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Healthcare Navigator
2 months ago
About Our Team
At Cooper University Health Care, our commitment to delivering exceptional healthcare begins with our team of dedicated professionals. Our team is driven by a passion for innovation and a commitment to providing the highest quality care to our patients.
Our Mission
We strive to create a culture of excellence, where our employees feel valued, supported, and empowered to make a meaningful difference in the lives of our patients. We achieve this by providing a comprehensive benefits package, opportunities for professional growth and development, and a work environment that fosters collaboration and teamwork.
About the Role
We are seeking a highly skilled and compassionate Population Health Coordinator to join our team. As a Population Health Coordinator, you will play a critical role in supporting our Patient-Centered Medical Home (PCMH) concepts of care coordination and team-based care.
Key Responsibilities
- Assess, plan, implement, coordinate, monitor, and evaluate healthcare options and services to improve the health status of identified populations across the continuum.
- Follow established PCC workflow for utilization and self-management support.
- Participate in PCMH activities, including hospital discharge follow-up, care planning, coordination of services, and communication between care providers.
- Collaborate with patients' medical/health and community-based providers to establish mutual goal-setting, including patients and their families/caregivers, utilizing self-management tools.
- Provide outreach, care management, and education for disease self-management per patient-centered goals.
- Identify, document, and mitigate patient barriers to improved outcomes.
- Monitor and evaluate the services and community-based resources necessary to respond to the individual member's health needs.
- Provide telephonic and/or in-practice outreach, disease management, and/or case management, education, and other clinically based activities for target populations.
- Conduct assessments, develop nursing treatment plans, and interventions, and set goals for treatment plans/behavioral modifications within the scope of licensure in collaboration with other care providers.
- Assist physicians and other team members in developing and implementing evidence-based practices and care plans for target health populations.
- Collect data on quality metrics and track as required for improvement efforts.
- Participate in process/quality improvement initiatives to achieve targets as defined by organizational/department goals and objectives.
Requirements
- 5 years or more clinical experience, with experience in primary care, population, or case management preferred.
- RN, (BSN) preferred.
- Current NJ RN License.
Preferred Qualifications
- Strong analytical, interpersonal, communication, and time management skills.
- Knowledge of disease management, expected treatments, and discharge planning.
- Commitment to patient advocacy, with the ability to work independently and make sound clinical decisions.
Cooper University Health Care is an Equal Opportunity Employer