Care Coordinator

Care Coordinator

HHS Hunterdon Healthcare System Inc., 2100 Wescott Drive, Flemington, NJ

Full‑time, M‑F and one weekend a month, Day shift

Salary: $97,731.66 - $ Annually

Req # 78890

Provides the collaborative process of care coordination through assessment, planning, facilitation and advocacy for healthcare options and services to meet the health care needs of patients. Utilizes resources to promote quality, cost‑effective outcomes as the patient transitions through the healthcare continuum. Collaborates, coordinates and communicates the discharge plan to facilitate seamless, safe and effective transitions of care.

• Provides ongoing individualized assessment, planning and care coordination for assigned patients during the hospital stay and documents activities in all appropriate areas of the patient's electronic medical record. Engages patient/family/caregiver in the care coordination process and discharge plan. Updates changes to plan as condition changes and communicates changes to the healthcare team.
• Utilizes required software technologies via the EMR to effectively communicate with both the internal and external interdisciplinary healthcare teams.
• Plans and facilitates a safe discharge plan with input from the patient/family/caregiver and healthcare team, while coordinating benefits and utilization of outpatient treatments/therapies, specialty and primary‑care practices and community resources, with full optimization of the integrated delivery healthcare system. Documents plan in the patient's EMR.
• Effectively communicates the care coordination plan to patients/families/caregivers, interdisciplinary team members, and collaborates with outpatient care coordinators to ensure a seamless transition of care, in a timely manner.
• Engages patients/families/caregivers in discharge planning process and assures a safe and effective discharge plan and transition of care while promoting self‑management of chronic disease conditions.
• Supports organizational objectives of Service Excellence, Critical Success Factors and High Reliability Organization standards.

All hires after July 2012 are required to have a Bachelor's Degree in Nursing OR if Associate's Degree or Diploma, RN must provide proof of enrollment in a BSN program prior to hire, be continuously enrolled and complete within 5 years of hire date or internal RN promotion date.

Bachelor's degree in Nursing

Required:

Three years of medical/surgical hospital‑based direct patient care experience.

Five years of medical/surgical hospital‑based direct patient care experience and care coordination or case management experience.

Required:

Current New Jersey RN licensure.

Certification in Specialty or Case Management Certification.

• Strong verbal, written, organizational and interpersonal communication skills.
• Ability to develop and maintain collaborative relationships with the interdisciplinary team.
• Comprehensive assessment and care/discharge planning.
• Demonstrate knowledge‑base in patient care evaluation and assessment, patient/family/caregiver engagement, insurance/benefits for services, community resources and research and evaluation techniques for quality improvement.
• Ability to learn software applications in the EMR and new technologies.

Hunterdon Health is committed to providing a competitive benefit package to our employees. Benefit offerings vary by status and may include medical, dental, vision, family forming, paid time off, tuition reimbursement and retirement savings.