Supervisor, Care Coordination
How have you impacted someone’s life today? At Hackensack Meridian Health our healthcare teams are focused on changing the lives of our patients by providing the highest level of care each and every day. From our hospitals, rehab centers and occupational health teams to our long-term care centers and at-home care capabilities, our complete spectrum of services will allow you to apply your skills in multiple settings while building your career all within New Jersey’s premier healthcare system.
Supervises staff in the assigned area to processes are in order; including coordinating patients Transitions of Care meets evidence-based practice standards, and regulatory/payor requirements. The role integrates and coordinates utilization management, care coordination, and discharge planning functions.
The Supervisor of Care Coordination is accountable for the department's designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and promote efficient utilization of resources; specific functions within this role include:
- Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to help staff to provide an appropriate transition of care.
- Application of process improvement methodologies in evaluating outcomes of care.
- Coordination of communication with physicians, nursing, and staff of ancillary departments.
- Evaluation of care provided against the Length of Stay (LOS).
- Collaboration with Admissions to ensure accuracy of patient demographic and insurance information.
- Communication with patients and their families around medical plan of care and discharge plan.
- Assessment and plan for discharge needs and arrangements, including contributing to the multi-disciplinary care rounds and afternoon huddles in conjunction with Nursing.
- Supervises the staff with all case management process, including LOS, throughput, patient flow and denials and appeals management.
A day in the life of a Supervisor of Care Coordination at Hackensack Meridian Health includes:
- Troubleshoot any issues pertinent to case management to assist in managing LOS and patient throughput
- Provides direction to the interdisciplinary team as needed in difficult cases.
- Being able to obtain, interpret and present metrics related to case management to leadership and staff at HackensackUMC.
- Attend key meetings and present the information about existing social service processes.
- Take active role with any newly implemented departmental initiatives and processes.
- Determine areas of opportunities and suggest process improvement. i) Take a lead role in departmental preparation for JCAHO.
- Orients new Staff
- Directly supervises Care Coordination staff and their day to day responsibilities
- Involved in the hiring and recommendations for change
- Has staff that report directly to the supervisor to do Performance evaluations and disciplinary actions when necessary.
- Schedules staff for weekdays, weekends, and holidays coverage
Coordinates/facilitates patient care progression throughout the continuum.
- Works collaboratively and maintains active communication with physician, nursing, and other members of the multidisciplinary care team to effect timely and appropriate patient transitions of care.
- Identifies and resolves delays to discharge in a proactive manner.
- Seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge.
- Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues.
- Collaborates with the physician and all members of the multidisciplinary team to facilitate care for designated caseload; intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective; facilitates the following on a timely basis: i) Communication of all elements critical to the plan of care to the patient/family and members of the health care team. ii) Completion of treatment plan and discharge plan iii) Modification of plan of care, as necessary, to meet the ongoing needs of the patient iv) Communication to third-party payers and other relevant information to the care team v) Completion of all required documentation in the EPIC Case Management screens, and patient records
Manages all aspects of discharge planning for assigned patients.
- Meets directly with patient/family to assess needs and develop an individualized plan in collaboration with the physician.
- Collaborates and communicates with multidisciplinary team in all phases of discharge planning process, including initial patient assessment, planning implementation, interdisciplinary collaboration, teaching, and ongoing evaluation.
- Ensures/maintains plan consensus from patient/family, physician, and payer.
- Refers appropriately to the next level after discharge.
- Makes sure that discharge plan is safe to decrease readmissions back to the hospital
- Documents relevant discharge planning information in the EPIC Case Management department standards.
- Facilitates transfers to other facilities.
- Initiates calls/communication to managed care companies, on all patients as required for authorization to the next level of care
- Solicits 'Patient Choice' for support services post discharge and confirms in EPIC.
- Knowledgeable about Indigent Medication Programs.
- Notifies Registration of changes needed to produce accurate Face Sheet revisions.
- Refer appropriate patients to Financial Counselor.
Quality-Actively participates in clinical performance improvement activities by:
- Assisting in the collection and reporting of indicators tracking efficiency of Social Service processes.
- Use of data to drive to determines compliance of social service to JCAHO regulations as well as efficiency of the discharge planning process.
- Attends Service Line meetings Congestive Heart Failure, Geriatrics, Orthopedics and Neurosurgery when manager is not available
- Practices hospital service initiatives to improve HCAHPS scores.
- Arrange home medications for patients to avoid unnecessary admissions
Education, Knowledge, Skills and Abilities Required:
- Master Degree in Social Work or Registered Nurse with at least 4 year experience in an acute care setting.
- Excellent interpersonal communication and negotiation skills.
- Strong analytical, data management and PC skills.
- Current working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement.
- Understanding of post-acute community resources.
- Strong organizational and time management skills, as evidenced by a capacity to prioritize multiple tasks and role components.
- Ability to work independently and exercise sound judgment in interactions with physicians, payers, and patients and their families.
- Committed to scheduled weekend rotation to meet department needs, if necessary.
- Commitment to rotate to evenings, if necessary.
Education, Knowledge, Skills and Abilities Preferred:
- Licensed Clinical Social Worker or Registered Nurse with BSN.
Licenses and Certifications Required:
- NJ Licensed Social Worker or NJ State Professional Registered Nurse License.
Licenses and Certifications Preferred:
- NJ Licensed Clinical Social Worker or NJ State Professional Registered Nurse License with BSN.
If you feel the above description speaks directly to your strengths and capabilities, then please apply today!
As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.