The Nurse Care Coordinator (CC) is a key role in managing patient outcomes and quality initiatives in the primary care setting. The CC is part of a multidisciplinary health care team focused on coordination of patient-centered care and health coaching. The CC concentrates on the needs of the most complex patients, implements work flows for managing care transitions, and provides population management for those with chronic diseases. This is a full-time, onsite position located in our Verona, NJ office.

Role reports to: Director, Care Coordination

Location: Verona, NJ office

Responsibilities

• Contact and manage patients who experience a transition of care (inpatient stay or ED visit) within 48 hours, ensuring that the discharge plan of care is implemented. This includes medical and functional assessments, medication reconciliation, referrals to VNA, behavioral health referrals, and scheduling appropriate follow-up appointments;
• Work in collaboration with health care team and other CCs to identify, stratify and manage high risk patients, providing a care plan with self-management goals and documenting care activities in the EHR;
• Use data from various technology platforms including the EHR, ACO partners, payers, hospital portals, and web applications to meet value-based requirements;
• Monitor that appropriate home care, hospice care or other ancillary services (DME, infusion services, etc) are in place and being delivered as directed by the primary care team;
• Implement population management strategies for patients supported by technology-based tracking and incorporating best practices guidelines for preventive and disease screening;
• Facilitate patient engagement activities through patient education which is focused on self-care, personal goal-setting, and partnering with the provider for best outcomes;
• Maintain professional competencies through attending continuing education courses and ensure that all licensure and certification credentials are consistently current.

• Current, active, and unrestricted NJ Registered Nurse license, BS degree preferred
• Certified Case Manager (CCM) certification a plus
• 3 years of experience preferred in case management, direct patient care, home care, or with insurance company

• Strong analytical skills using clinical judgment and case management experience
• Persuasive interpersonal skills required; ability to influence others while motivating them to change
• Able to prioritize and balance work responsibilities in a high volume environment
• Takes initiative in finding solutions to difficult and/or sensitive problems
• Effective communication skills with varied staff on the health care team
• Active NJ driver license
• Able to travel to VMG sites and outside locations for training and meetings

The annualized anticipated base annual salary for this Nurse Care Coordinator ranges from $88,000 to $96,000. Additionally, this position offers an opportunity for annual bonus, and other benefits.

Other benefits offered include a 401K retirement savings plan, paid time off (vacation/personal days, holidays, and sick time), and health benefits (medical, prescription drug, dental and vision insurance).

Please note that individual total compensation for this position will be determined at the Company's sole discretion and may vary based on several factors, including but not limited to location, skill level, years and depth of relevant experience, and education.

EEOC Statement: Vanguard Health Solutions is an Equal Opportunity Employer. We are committed to creating a diverse and inclusive environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

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