Care Coordinator, Utilization Management Specialist

3 days ago


Neptune City, New Jersey, United States Hackensack Meridian Health Full time
About the Role

We are seeking a highly skilled Care Coordinator, Utilization Management to join our team at Hackensack Meridian Health. As a key member of our healthcare team, you will be responsible for coordinating, communicating, and facilitating the clinical progression of patient treatment.

Key Responsibilities
  • Conduct thorough reviews of medical records to determine the appropriateness of patient admissions and continued hospital stays.
  • Collaborate with multidisciplinary teams to support length of stay reduction and observation management goals.
  • Develop and implement effective care plans to ensure efficient utilization of resources and adherence to evidence-based practice standards.
  • Communicate with patients, families, and healthcare providers to ensure seamless care transitions.
  • Participate in quality improvement initiatives to identify and address areas for improvement.
Requirements
  • Bachelor's degree in Nursing (BSN) or progress towards BSN within 3 years.
  • Effective decision-making skills, creativity in problem-solving, and influential leadership skills.
  • Excellent verbal, written, and presentation skills.
  • Moderate to expert computer skills.
  • Familiarity with hospital resources, community resources, and utilization management.
Preferred Qualifications
  • NJ State Professional Registered Nurse License.
  • AHA Basic Health Care Life Support HCP Certification.
  • Care Management certification by a nationally recognized organization within 1 year.


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