Req #: 0000185194
Category: Nurse Case Manager
Status: Full-Time
Shift: Day
Facility: RWJ Rahway
Department: Case Management

QUALIFICATIONS:

Required:

• Graduate from an accredited school or university
• BSN degree
• Working knowledge of utilization review and discharged planning, hospital case management experience required
• Proficiency in MCG guideline application
• Knowledge of regulatory requirements, state and federal guidelines and conditions of participation

Preferred:

• Case Management certification, or required within 1 year of hire

SCHEDULING REQUIREMENTS:

• Full-Time
• Day shift
• 40 hrs. weekly
• Monday Friday
• 8a 4:30p
• Some weekends if necessary
• Must be flexible

ESSENTIAL FUNCTIONS:

Reduces LOS through the rounding ensuring case manager collaboration with all members of the interprofessional team by addressing anticipated LOS, estimated date of discharge, and barriers to achieving improved hospital throughput. Ensures workflow, policy and procedures are followed. Provides support oversight and leadership to the Case Management team.
Quality & Fiscal Management
Ensures that appropriate resource utilization is maintained.
Demonstrates an understanding of level of care changes and the financial impact.
Participates in performance improvement initiatives

OTHER DUTIES:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.