Hospital Care Coordinator

Req #: 0000138106

Category: Nursing

Status: Full-Time

Shift: Day

Facility: RWJBarnabas Health Corporate Services

Department: Accountable Care Organization

Location:

SBC Corporation, New Brunswick, New Brunswick, NJ 07052

Job Overview

The Hospital Care Coordinator plays a vital role in the value-based operations care management team, overseeing care coordination for patients enrolled in value-based programs during their stay in an acute care setting.

For Medicare patients in the Medicare Shared Savings Program (MSSP) and the Hospital Readmissions Reduction Program (HRRP), the Care Coordinator engages in interdisciplinary rounds and collaborates with the care team to determine discharge plans. For other contracted payers, the Coordinator will coordinate similarly with the hospital team.

Qualifications

Required:

• Associate's Degree in a healthcare-related field
• Knowledge of healthcare economics and regulations (skilled nursing, home health, BPCI A, MSSP/ACOs, CMS Waiver Programs).
  
  

Preferred

• At least one year Case Management experience, preferred.
• Current Active NJ RN or LPN License, preferred.
  
  

Essential Job Functions

• Identify patients under MSSP and HRRP upon admission through hospital programs in Epic.
• Document patient data in Epic Healthy Planet, focusing on discharge details (next site of care)
• Engage with care management leadership and the hospital team to optimize patient care.
• Communicate with discharge planners regarding post-acute care needs and coordinate follow-up with care managers.
• Conduct follow-up calls after discharge to ensure safe transitions and address any concerns.
• Report readmissions to Case Management.
• Assist patients with MyChart sign-ups and scheduling follow-up appointments with primary care providers or specialists.
  
  

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.

Additional Information

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