Registered Nurse, Clinical Care Coordinator, Case Manager, Care Coordination, Per Diem, Day

The Valley Hospital•Paramus, NJ

6d•Onsite

About The Position

The Clinical Care Coordinator, Case Manager coordinates patient progression, utilization management, discharge planning, admission status review, and transitions of care across the continuum. The role collaborates with patients, families, physicians, payers, the 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.

Requirements

Bachelor's degree (BSN) in nursing required.
Registered Nurse licensed in the State of New Jersey.
Minimum five (5) years of clinical nursing experience required.
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.
Proficiency in electronic medical records, case management software, and patient tracking systems.
Ability to manage multiple priorities, partner effectively with stakeholders, and balance clinical, operational, and regulatory priorities in a fast-paced environment.

Nice To Haves

ANCC Case Management Certification preferred.
Experience in medical or surgical, perioperative, procedural, or emergency nursing preferred.
Experience in case management and/or utilization review strongly preferred.

Responsibilities

Coordinate patient progression and utilization management.
Perform discharge planning, admission status review, and transitions of care across the continuum.
Collaborate with patients, families, physicians, payers, HORC, Physician Advisors, and interdisciplinary team members.
Promote appropriate resource utilization, timely patient placement, optimal clinical outcomes, regulatory compliance, and efficient patient throughput.
Assess complex clinical situations, coordinate care across multiple disciplines, facilitate timely transitions, and make decisions regarding patient progression and resource utilization.

Benefits

Medical/Prescription coverage
Dental and vision discount program for full-time and part-time employees
Group term life insurance and AD&D for full-time employees
Flexible spending accounts
Commuter benefit plans
Supplemental voluntary benefits, including short-term and long-term disability, whole life insurance, and legal support
6 paid holidays
Paid time off (varies)
Wellness time off
Extended illness
Retirement plan
Tuition assistance
Employee Assistance Program (EAP)
Fitness center membership discount
Day care discounts