Care Management, Care Coordinator, Utilization Management

JERSEY SHORE UNIVERSITY MEDICAL CENTER; Neptune Township (NJ); On-site; USD 90,000 - 110,000; Full time

Job summary

Hackensack Meridian Health is seeking a Care Coordinator, Utilization Management within Care Management to coordinate, communicate, and facilitate the clinical progression of patients' treatment. You will manage a designated patient caseload, plan to optimize length of stay, ensure evidence-based care meets regulatory and payor requirements, and work within New Jersey regulations for nursing.

Strong decision-making, problem-solving, leadership, and communication skills are essential, along with

Qualifications

• 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.

Responsibilities

• Coordinate, communicate, and facilitate the clinical progression of the patient's treatment.
• Accountable for a designated patient caseload; plan effectively to manage length of stay and resource utilization.
• Ensure care meets evidence-based practice standards and regulatory/payor requirements and follows New Jersey nursing regulations.

Skills

Decision making

Problem solving

Leadership

Communication skills

Computer skills

Utilization management

Education

BSN or BSN in progress

NJ State RN License

ACMA/CCM/CCMA certifications preferred

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.