Lead Population Care Coordinator

Found in: Resume Library US A2 - 1 week ago

Camden New Jersey, United States Cooper University Hospital Full time
About Us:
At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to its employees by providing competitive rates and compensation, a comprehensive employee benefits programs, attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.

 

Discover why Cooper University Health Care is the employer of choice in South Jersey.

 

Short Description:
Support and participates in the Patient-centered Medical Home (PCMH) concepts of care coordination and team- based care.

Assess, plan, implement, coordinate, monitor and evaluate healthcare options and services with the goal of increasing the likelihood of improvement to the health status of identified populations across the continuum.

Follow established PCC workflow for utilization and self-management support

Participate in PCMH activities which include but are not limited to: hospital discharge follow-up, care planning, coordination of services, and communication between care providers

Collaborate with patient’s medical/health and community-based providers to establish mutual goal-setting including patients and their families/caregivers, utilizing self-management tools.

Provide outreach, care management and education for disease self-management per patient centered goals.

Identify, document, and mitigate patient barriers to improved outcomes.

Monitor and evaluate the services and community based resources necessary to respond to the individual member’s health needs.

Provides telephonic and or in-practice outreach, disease management and/or case management, education, and other clinically based activities for target populations.

Conduct assessments, develop nursing treatment plans and interventions and set goals for treatment plans/behavioral modifications within the scope of licensure in collaboration with other care providers.

Assists providers and other team members in developing and implementing evidence based practices and care plans for target health populations.

Participate in process/quality improvement initiatives to achieve targets as defined by organizational/department goals and objectives.

Facilitating new employee orientation

Facilitating programs, training, speaker opportunities for population health team development

Participate in process improvement initiatives

Lead Population Care Coordinator Department Meetings as designated

Assists with training as requested

Oversee development & maintenance of departmental education materials

Represents Department at departmental, divisional, and organizational level meetings asdesignated

Expected to maintain behavior, judgment and attitude which reflect professional practice

Standards

Experience Required:
5 years or more clinical experience, experience in primary care, population or case management preferred, 1 year leadership experience in population health or primary care preferred.

Education Requirements:
RN, BSN required, MSN preferred

License/Certification Requirements:
Current NJ RN License

Special Requirements:
Strong analytical, interpersonal, communication and time management skills. Knowledge of disease management, expected treatments, and discharge planning. Commitment to patient advocacy, with the ability to work independently and make sound clinical decisions.

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