Post Acute Care Coordinator

RWJBarnabas Health; West Orange (NJ); On-site; USD 57,000 - 90,000; Full time

Benefits offered by this job

Paid Time Off

Medical and Prescription Insurance

Dental and Vision Insurance

Retirement Plans

Disability Insurance

Tuition Reimbursement

Wellness Programs

Pet Insurance Discounts

Job summary

RWJBarnabas Health is seeking a Coordinator Clinical to join the Population Health team in New Jersey. You will work across post-acute facilities to coordinate care, ensure timely discharge planning, and support transitions to the next site of care.

The role requires traveling throughout New Jersey and collaborating with a multidisciplinary team. The position is salaried with a day shift, Monday through Friday, and offers benefits as part of RWJBarnabas Health’s total rewards package.

Qualifications

• 3–5 years’ experience managing relationships between acute and post-acute facilities
• Post-acute care setting experience required
• Ability to travel to post-acute and hospital sites
• Strong organizational skills with ability to prioritize multiple tasks
• Strong leadership to achieve buy-in and collaboration
• Willingness to travel throughout New Jersey

Responsibilities

• Perform initial and ongoing assessments of patient condition in post-acute settings
• Develop and evaluate care plans with input from patient/family
• Participate in multidisciplinary rounds to create collaborative care plans
• Coordinate discharge planning and follow-up with community providers
• Educate staff on patient/family education needs
• Document patient responses and need for skilled intervention
• Provide resources and education on readmissions to post-acute facilities
• Serve as a resource for post-acute facilities

Skills

Relationship management

Organization

Leadership

Travel across NJ

Education

NJ LPN certificate

NJ RN Associates

NJ Physical Therapy certificate

NJ Occupational Therapy certificate

NJ Respiratory Therapy certificate

NJ LSW Associates

Job description

Req #: 0000246635

Category: Case Management

Status: Full-Time

Shift: Day

Facility: RWJBarnabas Health Corporate Services

Department: ACO

Pay Range: $57,000.00 - $90,000.00 per year

Location: 95 Old Short Hills Road, West Orange, NJ 07052

Job Title: Coordinator Clinical

Location: SBC Corporation

Department Name: ACO

Req #: 0000246635

Status: Salaried

Shift: Day

Pay Range: $57,000.00 - $90,000.00 per year

Pay Transparency

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Job Overview

As part of RWJ Barnabas Health Population Health team you will play an instrumental role in a department that is providing fully coordinated patient care from a holistic approach to improve the overall care of patients who are part of the value-based, ACO, and bundled payment programs across the healthcare continuum by ensuring the population receives the right care, at the right time, by the right team. As a member of the patient’s multidisciplinary team in the Post Acute setting, the Post-Acute Care Coordinator – LPN, RN, PT, OT, RT or SW evaluates the treatment plan and goals of care at the Post-Acute Care facility. The Post-Acute Care Coordinator partners with the clinical team at the Post-Acute care facilities to ensure patients are progressing towards discharge goals as well as coordinating next site of care discharge planning and ensure timely follow up with providers and service in the community. The Post-Acute Care Coordinator also works with other Population Health programs to assist patients in transitioning to the next site of care.

Qualifications

Required

• 3-5 years’ experience in managing relationships between acute and post-acute facilities
• Previous work experience in the Post-Acute Care Setting
• Must have the ability to travel to post-acute sites and hospital sites.
• Must have strong organizational skills, with an ability to prioritize multiple tasks and deadlines
• Strong leadership skills to achieve buy-in and collaboration toward objectives
• Must be able to travel throughout New Jersey

Preferred

• Knowledge of various Value Based Programs

Licenses Required

• These constitute the baseline clinical certification requirements
  • NJ LPN- Certificate
  • NJ RN- Associates
  • NJ Physical Therapy- Certificate
  • NJ Occupational Therapy- Certificate
  • NJ Respiratory Therapy Certificate
  • NJ LSW Associates

Scheduling Requirements

• M-F, FT 9:00A—5:00P
• This role requires weekly travel throughout the state of New Jersey.

Essential Functions

• Performs initial and on-going assessments of patient's condition during and after a post-acute episode.
• Establishes, revises and evaluates a plan of care which is appropriate to problems identified and involves the patient/family.
• Participates in multidisciplinary rounds with the clinical team in the Post Acute Care setting to create a collaborative care plan for patients that are patient and family centered, follows evidence based clinical guidelines and promotes the best outcome for the patient.
• Provides for continuity of care by participating in discharge planning with the Post Acute Care facilities and their team members and other health care providers as appropriate, providing home instructions, recommending and/or providing equipment/ home modifications, and recommending appropriate follow-up care if needed.
• Provides education to staff by assessing the patient/family educational needs.
• Maintains appropriate documentation that details the patient's response to therapy and the need for skilled intervention as outlined by regulatory bodies.
• Provide resources and education to Post Acute Care facilities on readmissions.
• Serves as a resource for the Post Acute Care facilities.

Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Benefits And Perks

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees’ physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey—whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer

RWJBarnabas Health is an Equal Opportunity Employer