Care Coordinator

3 hours ago


Neptune City, New Jersey, United States Hackensack Meridian Health Full time
About the Role

We are seeking a highly skilled Care Coordinator to join our team at Hackensack Meridian Health. As a Care Coordinator, you will play a critical 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 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 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.
  • Utilize social determinants of health screening tools and resources during each intake assessment.
Requirements
  • Bachelor's degree in Nursing or Social Work, or equivalent experience.
  • Effective decision-making skills, creativity in problem-solving, and influential leadership skills.
  • Excellent verbal, written, and presentation skills.
  • Moderate to expert computer skills, including Microsoft Office and/or Google Suite platforms.
  • Familiarity with hospital resources, community resources, and utilization management.
Preferred Qualifications
  • Master's degree in Nursing or Social Work.
  • Care Management, CCMA, or ACMA certification.


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