Registered Nure, Clinical Care Coordinator, Case Manager, Care Coordination, Part Time, Day

01 The Valley Hospital; Paramus (NJ); Vor Ort; USD 69.000 - 86.000; Vollzeit

Benefits dieser Stelle

Medical/Prescription

Dental & Vision Discount Program (Full

Group Term Life Insurance and AD&D (FT

Zusammenfassung

The Valley Hospital in Paramus is seeking a Clinical Care Coordinator, Case Manager to coordinate patient progression and transitions of care across the continuum. You will collaborate with patients, families, physicians, payers, HORC, and the interdisciplinary team to promote resource utilization, timely placement, and optimal outcomes.

The role requires a BSN, RN licensure in New Jersey, and 5 years of clinical nursing experience with preference for case management and utilization review.

Qualifikationen

• Bachelor's degree in nursing (BSN) required.
• Active RN license in New Jersey.
• ANCC Case Management Certification preferred.
• Minimum five years of clinical nursing experience required.
• Experience in medical, surgical, perioperative, procedural, or ED nursing preferred.
• Experience in case management and utilization review preferred.

Aufgaben

• Coordinate patient progression and transitions of care across the continuum.
• Review admission status, discharge planning, and utilization management.
• Collaborate with patients, families, physicians, payers and HORC.
• Promote appropriate resource utilization and regulatory compliance.
• Support efficient patient throughput and high-quality outcomes.

Kenntnisse

Care coordination

Discharge planning

Utilization management

CMS regulations

Medicare knowledge

Medicaid knowledge

Communication skills

Collaboration

Clinical reasoning

Organizational skills

EMR proficiency

Ausbildung

Bachelor's degree (BSN) in nursing

Registered Nurse

Licensed in State of New Jersey

ANCC Case Management Certification preferred

Minimum five (5) years of clinical nursing experience

Experience in medical/surgical, perioperative, procedural, or emergency nursing

Experience in case management and utilization review preferred

Tools

Case management software

EMR systems

Patient tracking systems

Jobbeschreibung

Position Summary

The Clinical Care Coordinator, Case Manager is responsible for coordinating patient progression, utilization management, discharge planning, admission status review, and transitions of care across the continuum. The role collaborates with patients, families, physicians, payers, Hospital Operations Resource Center (HORC), Physician Advisors, and interdisciplinary team members to promote appropriate resource utilization, timely patient placement, optimal clinical outcomes, regulatory compliance, and efficient patient throughput. Specialty assignments may include inpatient services, surgical services, or emergency department operations.

Education & Experience

• Education Bachelor's degree (BSN) in nursing required.
• Registered Nurse.
• Licensed in State of New Jersey.
• ANCC Case Management Certification preferred.
• Experience Minimum five (5) years of clinical nursing experience required.
• Experience in medical or surgical, perioperative, procedural, or emergency nursing preferred.
• Experience in case management and/or utilization review strongly preferred.

Knowledge, Skills & Abilities

Demonstrates knowledge of acute care nursing, care coordination, discharge planning, utilization management, patient progression, medical necessity criteria, admission status determination, CMS regulations, Medicare, Medicaid, managed care requirements, and healthcare reimbursement. Knowledge of MCG guidelines, care transitions, patient throughput processes, and electronic case management systems is required. Demonstrates strong communication, collaboration, critical thinking, clinical reasoning, problem-solving, and organizational skills. Effectively partners with physicians, patients, families, payers, and interdisciplinary healthcare teams while managing multiple priorities and facilitating patient progression. Proficient in electronic medical records, case management software, and patient tracking systems. Able to assess complex clinical situations, coordinate care across multiple disciplines, facilitate timely transitions, and make sound decisions regarding patient progression and resource utilization. Maintains professionalism and effectiveness in a fast-paced environment while balancing clinical, operational, and regulatory priorities.

Job Location

The Valley Hospital-Paramus Shift Day (United States of America)

Benefits

• Medical/Prescription
• Dental & Vision Discount Program (Full Time/Part Time Employees)
• Group Term Life Insurance and AD&D(Full Time Employees)
• Flexible Spending Accounts and Commuter Benefit Plans
• Supplemental Voluntary Benefits ( e.g. Short-term and Long-term Disability, Whole Life Insurance, Legal Support, etc.)
• 6 Paid Holidays
• Paid Time Off (varies)
• Wellness Time Off
• Extended Illness Retirement Plan
• Tuition Assistance
• Employee Assistance Program (EAP)
• Valley Health LifeStyles Fitness Center Membership Discount
• Day Care Discounts for Various Daycare Facilities

Salary

Pay Range: $50.18 - $62.73 (per hour)

EEO Statement

Valley Health System does not discriminate on the basis of ancestry, age, atypical hereditary cellular or blood trait, civil union status, color, creed, disability, domestic partnership, gender, gender identity or expression, familial status, genetic information, liability for service in the Armed Forces of the United States, marital status, medical condition or illness, mental or physical handicap, national origin, nationality, perceived disability, pregnancy, race, refusal to submit to genetic testing or make available results of such tests, religion, sex, sexual orientation, veteran’s status or any other protected basis, in accordance with all applicable Federal, State and Local laws. This applies to all areas of employment, including recruitment, hiring, training and development, promotion, transfer, termination, layoff, compensation, benefits, social and recreational programs, and all other conditions and privileges of employment.

Culture and Mission

Valley Health System is proud of our commitment to improving the lives of our patients, our staff, and the communities we serve. When you join Valley, you’re joining a team of people who believe in delivering quality care in a supportive environment where top performance is both nurtured and recognized. Our culture is built on going the extra mile, doing what’s right, and always striving to be better together.