Top 588 Care coordinator Jobs in Upper Saddle River Nj

TOC Care Management Coordinator
HAMASPIK CHOICE INC —Spring Valley, NY
- $22 - $26 an hour
- Full-time
- Microsoft Word
- Mid-level
- Continuous improvement
- Health insurance
- Dental insurance
Quick Apply
8d
Client Care Coordinator
Holisticare —Monsey, NY
- $45,000 - $50,000 a year
- Full-time
- Hybrid work
- Spanish
- Bachelor of Science
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Care Coordinator
The Bridge Inc. —New York, NY
- $40,000 - $45,000 a year
- Full-time
- Background check
- Spanish
- Addiction Medicine
- Health insurance
- Dental insurance
Quick Apply
Patient Care Coordinator - Dr. Gregory Kazarian
Hospital for Special Surgery —Paramus, NJ
- $26.65 - $40.87 an hour
- Full-time
- Microsoft Excel
- Typing
- Associate's degree
Client Care Coordinator
SkinSpirit —Park Ridge, NJ
- $20 - $28 an hour
- Full-time
- Microsoft Outlook
- Sales
- Computer literacy
- Paid holidays
- Health insurance
Care Coordinator - NYC
Atria Health and Research Institute —New York, NY
- $85,000 - $100,000 a year
- Weekends as needed
- 5 years
- Urgent Care
- HIPAA
- Health insurance
- 401(k) 4% Match
Quick Apply
Client Care Navigator
Care Plus NJ, Inc. —Paramus, NJ
- $24.04 an hour
- Full-time
- Spanish
- Driver's License
- Bachelor's degree
- AD&D insurance
- Disability insurance
Quick Apply
Patient Care Coordinator
CareSphere —Woodcliff Lake, NJ
- $22 - $23 an hour
- Full-time
- Mid-level
- Conflict management
- Organizational skills
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7d
Client Care Coordinator
Serenium Therapy & Wellness —Hackensack, NJ
- $50,000 - $60,000 a year
- Full-time
- Medical office experience
- Mid-level
- Travel reimbursement
- Paid holidays
Quick Apply
Patient Care Coordinator/Receptionist
Iron Physical Therapy —Midland Park, NJ
- $18 - $23 an hour
- Part-time
- Background check
- Medical office experience
- Physical & Rehabilitation Medicine
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PESP ARRIVE Together Care Coordinator
Care Plus NJ, Inc. —Paramus, NJ
- $24.04 an hour
- Full-time
- Bachelor of Science
- Adults
- Driver's License
- AD&D insurance
- Disability insurance
Quick Apply
Assistant Manager, Care Coordination
Kibo Care Inc. —New York, NY
- $96,720 - $132,750 a year
- Full-time
- Hybrid work
- Spanish
- Medical office experience
- Mid-level
- Health savings account
- Relocation assistance
Quick Apply
Patient Care Coordinator
JC Endodontics —Paramus, NJ
- $25 - $30 an hour
- Full-time
- Dental office
- Office
- In-person
- Health insurance
- 401(k)
Quick Apply
2d
Treatment Care Coordinator
Emerson Dental —Emerson, NJ
- $26 - $32 an hour
- Part-time
- Dental office
- Administrative experience
- Organizational skills
- 401(k)
- 401(k) matching
Quick Apply
Patient Care Coordinator- Peds
Hospital for Special Surgery —New York, NY
- $26.65 - $40.87 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Ability to lift 50 pounds
Patient Care Coordinator - Dr. Matthew Abola
Hospital for Special Surgery —New York, NY
- $26.65 - $40.87 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Ability to lift 50 pounds
Patient Care Coordinator
Progressive Spine and Orthopaedics LLC —Glen Rock, NJ
- Full-time
- Bilingual
- HIPAA
- Administrative experience
Quick Apply
DSNP Care Coordinator
Healthfirst —New York, NY
- $48,600 - $65,960 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Associate's degree
- Health insurance
- Dental insurance
3h
Patient Care Coordinator
Alliance Orthopedics —Fair Lawn, NJ
- $45,000 - $55,000 a year
- Full-time
- Background check
- Bachelor of Science
- Mid-level
Quick Apply
2d
Medical Device, Service Coordinator
PENTAX Medical —Montvale, NJ
- $45,000 - $60,000 a year
- Microsoft Excel
- Mid-level
- Administrative experience
- Paid holidays
- Paid time off
Quick Apply

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TOC Care Management Coordinator

HAMASPIK CHOICE INC -
Spring Valley, NY

Quick Apply

Job Details

Full-time
$22 - $26 an hour
8 days ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Microsoft Word
Collaborate with healthcare professionals
Medicare
Managed care
Electronic health records (EHR) management
Word embeddings
Care documentation
Records management
Collaboration with community partners
Managing patient records

Full Job Description

Job Summary:

The Transitions of Care (TOC) Coordinator manages daily patient admissions and discharges, ensuring timely communication and documentation across healthcare facilities to support continuity of care. This role involves tracking patient movement, coordinating with providers, managing system documentation in Guiding Care, and ensuring regulatory compliance with HEDIS and CMS guidelines.

Admission & Discharge Management

Reconcile RHIO and Hamaspik Central alerts daily to identify Emergency Department, Observation, Inpatient, Skilled Nursing Facility (SNF), Behavioral Health, and Rehabilitation admissions and discharges.
Distribute daily admission and discharge notifications to the Medicare TOC Team and Utilization Management.
Monitor admissions and discharges throughout the day and communicate significant updates to the TOC team.

Care Coordination

Contact hospitals, Skilled Nursing Facilities (SNFs), rehabilitation centers, and other facilities to obtain member status updates.
Monitor anticipated discharge dates and communicate discharge readiness to the assigned TOC RN.
Notify the TOC RN of changes in member status, barriers to discharge, and important clinical updates requiring intervention.
Coordinate with facility staff to obtain discharge plans and discharge disposition.
Schedule timely post-discharge appointments with Primary Care Providers (PCPs).
Schedule specialty appointments as requested to support continuity of care.
Coordinate communication between facilities, providers, TOC Nurses, Care Managers, Utilization Management, and other interdisciplinary team members.
Assist in removing barriers that may delay discharge or impact a successful transition back to the community.
Support continuity of care by ensuring appropriate follow-up services are coordinated after discharge.

Guiding Care Documentation

Create, update, and close Service Interruptions (SI) for Emergency Department, Observation, Inpatient, SNF, Behavioral Health, and Rehabilitation stays.
Complete MAP and DSNP Hospitalization/SNF/Behavioral Health Admission Notification scripts accurately and within required timeframes.
Verify facility information using NPPES and authorization records.
Maintain complete, accurate, and timely documentation within Guiding Care.

Provider Notifications

Prepare and fax Notifications of Admission (NOA), Transfers, and Discharges to Primary Care Providers within required timeframes.
Upload notifications and fax confirmations into Guiding Care.
Obtain missing PCP contact information when necessary.
Ensure discharge summaries and supporting documentation are forwarded to PCPs in accordance with HEDIS Transitions of Care requirements.

Discharge Summary Coordination

Request and obtain discharge summaries from hospitals and facilities.
Perform ongoing follow-up until discharge summaries are received.
Review discharge summaries to ensure required HEDIS Transitions of Care elements are present.
Coordinate with TOC Nurses and Utilization Management regarding missing or incomplete discharge documentation.
Ensure discharge documentation is distributed timely to PCPs.

Internal Workflow Coordination

Generate and assign activities for interruption of services during inpatient admissions.
Generate notification of change in member status activities to assigned Care Managers.
Generate resumption of services activities following member discharge.
Coordinate with Authorization, DME, Home Care, Transportation, Vendor Management, and other internal departments to ensure services are suspended and resumed appropriately.

Quality & Compliance

Maintain and update the HEDIS Transitions of Care (TRC) tracker accurately and in real time.
Ensure all TRC components, including Notifications of Admission, Notifications of Discharge, PCP notifications, discharge summaries, and supporting documentation, are entered completely and accurately.
Monitor TRC compliance timelines to ensure all required activities are completed within established regulatory and organizational timeframes.
Review the tracker daily for completeness, identify outstanding items, and follow up to resolve missing documentation or overdue tasks.
Collaborate with TOC Nurses, Care Managers, Utilization Management, and other departments to obtain information needed to maintain an accurate and compliant TRC tracker.
Support HEDIS, CMS Star Ratings, and internal quality initiatives by ensuring the accuracy, timeliness, and integrity of all TRC data and documentation.
Identify discrepancies, trends, or potential compliance risks and escalate issues to leadership promptly.
Participate in quality audits and process improvement initiatives to enhance the accuracy and efficiency of the Transitions of Care program.

Required Skills

Excellent organizational and time management skills.
Strong communication and interpersonal skills.
Ability to manage multiple priorities in a fast-paced environment.
Strong attention to detail and documentation accuracy.
Knowledge of Medicare Advantage, DSNP, and Managed Long-Term Care workflows.
Experience with RHIO, Guiding Care, Hamaspik Central, and electronic medical records.
Ability to work collaboratively with interdisciplinary teams, providers, hospitals, and community partners.
Working knowledge of Excel and Word.

Benefits:

Medical, dental, and vision insurance
Generous PTO package
Multiple floating holidays
401 (K) with employer contribution

Quick Apply

Refine Your Search

care coordinator jobs in upper saddle river nj

TOC Care Management Coordinator

Client Care Coordinator

Care Coordinator

Patient Care Coordinator - Dr. Gregory Kazarian

Client Care Coordinator

Care Coordinator - NYC

Client Care Navigator

Patient Care Coordinator

Client Care Coordinator

Patient Care Coordinator/Receptionist

PESP ARRIVE Together Care Coordinator

Assistant Manager, Care Coordination

Patient Care Coordinator

Treatment Care Coordinator

Patient Care Coordinator- Peds

Patient Care Coordinator - Dr. Matthew Abola

Patient Care Coordinator

DSNP Care Coordinator

Patient Care Coordinator

Medical Device, Service Coordinator

I want to receive the latest job alert for care coordinator in upper saddle river nj

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