Registered Nurse, Clinical Care Coordinator, Case Manager, Care Coordination, Part Time, Day

About the role

The Clinical Care Coordinator, Case Manager is responsible for coordinating patient progression, utilization management, discharge planning, admission status review, and transitions of care across the continuum. The role collaborates with patients, families, physicians, payers, Hospital Operations Resource Center (HORC), Physician Advisors, and interdisciplinary team members to promote appropriate resource utilization, timely patient placement, optimal clinical outcomes, regulatory compliance, and efficient patient throughput. Specialty assignments may include inpatient services, surgical services, or emergency department operations.

Qualifications

• Bachelor's degree (BSN) in nursing required
• Registered Nurse license in the State of New Jersey
• ANCC Case Management Certification preferred
• Minimum five (5) years of clinical nursing experience required
• Experience in medical or surgical, perioperative, procedural, or emergency nursing preferred
• Experience in case management and/or utilization review strongly preferred

Skills

• Knowledge of acute care nursing, care coordination, discharge planning, utilization management, patient progression, medical necessity criteria, admission status determination, CMS regulations, Medicare, Medicaid, managed care requirements, and healthcare reimbursement
• Knowledge of MCG guidelines, care transitions, patient throughput processes, and electronic case management systems
• Strong communication, collaboration, critical thinking, clinical reasoning, problem-solving, and organizational skills
• Ability to effectively partner with physicians, patients, families, payers, and interdisciplinary healthcare teams while managing multiple priorities and facilitating patient progression
• Proficient in electronic medical records, case management software, and patient tracking systems
• Able to assess complex clinical situations, coordinate care across multiple disciplines, facilitate timely transitions, and make sound decisions regarding patient progression and resource utilization
• Maintains professionalism and effectiveness in a fast-paced environment while balancing clinical, operational, and regulatory priorities

Schedule

Location: The Valley Hospital-Paramus

Shift: Day (United States of America)

Benefits

• Medical/Prescription, Dental & Vision Discount Program (Full Time/Part Time Employees)
• Group Term Life Insurance and AD&D (Full Time Employees)
• Flexible Spending Accounts and Commuter Benefit Plans
• Supplemental Voluntary Benefits (e.g. Short-term and Long-term Disability, Whole Life Insurance, Legal Support, etc.)
• 6 Paid Holidays, Paid Time Off (varies), Wellness Time Off, Extended Illness
• Retirement Plan
• Tuition Assistance
• Employee Assistance Program (EAP)
• Valley Health LifeStyles Fitness Center Membership Discount
• Day Care Discounts for Various Daycare Facilities

Pay

Pay Range: $50.18 - $62.73 per hour

Actual individual salaries vary depending on role, experience, education, and licensure. The salary listed does not include other forms of compensation or benefits.