RN Care Coordinator & Case Manager

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

Benefits offered by this job

Medical, Dental & Vision

Retirement Plan

Paid Holidays

Tuition Assistance

Employee Assistance Program (EAP)

Job summary

Valley Health System (New Jersey) seeks a Clinical Care Coordinator, Case Manager to coordinate patient progression and transitions of care across acute and ambulatory settings. The role requires a BSN and RN license in New Jersey, with ANCC Case Management Certification preferred.

They will partner with physicians, families, payers, and HORC to ensure appropriate resource utilization and timely discharge planning, while navigating CMS regulations and healthcare reimbursement.

Qualifications

• Bachelor's degree in nursing (BSN) and RN license in New Jersey.
• ANCC Case Management Certification preferred.
• Minimum five years of clinical nursing experience; case management and/or utilization review preferred.
• Knowledge of CMS regulations, Medicare/Medicaid, managed care, and medical reimbursement.
• Strong communication, collaboration, critical thinking, and organizational skills.

Responsibilities

• Coordinate patient progression, utilization management, discharge planning, and transitions of care across the continuum.
• Review admission status and promote appropriate resource utilization and timeliness of patient placement.
• Collaborate with patients, families, physicians, payers, HORC, and interdisciplinary teams to optimize outcomes.
• Utilize electronic case management systems and EMR to track patients and progress.
• Balance clinical, operational, and regulatory priorities in a fast-paced environment.

Skills

Care coordination

Discharge planning

Utilization management

Clinical reasoning

Communication

Collaboration

Problem solving

Organizational skills

Education

BSN degree

RN license in NJ

ANCC Case Management Certification (preferred)

Tools

Electronic Medical Records

Case management software

Patient tracking systems

Job description

Valley Health System (New Jersey) seeks a Clinical Care Coordinator, Case Manager to coordinate patient progression and transitions of care across acute and ambulatory settings. The role requires a BSN and RN license in New Jersey, with ANCC Case Management Certification preferred.

They will partner with physicians, families, payers, and HORC to ensure appropriate resource utilization and timely discharge planning, while navigating CMS regulations and healthcare reimbursement.