RN Care Coordinator & Case Manager – Acute Care

01 The Valley Hospital; Paramus (NJ); On-site; USD 69,000 - 86,000; Full time

Benefits offered by this job

Medical/Prescription

Dental & Vision Discount Program (Full

Group Term Life Insurance and AD&D

Flexible Spending Accounts and Commut

Supplemental Voluntary Benefits

6 Paid Holidays

Paid Time Off

Wellness Time Off

Tuition Assistance

Employee Assistance Program (EAP)

Fitness Center Membership Discount

Day Care Discounts

Job summary

The Valley Hospital in Paramus is seeking a Clinical Care Coordinator, Case Manager to coordinate patient progression, discharge planning, utilization management, admission status review, and transitions across the care continuum. The role collaborates with patients, families, physicians, payers, HORC, and interdisciplinary teams to promote appropriate resource use and timely patient placement.

Responsibilities include reviewing admission status, ensuring regulatory compliance, and supporting

Qualifications

• Demonstrates knowledge of acute care nursing, care coordination, discharge planning, utilization management, and CMS regulations.
• Experience with medical necessity criteria, admission status determination, and healthcare reimbursement.
• Proficiency with electronic case management systems and care transitions.

Responsibilities

• Coordinate patient progression, utilization management, discharge planning, and transitions of care across the continuum.
• Collaborate with patients, families, physicians, payers, HORC, and interdisciplinary teams to promote appropriate resource utilization.
• Review admission status and ensure regulatory compliance to support efficient patient throughput.

Skills

Care coordination

Discharge planning

Utilization management

Communication

Collaboration

Clinical reasoning

Problem solving

Organizational skills

Education

Bachelor's degree (BSN) in nursing

Registered Nurse

Licensed in New Jersey

ANCC Case Management Certification preferred

Tools

EMR systems

Case management software

Patient tracking systems

Job description

The Valley Hospital in Paramus is seeking a Clinical Care Coordinator, Case Manager to coordinate patient progression, discharge planning, utilization management, admission status review, and transitions across the care continuum. The role collaborates with patients, families, physicians, payers, HORC, and interdisciplinary teams to promote appropriate resource use and timely patient placement.

Responsibilities include reviewing admission status, ensuring regulatory compliance, and supporting