Care Coordinator, Utilization Management RN

2 weeks ago


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

Hackensack Meridian Health is seeking a skilled Care Coordinator, Utilization Management RN to join our team. 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
  • Manage a designated patient caseload, planning effectively to reduce length of stay and promote efficient resource utilization.
  • Collaborate with multidisciplinary teams to support length of stay reduction and observation management goals.
  • Perform admission reviews, continued stay reviews, and termination of benefits, ensuring compliance with regulatory and payor requirements.
  • Communicate with insurance companies, physicians, and other stakeholders to ensure seamless care coordination.
  • Participate in quality improvement initiatives and identify areas for process improvement.
Requirements
  • BSN or BSN in progress, with a willingness to acquire within 3 years of hire.
  • Effective decision-making skills, creativity in problem-solving, and influential leadership skills.
  • Excellent verbal, written, and presentation skills.
  • Moderate to expert computer skills, with proficiency in Epic, Xsolis Cortex, and Google Suites.
Preferred Qualifications
  • Certified Case Manager (CCM), Certified Clinical Medical Assistant (CCMA), or American Case Management Association (ACMA) certification.
About Hackensack Meridian Health

Hackensack Meridian Health is a leading healthcare organization committed to delivering exceptional patient care and advancing the art of medicine. Our team members are the heart of what makes us better, and we are dedicated to supporting one another and our community.



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