Care Coordinator, Utilization Management

Hackensack Meridian Health Inc.; Edison (NJ); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Competitive benefits

Cultural support and collaboration

Job summary

Hackensack Meridian Health Inc. is seeking a Care Coordinator for its team in Edison, New Jersey. In this role, you will be responsible for coordinating and facilitating the clinical progression of patient treatments, ensuring effective utilization of resources, and compliance with care standards.

Applicants must have a BSN or be in progress towards one within three years and hold a New Jersey State Professional Registered Nurse License. The position offers competitive benefits and requires excellent communication and decision-making skills.

Qualifications

• BSN or BSN in progress and/or willing to acquire within 3 years of hire.
• Familiar with hospital resources and utilization management.

Responsibilities

• Coordinate and facilitate the clinical progression of patient treatment.
• Manage length of stay and promote efficient resource utilization.
• Ensure care meets evidence-based standards and regulatory requirements.

Skills

Effective decision-making skills

Creativity in problem-solving

Excellent verbal skills

Excellent written skills

Excellent presentation skills

Moderate to expert computer skills

Education

BSN or BSN in progress

Job description

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay, promote efficient utilization of resources and ensure that care meets evidence-based practice standards and regulatory/payor requirements and follows the state of New Jersey regulations for Nursing.

Education, Knowledge, Skills and Abilities Required

• BSN or BSN in progress and/or willing to acquire within 3 years of hire or transfer into the position.
• Effective decision-making skills, demonstration of creativity in problem-solving, and influential leadership skills.
• Excellent verbal, written and presentation skills.
• Moderate to expert computer skills.
• Familiar with hospital resources, community resources, and utilization management.

Licenses and Certifications Required

• NJ State Professional Registered Nurse License.
• AHA Basic Health Care Life Support HCP Certification.

Licenses and Certifications Preferred

• Certified Case Manager (CCM), Certified Clinical Medical Assistant (CCMA), or American Case Management Association (ACMA) certification strongly preferred.