Care Coordinator
4 days ago
At Hackensack Meridian Health, we are seeking a highly 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 and involve patients and families in the decision-making process.
- Maintain current information on community resources and refer patients to appropriate resources.
- 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.
- Provide patients and families with resources and discharge options, educate them on risks and benefits, and provide CMS documents as per regulatory guidelines.
- Collaborate 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.
- BSN or BSN in progress and/or willing to acquire within 3 years of hire or transfer into the position; or Masters Degree in Social Work.
- Effective decision-making skills, demonstration of creativity in problem-solving, and influential leadership skills.
- Excellent verbal, written, and presentation skills.
- Moderate to expert computer skills.
- Familiar with hospital resources, community resources, and utilization management.
- Excellent written and verbal communication skills.
- Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms.
- Master's degree.
- NJ Licensed Registered Nurse or NJ Licensed Social Worker or NJ Licensed Clinical Social Worker.
- Regular contact with medical personnel and its visitors.
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