Registered Nurse, Clinical Care Coordinator, Case Manager, Care Coordination, Per Diem, Day

Valley Health System; Paramus (NJ); On-site; USD 69,000 - 86,000; Full time

Benefits offered by this job

Medical/Prescription

Dental & Vision

Life Insurance

Flexible Spending Accounts

Commuter Benefit Plans

Job summary

Valley Health System in Paramus, NJ seeks a Clinical Care Coordinator, Case Manager to optimize patient progression, discharge planning and transitions of care across the continuum. You will collaborate with patients, families, physicians, payers, HORC, and interdisciplinary teams to promote appropriate resource use and timely placement.

Required BSN and RN license in NJ, with 5+ years nursing experience; ANCC Case Management Certification preferred.

Qualifications

• Bachelor’s degree in nursing required, and RN license in New Jersey.
• ANCC Case Management Certification preferred.
• Minimum five years of clinical nursing experience.
• Experience in case management and utilization review preferred.

Responsibilities

• Coordinate patient progression and transitions of care across the continuum.
• Oversee utilization management and discharge planning.
• Review admission status and ensure regulatory compliance.
• Collaborate with patients, families, physicians, payers, HORC, and multidisciplinary teams.
• Promote timely placement and efficient patient throughput.

Skills

Care coordination

Discharge planning

Utilization management

CMS regulations

EMR expertise

Interdisciplinary collaboration

Education

BSN in Nursing

RN license (New Jersey)

ANCC Case Management Certification (preferred)

Tools

Case management software

EMR/EHR systems

Job description

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

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 and 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

Joining Valley Health System means becoming part of a dedicated team that values the highest quality of care in a supportive environment. In our commitment to high performance and reliability, we encourage and recognize exceptional individual performance through our industry leading compensation practices including a starting salary and benefits in accordance with your role, experience, education, and licensure. Actual individual salaries vary depending on these factors. The salary listed does not include other forms of compensation or benefits.

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.