Case Manager RN - Social Work Services

St. Clare's - Denville • Denville, NJ

22d • $84,926 - $104,000

About The Position

The Case Manager RN is responsible for the quality and resource management of patients admitted to the facility, from admission through the continuum of health care management. The role advocates on behalf of patients, promotes cost containment, and demonstrates leadership in integrating health care providers to support seamless care delivery. The position facilitates quality, clinical, and cost-effective outcomes by conducting holistic, comprehensive admission and concurrent medical-record reviews for medical necessity, intensity of service, and severity of illness.

Requirements

• At least five years of work experience after graduating from an accredited school of nursing.
• Current state Registered Nurse license.
• At least one year of experience in case management, discharge planning, or nursing management.
• Basic to intermediate computer skills and knowledge.

Nice To Haves

• Five years of acute care nursing experience.
• CCM certification, or obtain it within one year.
• Knowledge of Milliman Criteria and InterQual Criteria.
• Current BCLS certificate.

Responsibilities

• Manage the quality and resources of patients admitted to the facility from admission throughout the continuum of care.
• Advocate on behalf of patients and promote cost containment.
• Integrate health care providers to support seamless delivery of care.
• Conduct holistic, comprehensive admission and concurrent medical-record reviews for medical necessity, intensity of service, and severity of illness.
• Facilitate quality, clinical, and cost-effective outcomes.

Benefits

• Paid time off
• 401K retirement plan
• Medical coverage
• Dental coverage
• Vision coverage
• Tuition reimbursement
• Voluntary benefit options

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed