Care Coordinator, Utilization Management Specialist

4 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 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
  • Coordinate and communicate with patients, families, and healthcare teams to ensure seamless care transitions.
  • Conduct thorough assessments of patient needs and develop effective care plans to optimize resource utilization.
  • Collaborate with multidisciplinary teams to identify and address potential barriers to care, promoting efficient length of stay and resource utilization.
  • Ensure compliance with regulatory and payor requirements, as well as state of New Jersey regulations for nursing.
  • Participate in quality improvement initiatives and contribute to the development of policies and procedures to enhance patient care and outcomes.
Requirements
  • Bachelor's degree in Nursing (BSN) or currently pursuing BSN with completion within 3 years.
  • Effective decision-making and problem-solving skills, with the ability to influence and lead cross-functional teams.
  • Excellent verbal, written, and presentation skills, with moderate to expert computer proficiency.
  • Familiarity with hospital resources, community resources, and utilization management principles.
  • NJ State Professional Registered Nurse License and AHA Basic Health Care Life Support HCP Certification required.
  • Care Management certification by a nationally recognized organization within 1 year.


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