Clinical Care Coordinator

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. Are you a nurse who is looking for a change? Do you feel overwhelmed and spread too thin in your current job? A return to the HOME could make you fall in love with nursing all over again! Focus on one patient at a time with Hackensack Meridian Health At Home. Our nurses spend valuable and meaningful 1:1 time with patients in their homes, where they feel most comfortable. Do what you do best, with a flexible schedule in a setting with fewer distractions. Visiting Health Services of New Jersey (VHSNJ), a partnership between Hackensack Meridian Health and St. Joseph's Health, provides a comprehensive continuum of home health care and hospice services, support, and resources to patients and families in Passaic, Bergen, and parts of Morris counties. The VHSNJ multidisciplinary clinical and support teams provide high quality care to patients where they most want to be-in their homes.At Visiting Health Services of New Jersey and Hackensack Meridian Health, we recognize our full- and part-time benefit eligible team members by offering a Total Rewards package including: Comprehensive Health Benefits, generous Paid Time Off, Travel Reimbursement as well as an investment in your future with a 401k match and Tuition Reimbursement. Qualifications Education, Knowledge, Skills and Abilities Required: Associate's Degree in Nursing or Diploma Certificate in Nursing. Minimum of two (2) or more years RN Experience. Minimum of three (3) years certified home care experience. Excellent written and verbal communication skills. Proficient computer skills that include but are not limited to Google Suite and/or Microsoft Office platforms. Education, Knowledge, Skills and Abilities Preferred: OASIS certified. BSN. Licenses and Certifications Required: NJ State Professional Registered Nurse License. BLS AHA Basic Health Care Life Support HCP Certification. Responsibilities Responsible for assisting the clinical operation by providing telephonic case management as well as quality, patient satisfaction and process flow initiatives and reports to the Manager of Clinical Practice. Collaborates with specialists, other physicians, and professionals at local healthcare facilities and in the community, to provide home health services to patients in need of skilled nursing care. Coordinates care by ensuring effective communication and completion of treatments/procedures. Utilizes the nursing process (assessing, planning & implementing care) to provide nursing visits &/or manage a nursing case manager caseload, as needed. Provides comprehensive care and teaching to patients and families regarding the individualized plan of care. Applies clinical knowledge and skills (i.e., administration of medications, treatments, procedures, etc.) to safely provide direct patient care in a professional, caring, culturally- sensitive, and cost efficient manner; ensuring appropriate clinical coordination and support of patients and families. Assist client care coordinators in prioritizing patients in scheduling visits for case managers, through clinical chart/ documentation review and triage, ensuring timely starts of care. Functions as the patient advocate in coordinating patient care; including performing crisis intervention when required. Collaborates and confers with community agencies to identify resources that meet the patient's needs. Refers patients to community resources, as needed. Attends patient care conferences and staff meetings as needed. Communicates the patient's special needs to appropriate team members. Documents assessment and reassessment data, patient care activities, interventions, patient's responses, patient and family education, and discharge plans according to the plans of care, policies and procedures, etc., within predetermined timeframes. Identifies outcomes and patient's response to treatments and procedures to include the effectiveness of interventions and initiatives (to include pain management). Reports all significant or unexpected outcomes of interventions to the patient's physician. Identifies learning needs. Recognizes appropriate educational content and methodologies required to meet the patient's and/or family member's specific educational needs. Identifies learning readiness. Initiates learning activities. Delegates patient-specific tasks and activities to ancillary personnel based on competencies, regulatory, agency, and program-specific policies, procedures, and guidelines as required. Collaborates with support staff regarding delegated tasks &/or activity to ascertain if care was provided according to the care plan. Serves as a resource to the nursing staff, physicians, and other health care team members related to home care. Mentors current and new staff, when needed; participating in educational programs and workstreams. Run and review productivity, and clinical reports as well as conduct periodic audits of patient records for QAPI. Evaluates patient care practice in relation to individual team/patient satisfaction targets, and follow-up as needed. Work in EMR to review admissions and discharges, ensuring appropriate clinical documentation and OASIS accuracy if needed. Maintains personal growth and development by attending educational programs and workshops. Reviews current literature to maintain competencies and expertise in clinical practice. Other duties and/or projects as assigned. Adheres to HMH Organizational competencies and standards of behavior. Lifts a minimum of 50 lbs, pushes and pulls a minimum of 50 lbs and stands a minimum of 4 hours a day. Starting Minimum Rate Minimum rate of $97,011.20 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. #J-18808-Ljbffr