RN Care Coordination & Transitions Navigator

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

Benefits offered by this job

Medical/Prescription, Dental & Vision

Group Term Life Insurance

Flexible Spending Accounts

Paid Holidays

Paid Time Off

Retirement Plan

Tuition Assistance

Employee Assistance Program

Fitness Center Membership Discount

Day Care Discounts

Job summary

Valley Health System in Paramus, NJ seeks a Clinical Care Coordinator, Case Manager to coordinate patient progression, utilization management, discharge planning, and transitions of care across the continuum. The role partners with physicians, payers and care teams to optimize outcomes and resource use.

Required BSN and NJ RN licensure, with ANCC Case Management Certification preferred. At least five years of clinical nursing experience with case management and utilization review preferred;

Qualifications

• BSN degree required; RN license in New Jersey.
• ANCC Case Management Certification preferred.
• Minimum five years of clinical nursing experience; case management/utilization review experience preferred.

Responsibilities

• Coordinate patient progression, utilization management, discharge planning and transitions of care.
• Review admission status and ensure regulatory compliance.
• Collaborate with physicians, families, payers and interdisciplinary teams to optimize resource use and patient outcomes.
• Support timely transitions and efficient patient throughput across care continuum.

Skills

Communication

Collaboration

Critical thinking

Clinical reasoning

Problem-solving

Organizational skills

Regulatory knowledge

Patient progression

Education

BSN

RN licensure (NJ)

ANCC Case Management Certification (preferred)

Tools

EMR systems

Case management software

Patient tracking systems

Job description

Valley Health System in Paramus, NJ seeks a Clinical Care Coordinator, Case Manager to coordinate patient progression, utilization management, discharge planning, and transitions of care across the continuum. The role partners with physicians, payers and care teams to optimize outcomes and resource use.

Required BSN and NJ RN licensure, with ANCC Case Management Certification preferred. At least five years of clinical nursing experience with case management and utilization review preferred;