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RN Case Manager
2 months ago
Join Hackensack Meridian Health as a RN Case Manager and play a vital role in coordinating patient care activities to ensure that care meets evidence-based practice standards and regulatory/payer requirements.
About the Role:The RN Case Manager will integrate and coordinate utilization management, care coordination, and discharge planning functions, working in collaboration with physicians, nursing, and other members of the multidisciplinary care team.
Key Responsibilities:- Facilitate the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement.
- Apply process improvement methodologies in evaluating outcomes of care.
- Coordinate communication with physicians, nursing, and staff of ancillary departments.
- Evaluate care provided against the Length of Stay.
- Collaborate with Admitting to ensure accuracy of patient demographic and insurance information.
- Communicate with patients and their families around medical plan of care and discharge plan.
- Assess and plan for discharge needs and arrangements, including leading multi-disciplinary care conferences and morning 'flash meetings' in conjunction with Nursing.
- Coordinates/facilitates patient care progression throughout the continuum.
- Graduate of a NLN/AACN accredited program in nursing a plus
- Bachelor's degree in nursing (BSN) or 1 year experience for non BSN HackensackUMC employees
- Excellent interpersonal communication and negotiation skills
- Strong analytical, data management and PC skills
- Current working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement
- Understanding of pre-acute and post-acute venues of care and post-acute community resources
- Strong organizational and time management skills, as evidenced by a capacity to prioritize multiple tasks and role components
- Ability to work independently and exercise sound judgment in interactions with physicians, payers, and patients and their families
- Committed to scheduled weekend rotation to meet department needs
- Commitment to rotate to evenings as required
- R.N. with at least 2 years clinical experience in the relevant clinical specialty (e.g., care managers for pediatric patients should have pediatric nursing experience) with a minimum of 2 of the 2 years in Case Management in an acute care setting
- Certified Case Manager
Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility
As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.
