Care Coordinator, Care Management

7 days ago


Manahawkin, New Jersey, United States Hackensack Meridian Health Full time
Job Summary

We are seeking a highly skilled and compassionate Care Coordinator, Care Management to join our team at Hackensack Meridian Health. As a key member of our healthcare team, you will be responsible for coordinating, communicating, and facilitating the clinical progression of patients' treatment and discharge plans.

Responsibilities
  • Assess patients' needs and develop individualized care plans in collaboration with physicians and other healthcare team members.
  • Facilitate communication and coordination between healthcare team members and involve patients and families in the decision-making process.
  • Maintain current information on community resources and refer patients to those resources appropriate for their care.
  • Work collaboratively with multidisciplinary and post-acute care teams to secure timely and appropriate transitions to the next level of care.
  • Develop discharge plans that meet patients' continuing care needs and ensure that the medical record reflects education provided, coordination of services, referrals made, and authorizations obtained.
  • Participate in multidisciplinary rounds and bring forth issues impacting discharge and length of stay in a timely manner.
  • Perform reassessments and evaluate progress against care goals and the plan of care, revising the plan as needed.
  • Provide patients and families with resources and discharge options, educating them on the risks and benefits of discharge options and available healthcare benefits.
  • Utilize social determinants of health screening tools and resources during each intake assessment.
  • Collaborate with multidisciplinary teams to support crisis intervention, counseling support, and referrals, abuse and neglect reporting, adoption planning, guardianship, psychosocial assessments, observation management, capacity management, and hospital throughput.
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.
Preferred Qualifications
  • Master's degree.
Licenses and Certifications
  • NJ Licensed Registered Nurse or NJ Licensed Social Worker or NJ Licensed Clinical Social Worker.
Preferred Licenses and Certifications
  • Care Management, CCMA or ACMA certification strongly preferred.


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