Post Acute Care Coordinator

Job Title : Coordinator Clinical Location : SBC

Corporation Department Name : Accountable Care Organization Req :

0000213537 Status : Salaried Shift : Day Pay Range : $57,000.00 -

$90,000.00 per year Pay Transparency : The above reflects the

anticipated annual salary range for this position if hired to work

in New Jersey. The compensation offered to the candidate selected

for the position will depend on several factors, including the

candidate's educational background, skills and professional

experience. Job Overview : As part of RWJ Barnabas Health Population

Health team you will play an instrumental role in a department that

is providing fully coordinated patient care from a holistic

approach to improve the overall care of patients who are part of

the value-based, ACO, and bundled payment programs across the

healthcare continuum by ensuring the population receives the right

care, at the right time, by the right team. As a member of the

patient’s multidisciplinary team in the Post Acute setting, the

Post-Acute Care Coordinator – LPN, RN, PT, OT, RT or SW evaluates

the treatment plan and goals of care at the Post-Acute Care

facility. The Post-Acute Care Coordinator partners with the

clinical team at the Post-Acute care facilities to ensure patients

are progressing towards discharge goals as well as coordinating

next site of care discharge planning and ensure timely follow up

with providers and service in the community. The Post-Acute Care

Coordinator also works with other Population Health programs to

assist patients in transitioning to the next site of care.

Qualifications : Required : 3-5 years’ experience in managing

relationships between acute and post-acute facilities Previous work

experience in the Post-Acute Care Setting Must have the ability to

travel to post-acute sites and hospital sites. Must have strong

organizational skills, with an ability to prioritize multiple tasks

and deadlines Strong leadership skills to achieve buy-in and

collaboration toward objectives Must be able to travel throughout

New Jersey Preferred : Knowledge of various Value Based Programs

Licenses Required : These constitute the baseline clinical

certification requirements NJ LPN- Certificate NJ RN- Associates NJ

Physical Therapy- Certificate NJ Occupational Therapy- Certificate

NJ Respiratory Therapy Certificate NJ LSW Associates Scheduling

Requirements : M-F, FT 9 : 00A—5 : 00P This role requires weekly travel

throughout the state of New Jersey. Essential Functions : Performs

initial and on-going assessments of patient's condition during and

after a post-acute episode. Establishes, revises and evaluates a

plan of care which is appropriate to problems identified and

involves the patient / family. Participates in multidisciplinary

rounds with the clinical team in the Post Acute Care setting to

create a collaborative care plan for patients that are patient and

family centered, follows evidence based clinical guidelines and

promotes the best outcome for the patient. Provides for continuity

of care by participating in discharge planning with the Post Acute

Care facilities and their team members and other health care

providers as appropriate, providing home instructions, recommending

and / or providing equipment / home modifications, and recommending

appropriate follow-up care if needed. Provides education to staff

by assessing the patient / family educational needs. Maintains

appropriate documentation that details the patient's response to

therapy and the need for skilled intervention as outlined by

regulatory bodies. Provide resources and education to Post Acute

Care facilities on readmissions. Serves as a resource for the Post

Acute Care facilities. 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. 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