Supervisor, Utilization Review, Care Management Dept.

Hackensack Meridian Health; Neptune City (NJ); On-site; USD 97,000 - 119,000; Full time

Job summary

Hackensack Meridian Health is seeking a Supervisor of Care Management to lead utilization management, care coordination, and discharge planning within an on-site NJ hospital setting.

This role requires RN or MSW credentials, 3+ years in acute care, and strong leadership with solid communication and computer skills. On-site hours are Monday–Friday, with emphasis on evidence-based practice and regulatory compliance.

Qualifications

• Bachelor's degree, Nursing or Master's Degree in Social Work.
• At least 3 years full time experience in an acute care setting.
• Familiar with hospital resources, community resources, and/or resource/utilization management.
• Care coordination, case management or discharge planning experience.
• Effective decision-making /problem-solving skills, demonstration of creativity in problem-solving, and influential leadership skills.
• Excellent verbal, written and presentation skills. Moderate to expert computer skills.
• Excellent written and verbal communication skills.
• Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms.

Responsibilities

• Integrates and coordinates utilization management, care coordination, discharge planning functions and performance improvement activities for all care managers.
• Oversees department staff caseloads and plans staffing to meet needs, manage length of stay and resource utilization.
• Ensures care meets evidence-based practice standards and regulatory/payor requirements.

Skills

Utilization management experience

Care coordination

Decision-making

Verbal and written communication

Computer literacy (MS Office/Google)

Education

RN license (NJ) or LSW/LCSW

Bachelor's degree in Nursing or MSW

Case Management certification within 1 year

Tools

Microsoft Office

Google Suite

Job description

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Supervisor, Care Management role integrates and coordinates utilization management, care coordination, discharge planning functions and performance improvement activities for all care managers. The Supervisor, Care Management is accountable for oversight of the department's designated team member caseloads and plans effectively in order to meet staffing needs, manage length of stay, promote efficient utilization of resources and ensure that care meets evidence-based practice standards and regulatory/payor requirements.

This position is Monday-Friday 8:00am-4:30pm, on-site at JSUMC. Utilization experience preferred, familiar with MCG, Medicare guidelines, Permedion appeals, denial tracking.

Education, Knowledge, Skills and Abilities Required:

• Bachelor's degree, Nursing or Master's Degree in Social Work.
• At least 3 years full time experience in an acute care setting.
• Familiar with hospital resources, community resources, and/or resource/utilization management.
• Care coordination, case management or discharge planning experience.
• Effective decision-making /problem-solving skills, demonstration of creativity in problem-solving, and influential leadership skills.
• Excellent verbal, written and presentation skills. Moderate to expert computer skills.
• Excellent written and verbal communication skills.
• Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms.

Licenses and Certifications Required:

• Registered Nurse (RN) with current New Jersey (NJ) License, or Licensed Social Worker (LSW) or Licensed Clinical Social Worker (LCSW).
• Case Management certification by a nationally recognized organization within 1 year.

Licenses and Certifications Preferred:

• Basic Cardiac Life Support Certificate.

185769

Minimum rate of $107,952.00 Annually

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.

The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:

• Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.
• Experience: Years of relevant work experience.
• Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
• Skills: Demonstrated proficiency in relevant skills and competencies.
• Geographic Location: Cost of living and market rates for the specific location.
• Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
• Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.

Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.

In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.