Care Coordinator
2 weeks ago
We are seeking a highly skilled Care Coordinator to join our team at Hackensack Meridian Health. The successful candidate will be responsible for coordinating, communicating, and facilitating the clinical progression of patient treatment and discharge plans.
Key Responsibilities- Assess patients to identify potential discharge needs and develop individualized care plans in collaboration with physicians and healthcare teams.
- Facilitate communication and coordination between healthcare teams and involve patients and families in decision-making processes.
- Maintain current information on community resources and refer patients to appropriate resources.
- Work collaboratively with multidisciplinary teams to secure timely and appropriate transitions to next levels of care.
- Develop discharge plans that meet continuing care needs of patients and ensure medical records reflect education provided, coordination of services, referrals made, and authorizations obtained.
- Participate in multidisciplinary rounds and identify issues impacting discharge and length of stay.
- Perform reassessments and evaluate progress against care goals and revise plans as needed.
- Provide patients and families with resources and discharge options, educating them on risks and benefits.
- Collaborate with healthcare teams to support crisis intervention, counseling, and referrals.
- Bachelor's Degree in Nursing or related field, or Master's Degree in Social Work.
- Effective decision-making skills, creativity in problem-solving, and influential leadership skills.
- Excellent verbal, written, and presentation skills.
- Computer skills, including Microsoft Office and/or Google Suite platforms.
- Familiarity with hospital resources, community resources, and utilization management.
- Master's degree.
- NJ Licensed Registered Nurse or NJ Licensed Social Worker or NJ Licensed Clinical Social Worker.
- Care Management certification by a nationally recognized organization within 1 year.
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