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Care Coordinator, Care Management Specialist
2 months ago
We are seeking a highly skilled and compassionate Care Coordinator to join our team at Hackensack Meridian Health. As a key member of our healthcare team, you will play a vital role in coordinating, communicating, and facilitating the clinical progression of patients' treatment and discharge plans.
Key Responsibilities- Assessment and Planning: Assess patients' needs, develop individualized care plans, and collaborate with physicians and healthcare teams to ensure effective care coordination.
- Communication and Coordination: Facilitate communication between healthcare teams, patients, and families to minimize fragmentation of services and ensure seamless transitions.
- Community Resource Referral: Maintain current information on community resources and refer patients to appropriate services, consulting with other agencies and committees as needed.
- Discharge Planning: Develop discharge plans in collaboration with patients and support persons, identifying goals that provide maximum benefit and ensuring continuity of care.
- Documentation and Communication: Document and communicate information to healthcare teams to coordinate and maximize care, ensuring the medical record reflects education provided, coordination of services, referrals made, and authorizations obtained.
- Quality Improvement: Identify and refer quality issues for review to the Quality Management Program and participate in multidisciplinary rounds to discuss and resolve issues impacting discharge and length of stay.
- Education and Training: Maintain annual competencies and ensure training and continuing education of the team in applicable platforms.
- Education: Bachelor's Degree in Nursing or related field, or Master's Degree in Social Work.
- Skills: Effective decision-making skills, creativity in problem-solving, influential leadership skills, excellent verbal, written, and presentation skills.
