Nurse Care Manager

St. Joseph's Health • Paterson, NJ

3d

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

• Bachelor's degree in Nursing.
• 3 years of experience in Adult, and/or Pediatric Critical Care, Stepdown, Medical/Surgical, and/or Maternal Child Nursing.
• Licensure 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

• Coordinate and implement systems and services for a multidisciplinary team approach to patient care management.
• Provide clear communication across the continuum to improve patient outcomes.
• Assure quality, cost-efficient care for an identified patient population through the continuum of care.
• Develop and coordinate efforts to reduce clinical resource utilization by working closely with physicians, nursing staff and other hospital personnel.
• Review 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level