Care Navigator: Utilization & Care Coordination

Hackensack Meridian Health; 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

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