Discharge & Care Coordination Specialist

Hackensack Meridian Health; Hackensack (NJ); On-site; USD 88,000 - 108,000; Full time

Job summary

Hackensack Meridian Health is seeking a Care Coordinator, Care Management to coordinate, communicate, and facilitate the clinical progression of patients' treatment and discharge plans. You will manage a designated caseload, collaborate with physicians, families, and the care team to meet goals and secure the appropriate next level of care.

The role requires a BSN or MSW with licensure (NJ RN or SW/CSW) and strong communication, problem-solving, and computer skills.

Qualifications

• 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.
• Proficient computer skills that may include Microsoft Office and/or Google Suite.

Responsibilities

• Assess patients and develop individualized care plans with the physician and health care team.
• Facilitate communication between health care team and patient/family to coordinate care.
• Maintain knowledge of community resources and refer patients to appropriate services.
• Collaborate with multidisciplinary teams to ensure timely transitions to next level of care.
• Develop discharge plans with patient and family to meet ongoing care needs.
• Document and communicate information to the team and ensure accurate medical records.
• Participate in committees and rounds to improve discharge planning and reduce length of stay.
• Perform reassessments and adjust plans as medical conditions change.
• Provide patients and families with discharge options and education.
• Utilize CMS documents per regulatory guidelines.

Skills

Decision making

Communication

Team collaboration

Computer skills

Education

BSN

MSW

Master's degree

Job description

Hackensack Meridian Health is seeking a Care Coordinator, Care Management to coordinate, communicate, and facilitate the clinical progression of patients' treatment and discharge plans. You will manage a designated caseload, collaborate with physicians, families, and the care team to meet goals and secure the appropriate next level of care.

The role requires a BSN or MSW with licensure (NJ RN or SW/CSW) and strong communication, problem-solving, and computer skills.