Case Manager - Per Diem - Day

Hackensack Meridian Health; Brick Township (NJ); On-site; USD 50,000 - 72,000; Full time

Benefits offered by this job

Health benefits

Dental benefits

Vision benefits

Paid leave

Tuition reimbursement

Retirement benefits

Job summary

Hackensack Meridian Health invites a qualified RN to join as a Case Manager in New Jersey. You will assess patients for admission appropriateness, plan and coordinate care across the continuum, and advocate for patients and families.

The role requires nursing experience and knowledge of CM, utilization review, and discharge planning. The position emphasizes collaboration with physicians, insurance coordination, and adherence to HQSI standards, with a comprehensive benefits package and pay

Qualifications

• Graduate of an accredited Nursing Program.
• Related Case Management and Nursing experience.
• Knowledge of CM, Utilization Review, Discharge Planning and Coordination of Care.
• Excellent computer skills

Responsibilities

• Evaluates all patients for appropriateness of admission and level of care within 24-48 hours.
• Initiates discharge planning within 24-48 hours of admission.
• Discusses initial plan of care with MD and with patient/family.
• Ensures CMS protocols and required documentation are followed.
• Maintains ongoing communication with physicians, patients and families about plan of care.
• Participates in daily multidisciplinary rounds and collaborates across continuum of care.
• Documents and communicates issues to appropriate departments and teams.
• Adheres to organizational competencies and standards of behavior.

Skills

Case Management

Utilization Review

Discharge Planning

Coordination of Care

Excellent Computer Skills

Education

Graduate of Accredited Nursing Program

NJ State RN License

Tools

Access

Job description

Overview

Hackensack Meridian Health Virtual Interview Confirmation **PLEASE READ

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 Case Manager provides assessment, care planning and coordination, and advocacy to patients and their families. Assists with the patient flow through the continuum of care in a timely manner. The case manager follows guidelines and regulations according to level of care criteria (Medicare, Medicaid, HMO's, etc).

Responsibilities

A day in the life of a Case Manager at Hackensack Meridian Health includes:

• Evaluates all patients for appropriateness of admission and level of care within 24-48 hours. Initiates discharge plan within 24-48 hours of admission. Discusses initial plan of care with MD. Discusses and reviews initial plan of care with patient/family.
• Ensures and follows CMS protocols, IM letters and all HQSI letters. Documents in all required areas and ensures required documentation elements are all included.
• Participates in daily multidisciplinary rounds. Maintains communication with a multidisciplinary team through the continuum of care. Provides daily clinical reviews as required. Maintains ongoing communication with physicians and patients/families to ensure plan of care is appropriate and expedited.
• Ensures clinical reviews are communicated to insurance companies to ensure payment. Refers cases, as needed, to physician advisor, denials team and/or other appropriate team members. Manages denials concurrently and communicates and documents all outcomes and actions taken.
• Communicates identified issues to appropriate departments for problem resolution using variance tracking. Actively participates and assists in departmental PI goals and patient satisfaction initiatives.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required:

• Graduate of an accredited Nursing Program.
• Related Case Management and Nursing experience.
• Knowledge of CM, Utilization Review Discharge Planning and Coordination of Care.
• Excellent computer skills

Education, Knowledge, Skills And Abilities Preferred

• 5 Years of experience as an RN in an acute care setting.
• Familiar with Access programs.

Licenses And Certifications Required

• NJ State Professional Registered Nurse License.

Compensation

Minimum rate of $44.30 Hourly

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.

Job Duties

The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:

• Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.
• Experience: Years of relevant work experience.
• Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
• Skills: Demonstrated proficiency in relevant skills and competencies.
• Geographic Location: Cost of living and market rates for the specific location.
• Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
• Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.

Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.

In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.

Our Network

Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility

As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.