.Job Responsibilities & RequirementsSpecialty: SICU - Surgical Intensive CareDiscipline:...
-
Assistant Program Coordinator
1 month ago
Hackensack, United States CBH Care Full timeResponsibilitiesAssists in the daily operations of the community support services (CSS) program in conjunction with the program coordinatorCompletes CRNAs, rehabilitation plans, and other consumer related documentationProvides IMR services, crisis intervention, and therapeutic counseling to consumers when appropriateProvides continuous supervision to...