Nurse Care Manager
About the role
Responsible for the coordination and implementation of systems and services leading towards an organized, multidisciplinary team approach to patient care management. Provides clear communication across the continuum to improve patient outcomes. Assures quality, cost-efficient care for an identified patient population through the continuum of care. Develops and coordinates efforts to reduce clinical resource utilization by working closely with physicians, nursing staff and other hospital personnel. Reviews medical records for appropriateness of admissions, continued stay and level of care changes against criteria of severity of illness and illness of service to ensure optimal reimbursement to the hospital.
Responsibilities
- Provides clear communication across the continuum to improve patient outcomes.
- Affirms quality, cost-efficient care for an identified patient population through the continuum of care.
- Develops and coordinates efforts to reduce clinical resource utilization by working closely with physicians, nursing staff and other hospital personnel.
- Reviews medical records for appropriateness of admissions, continued stay and level of care changes against criteria of severity of illness and illness of service to ensure optimal reimbursement to the hospital.
Requirements
- Knowledge of theories, principles, and concepts normally acquired through completion of a Bachelor's degree in Nursing and a combination of 3 years in Adult, and/or Pediatric Critical Care, Stepdown, Medical/Surgical, and/or Maternal Child Nursing.
- Managed Care, Home Care, Discharge Planning or Case Management experience is strongly recommended.
- Case Management Society of America Certification (CCM) preferred.
- Licensure required as a Registered Nurse by the State of New Jersey.
Qualifications
- Completion of a Bachelor's degree in Nursing.
- 3 years of experience in Adult, and/or Pediatric Critical Care, Stepdown, Medical/Surgical, and/or Maternal Child Nursing.
- Managed Care, Home Care, Discharge Planning or Case Management experience.
- Case Management Society of America Certification (CCM).
- Licensure as a Registered Nurse by the State of New Jersey.
Skills
- Strong communication skills.
- Ability to work effectively with interdisciplinary teams.
- Experience in managing clinical resources.
- Proficiency in reviewing medical records.
Benefits
- Competitive salary.
- Robust benefits with health, dental, Rx and vision plans.
- 403b retirement plan options with company match.
- Health & Wellness program.
- Non-Profit Health System – eligible for Federal Student Loan Forgiveness.
- Paid time off and holidays.
- Tuition reimbursement.
- Employee Assistance Program.
- LTD: Long Term Disability.
- Life Insurance Options.
- Onsite day care program.
Pay
Salary range provided to comply with New Jersey Law. The rate of pay for each position will be determined based on a variety of factors including the candidate's relevant experience, qualifications, skills, etc.
Schedule
Not specified.