Care Coordination & Discharge Specialist

Hackensack Meridian Health; Neptune Township (NJ); On-site; USD 41,000 - 51,000; Full time

Benefits offered by this job

Health benefits

Tuition reimbursement

Retirement benefits

Paid leave

Job summary

Hackensack Meridian Health seeks a Care Coordinator, Care Management to oversee clinical progression and discharge planning for a designated patient caseload. You will coordinate with families and the care team, ensuring timely transitions and high-quality care.

The role emphasizes interprofessional collaboration, reassessment, patient education, and CMS documentation to meet treatment goals and appropriate next-level care.

Qualifications

• Decision-making skills with problem-solving ability.
• Excellent written and verbal communication abilities.
• Proficient computer skills for documentation and coordination.
• Familiar with hospital and community resources.

Responsibilities

• Coordinate and facilitate discharge planning with patient and family.
• Communicate across multidisciplinary teams to ensure smooth transitions.
• Perform reassessments and update the plan of care weekly.
• Educate patients on discharge options and benefits.
• Provide CMS documents and ensure regulatory compliance.
• Screen social determinants of health at intake.
• Collaborate on crisis intervention and referrals as needed.

Skills

Decision-making

Communication skills

Computer skills

Resource awareness

Education

BSN or BSN in progress

Master's degree

MSW (preferred)

Tools

Epic

Xsolis Cortex

BI

Google Suite

Job description

Hackensack Meridian Health seeks a Care Coordinator, Care Management to oversee clinical progression and discharge planning for a designated patient caseload. You will coordinate with families and the care team, ensuring timely transitions and high-quality care.

The role emphasizes interprofessional collaboration, reassessment, patient education, and CMS documentation to meet treatment goals and appropriate next-level care.