Overview

Our team members are the heart of what makes us better.

 

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

 

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

 

The Care Coordinator for Family Medicine determines the needs of high-risk patients and provides telephonic and/or in-person education related to positively impacting their quality of life and clinical outcomes. Partners with providers, staff, patients, and caregivers. Visits patients in the hospital, the office, the nursing home, or the home as needed. Acts as an advocate for these patients; links them to other care team members as needed to help patients gain knowledge of their chronic conditions and identifies community resources for continued growth toward a maximum level of independence. Collaborates with providers to coordinate and manage patients as needed. An active member in a patient-centered team approach in the care of patients and families. Works collaboratively with all team members in achieving shared goals with a consistent focus on quality care.

Responsibilities

A day in the life of a Care Coordinator for Family Medicine at Hackensack Meridian Health includes:

• Participates in daily patient reviews. Maintains communication with other team members as well as office staff and providers. Communicates regularly with assigned patients either by telephone or with face-to-face encounters. Monitors patients' health status and communicates the self-management skills needed to maintain the highest level of function. Communicates issues and concerns back to providers and or office staff.
• Collects health history data from patient, family, PCP, office staff, and other health care team members as needed. Utilizes critical thinking to identify the patients' bio-psychosocial, spiritual, cultural, environmental, and educational needs.
• Collaborates with other members of the team as well as outside resources when needed to develop a comprehensive plan of care incorporating current diagnosis, interventions, beneficiary self-management skills, and educational needs. Takes into consideration all chronic conditions when creating the plan of care.
• Documents all data and findings consistently and comprehensively under regulatory requirements. Completes documentation in the EMR on all patients. Focuses on the Rising Risk population, determines Health Care needs, and enters patients into Disease Coordination programs when applicable.
• Write Care Plans in EPIC Healthy Planet for high-risk patients being care managed.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required:

• Graduate of accredited Registered Nursing Program.
• Minimum 2-3 years experience in managed care or health education/coaching is preferred.
• Must be able to prioritize, plan and handle multiple tasks/demands simultaneously.
• Requires communication skills to engage patients/families over the phone and in person.
• Experience working with large EMR/Health systems
• Experience using Microsoft Word, Excel, and Outlook.

Education, Knowledge, Skills and Abilities Preferred:

• RN Degree.

Licenses and Certifications Required:

• NJ State Professional Registered Nurse License.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!   

Starting Minimum Rate

Minimum rate of $90,750.40 Annually

Job Posting Disclosure

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to: Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness. Experience: Years of relevant work experience. Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training. Skills: Demonstrated proficiency in relevant skills and competencies. Geographic Location: Cost of living and market rates for the specific location. Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization. Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered. Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts. In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.