Req #: 0000191242
Category: Leadership
Status: Part-Time
Shift: Day
Facility: Newark Beth Israel Medical Center
Department: Case Management

QUALIFICATIONS:

Required:

• If RN, BSN required, and master s degree preferred.
• If Social Worker, LCSW preferred, Masters in Social Work required.
• Minimum 4 years clinical experience in hospital, home health, or community setting
• Minimum 2 years experience in acute care case management.
• Minimum 2 years supervisory experience is required
• Current and valid license to practice as a Registered Nurse OR Licensed Social Worker in the state of New Jersey.
• Certification in Case Management strongly preferred/required within 1 year of hire.

Preferred:

SCHEDULING REQUIREMENTS (NON-EXEMPT POSITIONS):

• Day
• Full-Time
• 37.5 Hour Work Week

Knowledge, Skills, Abilities:

• Knowledge of healthcare reimbursement systems required, including expert knowledge in the application of medical necessity criteria.
• Knowledge of state and federal regulations regarding case management, including utilization review, discharge planning, auditing, and scope of practice.
• Interpersonal communication and negotiation skills, including the ability to establish and maintain effective working relationships with all customers, internal and external.
• Strong analytical and data management skills.
• Knowledge of discharge planning, utilization management, case management, care coordination, performance improvement, post-acute levels of care, and community resources
• Strong organizational and time management skills as evidenced by capacity to prioritize multiple tasks and role components.
• Strong ability to lead, mentor and inspire people.
• Knowledge of business systems, including Microsoft Office, data visualization programs, electronic medical record

• Leadership & Management responsibilities including oversee day-to-day operations: Manage staff schedules, assignments, and workflow to ensure optimal patient care delivery and resource utilization; develop and mentor staff: Coach, mentor, and provide regular feedback to staff; conduct performance evaluations, identify training needs, and support professional development; promote a positive work environment; foster a collaborative and supportive team environment that values teamwork, communication, and accountability; manage employee performance; address performance issues promptly and effectively, ensuring fair and consistent treatment; participate in hiring and onboarding; assist in the recruitment, selection, and onboarding of new staff.
• Clinical Excellence & Patient Care responsibilities including ensure quality patient care: Oversee the delivery of high-quality, patient-centered care, ensuring adherence to clinical protocols, best practices, and regulatory requirements; facilitate efficient patient flow; proactively identify and resolve delays in patient throughput, minimizing length of stay and optimizing resource utilization; support utilization review: Collaborate with physicians and the physician advisor in utilization review escalations, ensuring appropriate and timely care, and conduct risk assessments: Identify and mitigate potential risks to patient safety and quality of care.
• Operational Excellence & Compliance responsibilities including analyze data and drive performance improvement: Analyze key performance indicators (KPIs) such as length of stay (LOS), cost per case, readmission rates, and resource utilization to identify areas for improvement; develop and implement policies and procedures: Assist in the development, review, and implementation of departmental policies and procedures to ensure compliance with regulatory standards and best practices; ensure compliance: Monitor adherence to all relevant policies, procedures, and regulations, including those related to patient safety, quality of care, and regulatory compliance; manage resources effectively: Optimize resource utilization, including staff, equipment, and supplies, to ensure efficient and cost-effective patient care.
• Communication & Collaboration responsibilities including enhance communication: Ensure effective communication and coordination among all stakeholders, including physicians, nurses, social workers, therapists, and other members of the care team; build strong relationships: Cultivate strong relationships with internal and external stakeholders, including physicians, payers, and community agencies; represent the department: Represent the department on interdisciplinary committees and in relevant meetings.
• Professional Development responsibilities including maintain professional growth: Maintain professional competence through continuing education and professional development activities; role model best practices: Demonstrate a commitment to professional excellence and serve as a role model for staff; embrace continuous improvement: Actively seek and incorporate feedback from supervisors, colleagues, and staff to continuously improve performance and professional development.

Knowledge, Skills, Abilities:

• Knowledge of healthcare reimbursement systems required, including expert knowledge in the application of medical necessity criteria.
• Knowledge of state and federal regulations regarding case management, including utilization review, discharge planning, auditing, and scope of practice.
• Interpersonal communication and negotiation skills, including the ability to establish and maintain effective working relationships with all customers, internal and external.
• Strong analytical and data management skills.
• Knowledge of discharge planning, utilization management, case management, care coordination, performance improvement, post-acute levels of care, and community resources
• Strong organizational and time management skills as evidenced by capacity to prioritize multiple tasks and role components.
• Strong ability to lead, mentor and inspire people.
• Knowledge of business systems, including Microsoft Office, data visualization programs, electronic medical records