Case Management Leader: Drive Transitions & Utilization

Pascack Valley Medical Center; Westwood (NJ); On-site; USD 90,000 - 120,000; Full time

Job summary

Pascack Valley Medical Center in Westwood, NJ seeks a Case Management Manager to lead the hospital's case management, social work, utilization review, and transitions of care. You will partner with hospital leadership and physicians to improve patient outcomes, optimize length of stay, and ensure regulatory compliance.

The role requires an RN license for nursing candidates and 1+ year of case management leadership experience; CCM/ACM certification is preferred.

Qualifications

• Must have RN license for nursing candidates.
• 1+ year of Case Management leadership experience.
• ACM or CCM certification preferred.

Responsibilities

• Oversee daily Case Management operations including utilization review and transitions of care.
• Collaborate with physicians, leadership, Revenue Cycle and interdisciplinary teams to improve patient outcomes.
• Monitor length of stay and readmission data; implement workflows to improve performance.
• Ensure compliance with federal and state regulations and organizational standards.
• Support Case Management staff through education, policy development, and training on regulatory requirements.

Skills

Case Management leadership

Education

Associate degree in Nursing

Bachelor’s degree in Social Work

Job description

Pascack Valley Medical Center in Westwood, NJ seeks a Case Management Manager to lead the hospital's case management, social work, utilization review, and transitions of care. You will partner with hospital leadership and physicians to improve patient outcomes, optimize length of stay, and ensure regulatory compliance.

The role requires an RN license for nursing candidates and 1+ year of case management leadership experience; CCM/ACM certification is preferred.