Case Manager (RN) Case Management per Diem Day

RWJBarnabas Health; Communipaw (NJ); On-site; USD 144,648,000 - 187,353,600; Part time

Benefits offered by this job

Paid Time Off (PTO)

Health Insurance

Retirement Plans

Job summary

RWJBarnabas Health's Jersey City Medical Center is seeking a Case Manager RN to join the Case Management team on a per diem day shift. You will provide direct case management services to patients and families with interdisciplinary collaboration to optimize outcomes and discharge planning.

The role requires BSN, NJ RN license, 3–5 years hospital case management experience, and utilization review or discharge planning background; familiarity with EMR and CMS regulations is a plus, with a focus on

Qualifications

• BSN and current NJ RN license.
• 3–5 years of hospital-based case management, utilization management or home care.
• 1+ year of utilization review or discharge planning experience.

Responsibilities

• Provide direct case management to patients and families with an interdisciplinary team.
• Coordinate discharge planning, transitions of care and patient flow.
• Participate in IDR and ensure regulatory compliance and documentation.
• Utilize SDOH screenings and coordinate post-acute referrals as needed.
• Support insurance authorization and clinical documentation with the Utilization Review team.

Skills

Case management

Utilization review

Discharge planning

Interdisciplinary collaboration

Communication skills

Organizational skills

EMR knowledge

Education

BSN

NJ RN license

Tools

EMR systems

CMS knowledge

Job description

Job Details

Case Manager RN PD (Per Diem Day Shift)

Location: Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302

Department: Case Management

Requisition #: 0000256920

Status: Per Diem

Shift: Day

Pay Range: $50.44 – $65.56 per hour (expected if hired to work in New Jersey)

Job Overview

Jersey City Medical Center provides advanced, state‑of‑the‑art medical treatment across various disciplines.

Qualifications

Required:

• BSN
• Current RN License in NJ
• Minimum of 3–5 years experience in a hospital setting, case management, utilization management or home care
• 1 or more years of utilization review / discharge planning experience

Preferred:

• Successful completion of all Orientation Programs
• Strong communication and organizational skills
• Proficient computer skills
• Strong critical thinking and assessment skills
• Knowledge of system applications and EMR

Certifications and Licenses Required

• Active NJ RN license or compact RN license with NJ endorsement
• BLS from the American Heart Association
• ACM or CCM certification
• EARC certification required within 6 months of hire to be arranged by RWJBH
• Certification as required by law, statute, or regulation of area or specialization

Scheduling Requirements

• Day Shift
• Per Diem
• Scheduled as needed with a minimum requirement of 3 shifts a month, 1 on a weekend
• Will need to work 1 winter and 1 summer holiday

Essential Functions

The RN Case Manager provides direct case management services to patients and their families utilizing an interdisciplinary team approach.

This role requires a working knowledge of case management responsibilities and topics including assessment and documentation, discharge planning, transitions of care, interdisciplinary rounds, regulatory compliance, utilization management, revenue cycle, healthcare financing, inpatient capacity, patient flow, and healthcare‑related social needs (social determinants of health).

It requires collaboration with the interdisciplinary team, including physicians, clinical nurses, and others as needed.

It will actively participate in initiatives that improve key performance indicators (such as length of stay, throughput) that align with RWJBH System Goals and ensure continuity of care.

It applies advanced nursing assessment, critical thinking, and care coordination skills to identify and implement acute‑ and post‑acute interventions that optimize patient outcomes, improve access, ensure quality, and steward healthcare resources.

• Conduct comprehensive assessments in the electronic health record
• Develop and implement individualized clinical interventions to support safe discharge, reduce readmissions, and coordinate care
• Participate in interdisciplinary rounds (IDR), presenting cases and communicating discharge planning updates
• Utilize health risk assessments and Social Determinants of Health (SDOH) screenings to identify at‑risk patients and coordinate appropriate referrals
• Complete timely referrals for post‑acute care services (e.g., DME, home care, facility placement) using electronic referral systems
• Ensure compliance with CMS Conditions of Participation, HIPAA, and organizational policies
• Collaborate with the Utilization Review team to support insurance authorization and clinical documentation needs
• Demonstrate working knowledge of utilization management, level of care criteria, and payment models (e.g., Medicare FFS, bundled payments, managed care)
• Proactively manage patient flow by identifying discharge barriers and escalating complex issues to appropriate leaders
• Address healthcare‑related social needs by assessing and coordinating appropriate SDOH services to support safe discharges
• Participate in ongoing professional development, quality improvement, and department‑wide initiatives focused on LOS reduction, performance, and engagement
• Serve as clinical nursing resource to the interdisciplinary team by synthesizing patient assessment data, monitoring progression of care, and advocating for timely interventions that align with best practices
• Demonstrate subject‑matter expertise in nursing assessment, application of utilization review criteria, and interpretation of patient status to ensure clinical appropriateness and regulatory compliance

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Benefits and Perks

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short‑ & Long‑Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts through partners such as NJ Devils, NJ PAC, Verizon, and more

Equal Opportunity Employer

RWJBarnabas Health is an Equal Opportunity Employer.