Population Care Coordinator

About the organization

Cooper Norcross Health, formerly Cooper University Health Care, is a leading academic health system affiliated with Cooper Norcross Medical School of Rowan University. Headquartered in Camden, New Jersey, Cooper Norcross Health has revenues of more than $3 billion and an A+ credit rating from both S&P and Fitch Ratings. The health system has nearly 14,000 team members, including more than 2,200 nurses, more than 1,200 employed physicians representing 95 specialties and subspecialties, and more than 700 advanced practice providers. It operates MD Anderson Cancer Center at Cooper as well as four hospitals: the 663-bed flagship Cooper Norcross University Hospital in Camden, the 229-bed Cooper Norcross University Hospital Cape Regional in Cape May Court House, Children's Hospital at Cooper Norcross Health in Camden, and The Recovery Village Cherry Hill at Cooper, a substance abuse rehabilitation and inpatient treatment facility in partnership with American Recovery Services. Cooper Norcross University Hospital in Camden is the only Level 1 Trauma Center in South Jersey and the busiest in the region. The hospital has been recognized as a top-performing regional hospital by U.S. News & World Report's Best Hospitals annual survey for eight years. More than 2.54 million patients visit Cooper Norcross Health facilities annually. Its ambulatory network encompasses three outpatient surgery centers, seven urgent care centers, a wound care center, and more than 130 physician, physical therapy, and radiology offices extending from the Delaware River to the New Jersey shore. Cooper Norcross Health, a not-for-profit health system, was named one of America's Best Large Employers for 2026 by Forbes, ranking among the top 200 in the nation.

Responsibilities

• Support and participate in Patient-centered Medical Home (PCMH) concepts of care coordination and team-based care.
• Assess, plan, implement, coordinate, monitor, and evaluate healthcare options and services to improve the health status of identified populations across the continuum.
• Follow established PCC workflow for utilization and self-management support.
• Participate in PCMH activities including hospital discharge follow-up, care planning, coordination of services, and communication between care providers.
• Collaborate with patients' medical/health and community-based providers to establish mutual goal-setting with patients and their families/caregivers, utilizing self-management tools.
• Provide outreach, care management, and education for disease self-management per patient-centered goals.
• Identify, document, and mitigate patient barriers to improved outcomes.
• Monitor and evaluate services and community-based resources necessary to respond to individual members' health needs.
• Provide telephonic and/or in-practice outreach, disease management and/or case management, education, and other clinically based activities for target populations.
• Conduct assessments, develop nursing treatment plans and interventions, and set goals for treatment plans/behavioral modifications within scope of licensure in collaboration with other care providers.
• Assist physicians and other team members in developing and implementing evidence-based practices and care plans for target health populations.
• Collect data on quality metrics and track as required for improvement efforts.
• Participate in process/quality improvement initiatives to achieve targets as defined by organizational/department goals and objectives.

Requirements

• 5 years or more clinical experience
• Experience in primary care, population or case management preferred
• Current NJ RN License

Pay

USD $37.00 – $61.00 per hour