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Care Coordinator, Care Management Specialist
2 months ago
We are seeking a highly skilled and compassionate Care Coordinator, Care Management 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- 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 to minimize fragmentation of services and manage resources.
- 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 in collaboration with patients and support persons, identifying goals that will provide maximum benefit for each patient.
- Ensure that discharge plans meet the continuing care needs of patients.
- Document and communicate information to the multidisciplinary team to coordinate and maximize care.
- Participate actively on committees, workgroups, and meetings.
- Identify and refer quality issues for review to the Quality Management Program.
- Participate in multidisciplinary rounds and bring forth issues impacting 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.
- 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.
- Care Management, CCMA, or ACMA certification strongly preferred.
Regular contact with medical personnel and its visitors.
