Post Acute Care Coordinator (Central/Northern Regions)

RWJBarnabas Health; Franklin Township (NJ); On-site; USD 60,000 - 90,000; Full time

Job summary

Join a forward-thinking healthcare organization dedicated to providing coordinated patient care across the continuum. As a Post Acute Care Coordinator, you'll play a crucial role in enhancing patient outcomes through effective discharge planning and collaboration with clinical teams. This position offers the opportunity to make a meaningful impact on patient transitions and ensure a seamless experience in post-acute care settings. If you're passionate about improving community health and thrive in a supportive environment, this role is perfect for you.

Benefits

PTO

Insurance Options

Retirement Plans

Tuition Reimbursement

Wellness Programs

Qualifications

• 3-5 years experience managing relationships between acute and post-acute facilities.
• Ability to travel to post-acute and hospital sites.

Responsibilities

• Assess patient's condition during and after post-acute episodes.
• Coordinate discharge planning and follow-up care.
• Develop and evaluate care plans involving patients and families.

Skills

Organizational Skills

Leadership Skills

Relationship Management

Patient Care Coordination

Education

Associate's Degree in Nursing

Bachelor's Degree in Physical Therapy

Bachelor's Degree in Occupational Therapy

Job description

Post Acute Care Coordinator (Central/Northern Regions)
Req #: 0000187664

Category: Professional / Management

Status: Full-Time

Shift: Day

Facility: RWJBarnabas Health Corporate Services

Department: Accountable Care Organization

Location:

RWJ - 379 Campus Dr. Somerset,
379 CAMPUS DRIVE, SOMERSET, NJ 08873

Job Overview:

As part of RWJ Barnabas Health Corporate Population Health team, you will play an instrumental role in a department that provides fully coordinated patient care from a holistic approach, aiming to improve the overall care of patients who are part of the value-based, ACO, and bundled payment programs across the healthcare continuum. The Post-Acute Care Coordinator (LPN, RN, PT, OT, or SW) evaluates treatment plans and goals of care at Post-Acute Care facilities. They partner with clinical teams to ensure patients are progressing towards discharge goals, coordinate discharge planning, and facilitate timely follow-up with providers and community services. They also assist patients transitioning to the next site of care.

Qualifications:

Required:

• LPN - Associate's Degree; RN - Associate's Degree; Physical Therapist - Bachelor's Degree; Occupational Therapist - Bachelor's Degree
• 3-5 years experience managing relationships between acute and post-acute facilities
• Ability to travel to post-acute and hospital sites
• Strong organizational and leadership skills

Preferred:

• RN - Bachelor's Degree; Physical Therapist - Master's Degree; Occupational Therapist - Master's Degree
• Experience in Post-Acute Care Settings
• Knowledge of Value-Based Programs

Licenses Required:

• NJ LPN, RN, Social Worker, Physical Therapist, or Occupational Therapist License

Scheduling Requirements:

• Monday to Friday, 9:00 AM - 5:00 PM
• Support for Middlesex, Hudson, and Somerset Counties (subject to change)

Essential Functions:

• Assess patient's condition during and after post-acute episodes
• Develop and evaluate care plans involving patients and families
• Participate in multidisciplinary rounds to create collaborative care plans
• Coordinate discharge planning and follow-up care
• Provide education to staff and patients
• Maintain detailed documentation
• Support post-acute care facilities on readmission prevention
• Serve as a resource for facilities

Other Duties: Responsibilities may change as needed.

Additional Information:

Our comprehensive benefits include PTO, insurance options, retirement plans, tuition reimbursement, wellness programs, and more.

RWJBarnabas Health is committed to providing high-quality, equitable care and fostering a supportive work environment. We strive to improve community health and offer educational and career opportunities across New Jersey.

Equal Opportunity Employer

RWJBarnabas Health is an Equal Opportunity Employer