Overview

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 individual in this position bears overall responsibility for coordinating patient care activities to ensure that care meets evidence-based practice standards, and regulatory/payer requirements. The role integrates and coordinates utilization management, care coordination, and discharge planning functions. RN Case Managers may work in units such as ETD, Observation, PACU or in any other area of Hackensack UMC as deemed appropriate by the leadership of the department. Shift and weekend rotation as needed. The RN Case Manager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and promote efficient utilization of resources.

Responsibilities

Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement

Application of process improvement methodologies in evaluating outcomes of care

Coordination of communication with physicians, nursing, and staff of ancillary departments

Evaluation of care provided against the Length of Stay

Collaboration with Admitting to ensure accuracy of patient demographic and insurance information

Communication with patients and their families around medical plan of care and discharge plan

Assessment and plan for discharge needs and arrangements, including leading multi-disciplinary care conferences and morning 'flash meetings' in conjunction with Nursing

Coordinates/facilitates patient care progression throughout the continuum

Completes utilization management for assigned patients

Manages all aspects of discharge planning for assigned patients

Quality-Actively participates in clinical performance improvement activities

Service a. Calls and communicates with major payors to discuss pitfalls and problem cases and documents interventions in Case Management IT system

Growth a. Uses Interqual Guidelines as a coaching tool to aid physicians /hospitalists in appropriate placement of patients Consults with Physician Advisor as appropriate

Adheres to the Medical Center's Organizational Competencies and the Standards of Behavior

Qualifications

Education, Knowledge, Skills and Abilities Required:

Case Manager, Registered Nurse Graduate of a NLN/AACN accredited program in nursing a plus

Bachelor's degree in nursing (BSN) or 1 year experience for non BSN HackensackUMC employees

Excellent interpersonal communication and negotiation skills

Strong analytical, data management and PC skills

Current working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement

Understanding of pre-acute and post-acute venues of care and post-acute community resources

Strong organizational and time management skills, as evidenced by a capacity to prioritize multiple tasks and role components

Ability to work independently and exercise sound judgment in interactions with physicians, payers, and patients and their families

Committed to scheduled weekend rotation to meet department needs

Commitment to rotate to evenings as required

Education, Knowledge, Skills and Abilities Preferred:

R.N. with at least 2 years clinical experience in the relevant clinical specialty (e.g., care managers for pediatric patients should have pediatric nursing experience) with a minimum of 2 of the 2 years in Case Management in an acute care settingLicenses and Certifications Required:

AHA Basic Health Care Life Support HCP Certification

NJ State Professional Registered Nurse License

Licenses and Certifications Preferred:

Certified Case ManagerJob ID 2025-161605

Department Care Coordination

Site Hackensack University Med Cntr

Job Location US-NJ-Hackensack

Position Type Per Diem

Standard Hours Per Week 8

Shift Weekend Day

Shift Hours 7 a.m. - 7:30 p.m.

Weekend Work Weekends as Needed

On Call Work No On-Call Required

Holiday Work As Needed