Care Coordinator, Care Management Specialist

4 weeks ago


Edison, New Jersey, United States Hackensack Meridian Health Full time
Job Summary

We are seeking a highly skilled Care Coordinator to join our team at Hackensack Meridian Health. As a key member of our healthcare team, you will be responsible for coordinating, communicating, and facilitating the clinical progression of patient treatment and discharge plans.

Key Responsibilities

Our ideal candidate will have excellent decision-making skills, creativity in problem-solving, and influential leadership skills. They will be responsible for:

  • Assessing patients by screening for potential discharge needs, regardless of race, age, sex, religion, diagnosis, and ability to pay.
  • Developing individualized care plans in collaboration with physicians and other healthcare team members.
  • Maintaining current information on community resources and referring patients to those resources appropriate for their care.
  • Collaborating with multidisciplinary and post-acute care teams to secure timely and appropriate transitions to the next level of care.
  • Developing discharge plans that meet the continuing care needs of patients.
  • Documenting and communicating information to the multidisciplinary team to coordinate and maximize care.
  • Participating in multidisciplinary rounds and identifying issues that impact discharge and length of stay.
  • Performing reassessments and evaluating progress against care goals and the plan of care.
  • Providing patients and families with resources and discharge options, educating them on the risks and benefits of discharge options, and providing CMS documents as per regulatory guidelines.
  • Utilizing social determinants of health screening tools and resources during each intake assessment.
  • Collaborating with multidisciplinary teams to support crisis intervention, counseling support, and referrals, abuse and neglect reporting, adoption planning, guardianship, psychosocial assessments, observation management, capacity management, and hospital throughput.
Qualifications

We are looking for candidates with a Bachelor's Degree in Nursing or a related field, or a Master's Degree in Social Work. They should have excellent verbal, written, and presentation skills, as well as moderate to expert computer skills. Familiarity with hospital resources, community resources, and utilization management is also required.

Prior experience in care coordination, discharge planning, or a related field is preferred. A Master's degree and care management certification by a nationally recognized organization are also preferred.

We are an equal opportunity employer and welcome applications from diverse candidates. If you are a motivated and detail-oriented individual with excellent communication skills, we encourage you to apply for this exciting opportunity to join our team at Hackensack Meridian Health.


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