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RN Case Manager

2 months ago


Hackensack, New Jersey, United States Recruitics JB Full time
About the Role

We are seeking a skilled RN Case Manager to join our team at Hackensack Meridian Health. As a key member of our care coordination team, you will play a critical role in ensuring that our patients receive high-quality, evidence-based care that meets their unique needs.

Key Responsibilities
  • Coordinate patient care activities to ensure that care meets evidence-based practice standards and regulatory/payer requirements.
  • Integrate and coordinate utilization management, care coordination, and discharge planning functions.
  • Facilitate 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.
Requirements
  • Case Manager, Registered Nurse 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.
Preferred Qualifications
  • 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