Hackensack Meridian Health
Join to apply for the
Care Coordinator, Care Management
role at
Hackensack Meridian Health . Our team members are the heart of what makes us better. At
Hackensack Meridian
Health
, we help our patients live better, healthier lives — and we support one another to succeed. With a culture rooted in connection and collaboration, our employees are considered team members. We offer competitive benefits and a supportive environment, committed to transforming healthcare and serving as a leader of positive change. The
Care Coordinator, Care Management
is part of the healthcare team, responsible for coordinating, communicating, and facilitating the clinical progression of patient treatment and discharge plans. They manage a designated patient caseload, assessing, planning, and collaborating with patients, families, and the multidisciplinary team to meet treatment goals, optimize length of stay, and coordinate appropriate next-level care. They oversee interfacility transitions and handoffs between acute and post-acute services. Responsibilities
Assess patients for discharge needs, develop individualized care plans with the healthcare team, and involve patients and families in decision-making. Coordinate communication among healthcare team members, involving patients and families to minimize service fragmentation and barriers. Maintain current knowledge of community resources; refer patients accordingly and collaborate with community agencies. Work with multidisciplinary and post-acute care teams to ensure timely and appropriate care transitions. Develop discharge plans that meet patient needs and support continued care. Document and communicate care plans, referrals, and authorizations accurately in medical records. Participate in committees, workgroups, and multidisciplinary rounds, addressing issues impacting discharge and length of stay. Reassess patients regularly, evaluate progress, and update care plans accordingly. Educate patients and families on discharge options, risks, benefits, and healthcare benefits. Provide CMS documentation as per regulatory guidelines. Utilize social determinants of health screening tools during assessments. Collaborate on crisis intervention, counseling, referrals, and safeguarding activities. Make referrals to various community and healthcare services as needed. Maintain competencies and ensure ongoing training for team members. Perform other duties as assigned, adhering to organizational standards. Qualifications
BSN, or in progress with completion within 3 years, or Master’s in Social Work. Strong decision-making, problem-solving, and leadership skills. Excellent verbal, written, and presentation skills. Moderate to advanced computer skills, familiar with hospital and community resources. Proficiency in Microsoft Office and Google Suite. Preferred Qualifications
Master’s degree. Licenses and Certifications
NJ Licensed Registered Nurse, Social Worker, or Clinical Social Worker. Care Management, CCMA, or ACMA certification preferred. If you believe you meet these qualifications and are excited to join our team, please apply today!
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Care Coordinator, Care Management
role at
Hackensack Meridian Health . Our team members are the heart of what makes us better. At
Hackensack Meridian
Health
, we help our patients live better, healthier lives — and we support one another to succeed. With a culture rooted in connection and collaboration, our employees are considered team members. We offer competitive benefits and a supportive environment, committed to transforming healthcare and serving as a leader of positive change. The
Care Coordinator, Care Management
is part of the healthcare team, responsible for coordinating, communicating, and facilitating the clinical progression of patient treatment and discharge plans. They manage a designated patient caseload, assessing, planning, and collaborating with patients, families, and the multidisciplinary team to meet treatment goals, optimize length of stay, and coordinate appropriate next-level care. They oversee interfacility transitions and handoffs between acute and post-acute services. Responsibilities
Assess patients for discharge needs, develop individualized care plans with the healthcare team, and involve patients and families in decision-making. Coordinate communication among healthcare team members, involving patients and families to minimize service fragmentation and barriers. Maintain current knowledge of community resources; refer patients accordingly and collaborate with community agencies. Work with multidisciplinary and post-acute care teams to ensure timely and appropriate care transitions. Develop discharge plans that meet patient needs and support continued care. Document and communicate care plans, referrals, and authorizations accurately in medical records. Participate in committees, workgroups, and multidisciplinary rounds, addressing issues impacting discharge and length of stay. Reassess patients regularly, evaluate progress, and update care plans accordingly. Educate patients and families on discharge options, risks, benefits, and healthcare benefits. Provide CMS documentation as per regulatory guidelines. Utilize social determinants of health screening tools during assessments. Collaborate on crisis intervention, counseling, referrals, and safeguarding activities. Make referrals to various community and healthcare services as needed. Maintain competencies and ensure ongoing training for team members. Perform other duties as assigned, adhering to organizational standards. Qualifications
BSN, or in progress with completion within 3 years, or Master’s in Social Work. Strong decision-making, problem-solving, and leadership skills. Excellent verbal, written, and presentation skills. Moderate to advanced computer skills, familiar with hospital and community resources. Proficiency in Microsoft Office and Google Suite. Preferred Qualifications
Master’s degree. Licenses and Certifications
NJ Licensed Registered Nurse, Social Worker, or Clinical Social Worker. Care Management, CCMA, or ACMA certification preferred. If you believe you meet these qualifications and are excited to join our team, please apply today!
#J-18808-Ljbffr