RN Case Manager: Care Coordination & Safe Discharges

RWJBarnabas Health; Elizabeth (NJ); Presencial; USD 103 000 - 134 000; Tempo integral

Resumo da oferta

RWJBarnabas Health is seeking an experienced RN Case Manager for Trinitas Regional Medical Center in Elizabeth, NJ. The role focuses on clinical assessment, care coordination, and safe discharge planning to ensure smooth transitions across care settings.

You will collaborate with physicians, social workers, and UR partners to manage complex cases, document thoroughly in the EHR, and meet CMS and regulatory requirements while supporting high-quality patient outcomes.

Qualificações

• BSN and New Jersey RN license required.
• ADN accepted for employees hired before 12/31/2025 per organizational requirements.
• Three to five years of nursing experience, including inpatient nursing, case management, utilization review, discharge planning, or community health nursing.
• ERAC certification required within six months of hire; CCM/ACM certification preferred.

Responsabilidades

• Conduct comprehensive patient assessments and document clinical findings, discharge needs, and care coordination in the EHR.
• Develop and implement individualized care coordination interventions to promote safe discharge and reduce readmissions.
• Participate in interdisciplinary rounds to present patient cases and coordinate discharge planning.
• Identify barriers to discharge and coordinate solutions for timely progression and efficient transitions of care.
• Assess social determinants of health to connect patients with community resources and support services.
• Coordinate referrals for post-acute services such as DME, home care, rehabilitation, and facility placement.
• Collaborate with physicians, nursing teams, and UR partners on medical necessity determinations and authorizations.
• Apply utilization management knowledge and CMS requirements to support appropriate care decisions.
• Monitor patient progression and advocate for timely interventions to improve outcomes.
• Communicate discharge plans and available resources with patients and families with empathy and clarity.
• Maintain accurate documentation while ensuring CMS, HIPAA, and patient rights compliance.
• Participate in quality improvement initiatives to shorten LOS and improve patient throughput and experience.

Conhecimentos

Clinical assessment

Care coordination

Discharge planning

Utilization management

Interdisciplinary collaboration

Communication

Formação académica

Bachelor of Science in Nursing (BSN)

Descrição da oferta de emprego

RWJBarnabas Health is seeking an experienced RN Case Manager for Trinitas Regional Medical Center in Elizabeth, NJ. The role focuses on clinical assessment, care coordination, and safe discharge planning to ensure smooth transitions across care settings.

You will collaborate with physicians, social workers, and UR partners to manage complex cases, document thoroughly in the EHR, and meet CMS and regulatory requirements while supporting high-quality patient outcomes.