Nurse Care Manager
About The Position
Responsible for the coordination and implementation of systems and services leading towards an organized, multidisciplinary team approach to patient care management. Provides clear communication across the continuum to improve patient outcomes. Assures quality, cost-efficient care for an identified patient population through the continuum of care. Develops and coordinates efforts to reduce clinical resource utilization by working closely with physicians, nursing staff and other hospital personnel. Reviews medical records for appropriateness of admissions, continued stay and level of care changes against criteria of severity of illness and illness of service to ensure optimal reimbursement to the hospital
Requirements
- Knowledge of theories, principles, and concepts normally acquired through completion of a Bachelor's degree in Nursing
- 3 years in Adult, and/or Pediatric Critical Care, Stepdown, Medical/Surgical, and/or Maternal Child Nursing
- Licensure required as a Registered Nurse by the State of New Jersey
Nice To Haves
- Managed Care experience
- Home Care experience
- Discharge Planning experience
- Case Management experience
- Case Management Society of America Certification (CCM)
Responsibilities
- Coordination and implementation of systems and services for patient care management
- Provide clear communication across the continuum to improve patient outcomes
- Assure quality, cost-efficient care for an identified patient population
- Develop and coordinate efforts to reduce clinical resource utilization
- Review medical records for appropriateness of admissions, continued stay and level of care changes
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Industry
Hospitals
Number of Employees
5,001-10,000 employees
