Population Care Coordinator PRN

2 days ago

Camden, New Jersey, United States Cooper University Health Care Full time
About Us

At Cooper University Health Care, our commitment to delivering exceptional healthcare begins with our team. Our dedicated professionals are continually discovering innovative clinical approaches and enhancing access to the latest facilities, equipment, technologies, and research protocols. We prioritize our employees' well-being by offering competitive compensation, a comprehensive benefits package, attractive working conditions, and opportunities for professional growth and development.

Job Summary

This is a PRN position that requires working 2 days a week, Monday through Friday, during daytime hours. As a Population Care Coordinator PRN, you will play a vital role in supporting and participating in the Patient-centered Medical Home (PCMH) concepts of care coordination and team-based care.

Key Responsibilities
  • 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, 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 individual members' 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

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