Care Coordinator - SJ
St Joseph'S/Candler
- Position Summary
- The care coordinator assumes responsibility and accountability for the collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet an individual's health needs, using communication and available resources to insure quality, cost-effective outcomes. Closely monitors length of stay for all assigned patients
- Education
- Bachelor's Degree in Nursing - Preferred or Master's Degree in Social Work - Preferred
- Experience
- 1-2 Years of nursing or social work experience - Required
- 3 - 5 Years of case management experience in acute care setting - Preferred
- License & Certification
- Professional License with State of Practice - Required for Nurse; Preferred for Social Worker
- National Certification in Case Management - Preferred
- Core Job Functions
- Performs brief assessment, readmission risk assessment, and 6 clicks mobility assessment within one business day of admission. Discuss discharge-planning needs with patient, family, and care team to determine most effective coordination of resources. Ensures patient/family/caregiver is aware of and agreeable to expected day of discharge. Reassess and document updates to discharge plan every 2 days including patient understanding or refusal of plan.
- Collaborates with Social Workers for complex-patient problem resolution. Resolves outstanding or unanticipated discharge issues through communication with patient, family, and care team. Schedule regular family conferences to maintain communication. Presents and discuss high-risk complex patients at high risk LOS / Complex Care rounds with CCC leadership. Discuss barriers with the attending physician and if unsuccessful, escalate to leadership and Physician Advisor.
- Attend MDRs per department standard operating procedure. Provide GMLOS, actual LOS, and expected date of discharge for every patient each day. Focus MDR team's attention on identifying barriers to discharge and creating plan of action to address the barriers. Provide insights on appropriate patients status and level of care. Review action items created during MDRs at the daily 2pm touchpoint meetings to determine resolution versus need for additional action
- Identifies patients who are readmissions or at high risk of extending their stay beyond the GMLOS and take actions to minimize avoidable days. Documents avoidable days per department standard operating procedure.
- Proactively interacts with Utilization Management team and attending physicians to review admission status and prevent inpatient denials. Prioritizes review of SDC and Observation patients to determine if ready for discharge. Follows payer requirements and government regulations to ensure compliant, safe, and cost-effective care.
- Maintains communication with care team by checking voice mail and email at minimum every 2 hours, completes required documentation by the end of the workday, adheres to on-call schedule and works holidays/covers weekend WOW absences as scheduled, and provides handoffs by email to team members as patients transition through the continuum of care. Provides weekend / on-call / PTO handoff.
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Care Coordinator - SJ in Savannah, GA vacancy
- ...Our Company Adoration Home Health and Hospice Overview The Care Transition Coordinator (CTC) plays a pivotal role in facilitating seamless transitions for patients from healthcare facilities to home health or hospice care. This position is responsible for evaluating...SuggestedFull timeWork at office
- ...Job Functions Assists in development and implementation of care plans based on level of need. Evaluate client's medical and health... ...with client/caregiver, physicians and providers to facilitate coordination of service. Manages provider requests for service changes based...Suggested
- ...Job Description Job Description Come Join our Team! Oaks Senior Living is currently recruiting kind hearted Care Partners who have a passion for working with Seniors. Our culture centers around a Person Centered Lifestyle with great core values and a dedication...SuggestedHourly payReliefShift workWeekend work
$16 - $18 per hour
...Care Team Lead (Scheduling & Field Operations) Full-Time NON-Exempt | 40-50+ Hours | On-Call Required | Savannah and all of Chatham County Position Overview Senior Helpers of Chatham County is hiring a Care Team Lead to supervise a team of caregivers, ensuring...SuggestedFull timeSecond jobImmediate startTrial periodAll shiftsShift workNight shiftWeekend work- ...Health and discover your future today! This job conducts care management focused on social determinants and chronic disease management... .... Active facilitator in interdisciplinary care planning and coordination. Working knowledge and confidence in utilizing health...SuggestedWork experience placementLocal areaImmediate start
- ...services, and community resources, ensuring seamless access to care and improving the quality-of-service delivery. This role includes... ...closely with facilities and families to ensure accessible, coordinated, and compassionate care. Why Choose a Career at Your Health?...Full timeRemote workFlexible hoursShift work
$44.77k
...serve as Full-time Flex Houseparents. In this unique and life-changing career, couples reside in on-campus student homes and provide care, guidance, supervision, and support for a group of approximately 8–13 students living in the home. Flex Houseparents play a vital...Full timeRelocationRelocation packageFlexible hoursWeekday work- Position Summary This position is responsible for final coding of outpatient account types. Clinical Coding Specialist must be able to assign ICD-10-CM and CPT codes to outpatient encounters including emergency department visits, clinic visits, oncology treatment visits...Local areaRemote work
$300k
...OUTPATIENT PRIMARY CARE OPPORTUNITYCOMMUNITY Savannah Georgia, the hostess city of the South, leaves nothing to be desired. Truly one of the hottest real estatemarkets due to the Atlantic Coast, historically preserved vintage (including Greek revival) & luxury real estate...Permanent employmentLocal areaRelocation packageMonday to Friday- ...achieve exceptional quality outcomes by leading a world-class Care Team. Our empowered and dedicated Care Team strives to exceed the... ...Clinical Reimbursement Specialist, you will be responsible for coordinating and overseeing the MDS process for multiple facilities within...Local areaHome office
- ...Savannah Inc. - SAVANNAH, GA 31406 The Clinical Services Specialist assists the Clinical Manager with the coordination and supervision of the day-to-day patient care operations of the Home Care department, including personnel, quality of care, and compliance with Hospice...Full timeCasual workWork at officeLocal areaAfternoon shift
- ...Technologist in Savannah, GA. Use your expertise to perform invasive diagnostic and interventional procedures and support high-acuity patient care in a hospital-based angiography/interventional lab. You will operate and maintain imaging equipment, monitor patients during...Shift work
- ...Radiologic Technologist program. ~ Current BLS certification. ~ Current state radiologic technologist license for Georgia. ~ Critical care, ICU or ER experience required. ~ Experience with Angio/IR procedures including stroke and trauma care. ~ Experience with...Weekly payShift work
$112 per hour
...provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve...Bi-weekly payPrivate practiceRemote work$22.22 - $23 per hour
...build the lives they want. You'll collaborate with a dedicated team that focuses on areas like housing, employment, therapy, medical care, and substance use support. In this role, you'll: Partner with clients to create personalized service plans based on their...Hourly payFull timeLocal areaImmediate startFlexible hoursShift workDay shift- ...Responsibilities Works independently to manage all aspects of case management within the program requirements. Develops, implements, coordinates, reviews and updates case management and service plans for ISAP participants in conformance with state and federal regulations...Contract workTemporary workLive inWork at officeLocal areaFlexible hours
- ...barriers such as poor credit or past evictions. Provide ongoing case management, including regular home visits and check-ins. Coordinate supportive services such as employment assistance, mental health counseling, and substance abuse treatment. Maintain accurate...Local area
- ...insurance Paid time off Vision insurance Job description: Home Helpers is looking to hire an outgoing individual as our Care Logistics Manager to accommodate growth in our company. This position will be the primary point of contact for our caregivers and our...Work at officeShift work
- ...and performance improvement assessments. Serves as a resource for case management personnel and assists with problem-solving and care planning as needed. Assists manager with preparing for and conducting department meetings, conferences, and training sessions....
- ...of our team, where integrity, respect, accountability, and collaboration are among our core principles. Work with a dedicated and caring organization and start doing your life's best work. Nite Lines USA is looking for a PRN Case Manager to join our team! This position...Hourly payContract workReliefLive inImmediate start
$22.22 - $23 per hour
...build the lives they want. You'll collaborate with a dedicated team that focuses on areas like housing, employment, therapy, medical care, and substance use support. In this role, you'll: Partner with clients to create personalized service plans based on their...Hourly payFull timeLocal areaImmediate startFlexible hoursShift workDay shift- ...Assistant (CNA) Opportunity Senior Helpers of Chatham County is hiring Certified Nursing Assistants (CNAs) to provide one-on-one care for seniors in their homes. If you became a CNA because you truly care about helping people, we would love to meet you. Our caregivers...Temporary workLocal areaFlexible hoursShift workNight shiftDay shiftAfternoon shift
- ...well-respected employers in the Southeast. St. Joseph s/Candler (SJ/C) is a faith-based, not-for-profit health system featuring two of... ...Excellence six times. Its comprehensive network includes primary care and specialty practices across a 33-county region. The system...Temporary workWork at officeWorldwide
- ...Educator role will be utilized to improve the overall quality of care within the Medical/Surgical unit. This job will help prepare... ...Core Job Functions Assesses for educational opportunities and coordinates appropriate resources to meet the needs of Patient Care goals....Work experience placementFlexible hours
$15 - $16 per hour
...Benefits: Competitive salary Flexible schedule Opportunity for advancement Training & development Assisting Hands Home Care is now hiring caregivers and PCAs in Pooler, GA and surrounding areas. We are a private home care provider, offering one-on-one...Hourly payImmediate startFlexible hoursShift workNight shiftWeekend workDay shiftAfternoon shiftWeekday work- ...Dental Assistant – Hands-On Patient Care At Chatham Dental Care, we take pride in delivering high-quality, patient-centered care in a warm, welcoming environment. We believe in building strong relationships with our patients and each other and creating a workplace...
$15 - $16 per hour
...Competitive salary Flexible schedule Opportunity for advancement Training & development Assisting Hands Home Care is now hiring caregivers and PCAs in Savannah, GA and Chatham County . As a private home care provider , we deliver one-on-...Hourly payImmediate startFlexible hoursShift workNight shiftWeekend workDay shiftAfternoon shiftWeekday work- ...and local laws governing nondiscrimination in employment. Job Description: We are seeking CNA/PCA candidates who are passionate, caring, positive, honest, communicative, and professional. Comfort Keepers hires on a PRN basis, and asks employees keep flexible...ReliefLive inLocal areaImmediate startFlexible hours
- ...Posting Date 05/29/2026 540 East Oglethorpe Ave, Savannah, Georgia, 31401, United States of America DaVita is hiring a Patient Care Technician (PCT) to support patients with end-stage renal disease in an outpatient dialysis clinic. As a PCT, you'll provide direct,...Minimum wageLocal areaFlexible hoursShift workDay shiftAfternoon shift
- ...Patient Care Technician DaVita is seeking a Patient Care Technician who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in the lives of our patients and their families dealing with end-stage renal failure or chronic...Flexible hoursShift workWeekend workDay shiftAfternoon shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Care Coordinator - SJ. Be the first to apply!



