RN Care Manager

Job Title

RN Care Manager

Pay Range

$100,000.00 - $143,195.00 per year

Essential Functions

• Reviews all patients identified for review to determine the medical necessity and appropriateness of enrollment in the care management program
• Conduct comprehensive assessments, develop individualized care plans and monitor progress towards closing care gaps and health goals
• Carefully coordinate and manage care for patients with complex medical and psychosocial needs, ensuring smooth transitions across the continuum of care
• Holds and interprets the patient’s story into the overall multidisciplinary plan of care
• Coordinates and facilitates access to services and patient care progression using best practice interventions that will produce favorable patient outcomes
• Collaborates with physicians, nursing, social work, and multiple disciplines, departments, payers, and agencies to eliminate barriers to efficient delivery of care in the appropriate setting
• Works with patients to plan and monitor care by assessing patients’ unmet health and social needs, developing a care plan with the patient, family, caregivers, and providers
• Maintains adherence to care plans, evaluates effectiveness, and monitors patient progress in a timely manner
• Actively participates in clinical performance improvement activities as assigned
• Builds a network of positive working relationships that advocate for the patient
• Documents clinical activities in the medical record and supports and coaches accurate clinical documentation by physicians and others
• Adapts to evolving priorities and operational changes to meet the needs of the organization and patient population
• Pursues continuing education in areas of expertise and leadership

Qualifications

• Bachelor’s degree in nursing from an accredited school
• Two years registered nurse experience in critical care population health management or acute care, preferred
• Experience in utilization management, case management, disease management, care coordination, or discharge planning
• Proficiency in Epic electronic health record (EHR) system
• Excellent communication and interpersonal skills to engage effectively with diverse populations
• Outcomes-driven with demonstrated ability to achieve performance targets
• Flexibility to adapt to changing workflows, priorities, and patient care needs

Preferred

• Prior telephonic care experience a plus

Certifications and Licenses Required

• Current unrestricted New Jersey nursing license with the ability to obtain licensure in other states

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Company Information

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees’ physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health! RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey—whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer

RWJBarnabas Health is an Equal Opportunity Employer