Care Coordinator, Utilization Management RN

2 months 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
  • Conduct thorough reviews of patient medical records to determine the necessity of hospital stays and identify opportunities for cost savings.
  • Collaborate with physicians, nurses, and other healthcare professionals to develop and implement effective care plans that meet the needs of patients and align with evidence-based practice standards.
  • Communicate with payers and other stakeholders to ensure that patient care meets regulatory and contractual requirements.
  • Participate in multidisciplinary rounds and contribute to the development of strategies to reduce length of stay and improve patient outcomes.
  • Provide education and support to patients and families to ensure a smooth transition to post-acute care.
Requirements
  • Bachelor's degree in Nursing (BSN) or currently enrolled in a BSN program.
  • Current RN licensure in the state of New Jersey.
  • Excellent communication and interpersonal skills, with the ability to work effectively with patients, families, and healthcare teams.
  • Strong analytical and problem-solving skills, with the ability to interpret complex data and make informed decisions.
  • Proficiency in electronic medical records and other healthcare software systems.


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