POPULATION CARE COORDINATOR

Cooper Norcross Health; Camden (NJ); Presencial; USD 90.000 - 110.000; Jornada completa

Descripción de la vacante

Cooper Norcross Health in Camden, NJ is seeking an experienced Registered Nurse to support the Patient-Centered Medical Home (PCMH) model. You will coordinate care, plan and implement patient programs, and work with physicians and care teams to improve health outcomes.

Candidates must have a NJ RN license and 5+ years of clinical experience, preferably in primary care or population health. This full-time role involves telephonic and in-person outreach, data collection, and participation in

Formación

• 5+ years of clinical experience, experience in primary care, population health, or case management preferred.
• Current NJ RN License in good standing.
• Strong communication and collaboration skills.

Responsabilidades

• Support and participate in PCMH care coordination and team-based care.
• Assess, plan, implement, coordinate, monitor and evaluate healthcare options and services for identified populations.
• Follow established PCC workflow for utilization and self-management support.
• Participate in PCMH activities including discharge follow-up, care planning, coordination of services, and communication between care providers.
• Collaborate with patients, families and community providers to set mutual goals and enable self-management.
• Provide outreach, care management and education for disease self-management per patient-centered goals.
• Identify and mitigate barriers to improved outcomes and monitor quality metrics for improvement.

Conocimientos

Clinical experience

Care coordination

Team-based care

Patient education

Educación

NJ RN License

Descripción del empleo

About Us

Cooper Norcross Health, formerly Cooper University Health Care, is a leading academic health system affiliated with Cooper Norcross Medical School of Rowan University. Headquartered in Camden, New Jersey, Cooper Norcross Health has revenues of more than $3 billion and an A+ credit rating from both S&P and Fitch Ratings.

About Us

Cooper Norcross Health, formerly Cooper University Health Care, is a leading academic health system affiliated with Cooper Norcross Medical School of Rowan University. Headquartered in Camden, New Jersey, Cooper Norcross Health has revenues of more than $3 billion and an A+ credit rating from both S&P and Fitch Ratings. Cooper Norcross Health has nearly 14,000 team members, including more than 2,200 nurses, more than 1,200 employed physicians representing 95 specialties and subspecialties, and more than 700 advanced practice providers. The health system operates MD Anderson Cancer Center at Cooper as well as four hospitals – its 663-bed flagship Cooper Norcross University Hospital in Camden, its 229-bed Cooper Norcross University Hospital Cape Regional in Cape May Court House, Children’s Hospital at Cooper Norcross Health in Camden, and The Recovery Village Cherry Hill at Cooper, a substance abuse rehabilitation and inpatient treatment facility, in partnership with American Recovery Services. Cooper Norcross University Hospital in Camden is the only Level 1 Trauma Center in South Jersey and the busiest in the region. The hospital has been recognized as a top-performing regional hospital by U.S. News & World Report’s Best Hospitals annual survey for eight years. More than 2.54 million patients visit Cooper Norcross Health facilities annually. Its ambulatory network encompasses three outpatient surgery centers, seven urgent care centers, a wound care center, and more than 130 physician, physical therapy, and radiology offices extending from the Delaware River to the New Jersey shore. Cooper Norcross Health, a not-for-profit health system, was named one of America’s Best Large Employers for 2026 by Forbes, ranking among the top 200 in the nation. Visit CooperHealth.org to learn more.

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.

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 physicians and other team members in developing and implementing evidence based practices and care plans for target health populations.
• Collect data on quality metrics and track as required for improvement efforts.
• Participate in process/quality improvement initiatives to achieve targets as defined by organizational/department goals and objectives.

Experience Required

5 years or more clinical experience, Experience in primary care, population or case management preferred

Education Requirements

Current NJ RN License