Supervisor, Utilization Review, Care Management Dept.

Hackensack Meridian Health Inc.; Upper Township (NJ); On-site; USD 95,000 - 130,000; Full time

Job summary

Hackensack Meridian Health is seeking a Supervisor, Care Management to lead utilization management, care coordination, and discharge planning for acute care patients at JSUMC. This on-site role ensures evidence-based practice standards and regulatory compliance while balancing staffing and resource use.

The position requires a RN or MSW (LCSW) with 3+ years of acute care experience, strong communication, and leadership skills.

Qualifications

• RN or MSW required with clinical background.
• Experience in acute care settings and care coordination.

Responsibilities

• Coordinate utilization management, care coordination and discharge planning for all care managers.
• Ensure care meets evidence-based standards and regulatory requirements.

Skills

RN

LSW/LCSW

Care coordination

Discharge planning

Decision making

Communication

MS Office/Google Suite

Education

Bachelor's degree in Nursing or Master's Degree in Social Work

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.