RWJBarnabas Health is the most comprehensive health care delivery system in New Jersey, treating over 3 million patients a year. The system includes eleven acute care hospitals, three acute care children's hospitals and a leading pediatric rehabilitation hospital (Children's Specialized Hospital). RWJBarnabas Health is New Jersey's second largest private employer with more than 32,000 employees, 9,000 physicians and 1,000 residents and interns.
Summary of Position
The Care Coordinator works in collaboration and continuous partnership with chronically ill or high-risk patients and their family/caregiver(s), clinic/hospital/specialty providers and staff, and community resources in a team approach to:
Promote timely access to appropriate care
Increase utilization of preventative care
Reduce emergency room utilization and hospital readmissions
Increase comprehension through culturally and linguistically appropriate education
Create and promote adherence to a care plan, developed in coordination with the patient, primary care provider, and family/caregiver(s)
Increase continuity of care by managing relationships with tertiary care providers, transitions-in-care, and referrals
Increase patients ability for self-management and shared decision-making
Provide medication reconciliation
Connect patients to relevant community resources, with the goal of enhancing patient health and well-being, increasing patient satisfaction, and reducing health care costs
Chronic condition health coaching and education
These activities are provided telephonically and in a practice or home setting based upon predefined criteria and assignments. This position requires traveling between facilities and locations
Success in this position will lead to improved health for the patient and reduced health care costs for the managed population of patients.
Registered Nurse with clinical and current, active and unrestricted New Jersey State License.
Experience in clinical or community resource settings; Care coordination and/or case management experience is preferred
Highly organized with ability to keep accurate notes and records
Experience with health IT systems and reports is desirable