Registered Nurse, Clinical Care Coordinator, Case Manager, Care Coordination, Per Diem, Day
Valley Health System•Paramus, NJ
•$50 - $63
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 works with patients, families, physicians, payers, the Hospital Operations Resource Center (HORC), Physician Advisors, and interdisciplinary team members to support 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.
- Registered Nurse licensed in the State of New Jersey.
- Minimum five years of clinical nursing experience.
- 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 partner effectively with physicians, patients, families, payers, and interdisciplinary healthcare teams while managing multiple priorities.
- Ability to maintain professionalism and effectiveness in a fast-paced environment while balancing clinical, operational, and regulatory priorities.
Nice To Haves
- ANCC Case Management Certification.
- Experience in medical or surgical, perioperative, procedural, or emergency nursing.
- Experience in case management and/or utilization review.
Responsibilities
- Coordinate patient progression and transitions of care across the continuum.
- Manage utilization, discharge planning, and admission status review.
- 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 disciplines, and facilitate timely transitions.
- Make decisions regarding patient progression and resource utilization.
Benefits
- Medical/prescription coverage
- Dental and vision discount program
- Group term life insurance and AD&D
- Flexible spending accounts
- Commuter benefit plans
- Supplemental voluntary benefits, including short-term and long-term disability, whole life insurance, and legal support
- Six paid holidays
- Paid time off
- Wellness time off
- Extended illness
- Retirement plan
- Tuition assistance
- Employee Assistance Program (EAP)
- Valley Health LifeStyles Fitness Center membership discount
- Day care discounts
