The primary purpose of the Case Management Coordinator position is to coordinate the patient’s progress through the system. He/she collaborates with physicians and clinical staff to ensure resource utilization is appropriate to the patient’s clinical and psychosocial needs and that it remains within covered benefits. The Case Management Coordinator seeks creative solutions to process and system issues, which create a barrier to the delivery of medically appropriate, cost-effective care. He/she is responsible to ensure compliance with regulatory standards related to level of care determinations, utilization and discharge planning. The Case Management Coordinator performs transitions of care and discharge planning, and supports the mission of University Hospital.
Registered Nurse with a license to practice in the State of New Jersey required. Bachelor’s Degree in Nursing or a health care related field required. Master’s degree in Nursing or Health Care related field preferred. Minimum of four (4) years of acute care hospital clinical experience required. Requires current case management certification from either CCM, ACMA or RN-BC or must achieve within two (2) years of hire as a Case Management Coordinator. Current employees must achieve certification by May 2019. Recent experience in case management, home health, utilization review, and or unit clinical specialty required. Basic computer skills required. Ability to work effectively and collaboratively with interdisciplinary teams. Demonstrates resourcefulness, effective written and oral communication, negotiating and analytical skills. Additional related experience may be substituted for the Bachelor’s degree on a year-for-year basis. Must be available to rotate on weekends as part of a team.
Read Full Description