Post Acute Care Coordinator (Central/Northern Regions)

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

Job summary

Join a forward-thinking healthcare organization as a Post Acute Care Coordinator, where you'll play a vital role in enhancing patient care through coordinated efforts across various healthcare settings. This position involves evaluating treatment plans, collaborating with clinical teams, and facilitating smooth transitions for patients, ensuring they receive the best possible care during and after their post-acute episodes. The ideal candidate will have strong organizational and leadership skills, along with experience in managing relationships within the healthcare continuum. Be part of a team dedicated to improving community health and delivering high-quality, equitable care.

Benefits

PTO

Health Insurance

Retirement Plans

Tuition Reimbursement

Wellness Programs

Qualifications

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

Responsibilities

• Assess patient condition and develop care plans.
• Coordinate discharge planning and follow-up care.
• Educate staff and patients on post-acute care.

Skills

Organizational Skills

Leadership Skills

Relationship Management

Patient Care Coordination

Education

LPN (Associate's Degree)

RN (Associate's Degree)

Physical Therapist (Bachelor's Degree)

Occupational Therapist (Bachelor's Degree)

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 to improve the overall care of patients involved in 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 at Post-Acute Care facilities. The coordinator partners with clinical teams to ensure patient progress towards discharge goals, coordinates discharge planning, and facilitates follow-up with providers and community services. Additionally, the coordinator assists patients in transitioning to the next site of care.

Qualifications:

Required:

• Degree requirements vary by role: LPN (Associate's), RN (Associate's), Physical Therapist (Bachelor's), Occupational Therapist (Bachelor's)
• 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:

• Higher degrees (Bachelor's or Master's) in relevant fields
• 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:

• Monday-Friday, 9:00 AM - 5:00 PM
• Support for Middlesex, Hudson, and Somerset Counties; location may change based on business needs

Essential Functions:

• Assess patient condition during and after post-acute episodes
• Develop and evaluate care plans involving patients and families
• Participate in multidisciplinary rounds to create collaborative, evidence-based care plans
• Coordinate discharge planning and follow-up care
• Educate staff and patients, and maintain detailed documentation
• Provide resources and education on readmissions to post-acute facilities
• Serve as a resource for post-acute care facilities

Other Duties: Responsibilities may evolve with organizational needs.

Additional Information:

Our Total Rewards package includes PTO, health insurance, 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 through innovative strategies and community engagement.

We are an Equal Opportunity Employer.