RN Care Manager

RWJBarnabas Health; New Jersey; On-site; USD 110,000 - 143,000; Full time

Benefits offered by this job

Medical/Dental/Vision plans

403(b) retirement plan

PTO

Short & Long Term Disability

Life & AD Insurance

Tuition Reimbursement

Flexible Spending Accounts

Job summary

RWJBarnabas Health is seeking a Nurse Care Coordinator for the ACO department in Somerset, NJ. This salaried, day-shift role focuses on fully coordinated patient care, utilization management, and discharge planning within a value-based care framework.

You will work with physicians, nurses, social workers, and payers to ensure timely transitions and optimal outcomes, while supporting documentation and performance improvement efforts.

Qualifications

• Bachelor's degree in nursing from an accredited program.
• Current unrestricted New Jersey nursing license or eligibility for licensure in other states.
• Experience in Utilization Management, Case Management, Disease Management, Care Coordination or Discharge Planning.
• Proficiency with Epic electronic health record (EHR) system.
• Excellent communication and interpersonal skills for diverse populations.
• Outcomes-driven with ability to meet performance targets.
• Flexibility to adapt to changing workflows and patient care needs.

Responsibilities

• Review patients identified for enrollment in the care management program to determine medical necessity.
• Assess, develop, and monitor individualized care plans; close care gaps and health goals.
• Coordinate care for patients with complex needs across the care continuum.
• Interpret and integrate patient narrative into the multidisciplinary plan of care.
• Facilitate access to services and care progression using best-practice interventions.
• Collaborate with physicians, nurses, social work and payers to remove barriers to timely care.
• Plan and monitor care with patient/family and providers; track progress.
• Document activities in the medical record and support accurate documentation by team.

Skills

Nursing

Utilization Management

Care Coordination

Discharge Planning

Communication

Flexibility

Education

Bachelor's degree in nursing

Tools

Epic EHR

Job description

Req #: 0000270528
Category: Nurses
Status: Full-Time
Shift: Day
Facility: RWJBarnabas Health Corporate Services
Department: ACO
Pay Range: $110,100.00 - $143,200.00 per year
Location: 379 CAMPUS DRIVE, SOMERSET, NJ 08873
Job Title: Nurse Care Coordinator
Location: RWJ - 379 Campus Dr,
Somerset
Department Name: ACO
Req #: 0000270528
Status: Salaried
Shift: Day
Pay Range: $110,100.00 - $143,200.00 per year

Pay Transparency

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

A Typical Day

As part of RWJBarnabas Healths Transform Together team you will play an instrumental role in a department that is providing fully coordinated patient care from a holistic approach to improve the overall performance of the value based population across the healthcare continuum by ensuring the population receives the right care at the right time by the right people The RN Care Manager will utilize skilled intervention clinical best practice knowledge and collaboration with the patient physician and multidisciplinary treatment team to pace care achieve quality outcomes and negotiate appropriate reimbursement You will ensure the timely and seamless clinical transition of patients through medically appropriate levels of care.

• Reviews all patients identified for review to determine the medical necessity and appropriateness of enrollment in the care management program
• Conduct comprehensive assessments develop individualized care plans and monitor progress towards closing care gaps and health goals
• Coordinate and manage care for patients with complex medical and psychosocial needs ensuring smooth transitions across the continuum of care
• Holds interprets and integrates the patients story into the overall multidisciplinary plan of care
• Coordinates and facilitates access to services and patient care progression using best practice interventions that will produce favorable patient outcomes
• Collaborates with physicians nursing social work and multiple disciplines departments payers and agencies to eliminate barriers to efficient delivery of care in the appropriate setting
• Work with patients to plan and monitor care by assessing patients unmet health and social needs Develop a care plan with the patient family caregivers and providers
• Monitors adherence to care plans evaluates effectiveness monitors patient progress in a timely manner
• Actively participates in clinical performance improvement activities as assigned
• Builds a network of positive working relationships that advocate for the patient
• Documents clinical activities in the medical record and supports and coaches accurate clinical documentation by physicians and others
• Adapt to evolving priorities and operational changes to meet the needs of the organization and patient population
• Pursues continuing education in area of expertise leadership

To Be Considered

Required

• Bachelors degree in nursing from an accredited school
• Current unrestricted New Jersey nursing license with the ability to obtain licensure in other states
• Experience in either Utilization Management Case Management Disease Management Care Coordination or Discharge Planning
• Proficiency in Epic electronic health record EHR system
• Excellent communication and interpersonal skills to engage effectively with diverse populations
• Outcomes driven with demonstrated ability to achieve performance targets
• Flexibility to adapt to changing workflows priorities and patient care needs

Preferred

• Two years registered nurse experience in critical care population health management or acute care preferred
• Prior telephonic care experience a plus

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Benefits And Perks

• Medical/Dental/Vision plans
• 403(b)
• PTO
• Short & Long Term Disability
• Basic Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Discounts Through our Partners
  • NJ Devils
  • NJ Performing Arts Center
  • Verizon
  • And many more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered,high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey—whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

RWJBarnabas Health is an Equal Opportunity Employer