Care Coordinator, Care Management Specialist

5 days ago


Red Bank, New Jersey, United States Hackensack Meridian Health Full time
About the Role

We are seeking a highly skilled and compassionate Care Coordinator, Care Management Specialist 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.

Responsibilities
  • Assessment and Planning: Assess patients' needs, develop individualized care plans, and collaborate with physicians and other healthcare team members to ensure seamless care transitions.
  • Communication and Coordination: Facilitate communication between healthcare team members, patients, and families to minimize fragmentation of services and manage resources effectively.
  • Community Resource Referral: Maintain current information on community resources and refer patients to those resources that best meet their needs.
  • Transition Coordination: Work collaboratively with multidisciplinary and post-acute care teams to secure timely and appropriate transitions to the next level of care.
  • Discharge Planning: Develop discharge plans that meet patients' continuing care needs, ensuring a smooth transition to the next level of care.
  • Documentation and Communication: Document and communicate information to the healthcare team 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, participating actively in committees, workgroups, and meetings as needed.
  • Education and Training: Maintain annual competencies and ensure training and continuing education of the team in applicable platforms.
Requirements
  • Education: 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.
  • Skills and Abilities: 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; familiarity with hospital resources, community resources, and utilization management.
  • Licenses and Certifications: NJ Licensed Registered Nurse or NJ Licensed Social Worker or NJ Licensed Clinical Social Worker.
Preferred Qualifications
  • Certifications: Care Management, CCMA or ACMA certification strongly preferred.


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