Care Coordinator

2 weeks ago


Old Bridge New Jersey, United States Hackensack Meridian Health Full time
Care Coordinator Job Description

At Hackensack Meridian Health, we are seeking a skilled Care Coordinator to join our team. As a Care Coordinator, you will play a vital role in coordinating, communicating, and facilitating the clinical progression of patients' treatment and discharge plans.

Key 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 to minimize fragmentation of services and manage resources.
  • 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 that impact 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.
  • Collaborate with multidisciplinary teams to support crisis intervention, counseling support, and referrals, as well as abuse and neglect reporting, adoption planning, guardianship, psychosocial assessments, observation management, capacity management, and hospital throughput.
Requirements:
  • Bachelor's Degree in Nursing or related field, or Master's Degree in Social Work.
  • Effective decision-making skills, demonstration of creativity in problem-solving, and influential leadership skills.
  • Excellent verbal, written, and presentation skills.
  • Modest to expert computer skills.
  • Familiarity with hospital resources, community resources, and utilization management.
  • Excellent written and verbal communication skills.
  • Proficient computer skills, including Microsoft Office and/or Google Suite platforms.
Preferred Qualifications:
  • Master's degree.
  • Care Management certification by a nationally recognized organization within 1 year.

We are an equal opportunity employer and welcome applications from diverse candidates. If you are a motivated and detail-oriented individual who is passionate about delivering exceptional patient care, we encourage you to apply for this exciting opportunity.



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