Hackensack Meridian Health
RN Case Mgr Weekend Per Diem - Days
Hackensack Meridian Health, Hackensack, New Jersey, us, 07601
Overview:
Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. Its also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.The individual in this position bears overall responsibility for coordinating patient care activities to ensure that care meets evidence-based practice standards, and regulatory/payer requirements. The role integrates and coordinates utilization management, care coordination, and discharge planning functions. RN Case Managers may work in units such as ETD, Observation, PACU or in any other area of HackensackUMC as deemed appropriate by the leadership of the department. Shift and weekend rotation as needed. The RN Case Manager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and promote efficient utilization of resources.Responsibilities:Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursementApplication of process improvement methodologies in evaluating outcomes of careCoordination of communication with physicians, nursing, and staff of ancillary departmentsEvaluation of care provided against the Length of StayCollaboration with Admitting to ensure accuracy of patient demographic and insurance informationCommunication with patients and their families around medical plan of care and discharge planAssessment and plan for discharge needs and arrangements, including leading multi-disciplinary care conferences and morning 'flash meetings' in conjunction with NursingCoordinates/facilitates patient care progression throughout the continuumCompletes utilization management for assigned patientsManages all aspects of discharge planning for assigned patientsQuality-Actively participates in clinical performance improvement activitiesService a. Calls and communicates with major payors to discuss pitfalls and problem cases and documents interventions in Case Management IT systemGrowth a. Uses Interqual Guidelines as a coaching tool to aid physicians /hospitalists in appropriate placement of patients Consults with Physician Advisor as appropriateAdheres to the Medical Center's Organizational Competencies and the Standards of Behavior
Qualifications:Education, Knowledge, Skills and Abilities Required:Case Manager, Registered Nurse Graduate of a NLN/AACN accredited program in nursing a plusBachelor's degree in nursing (BSN) or 1 year experience for non BSN HackensackUMC employeesExcellent interpersonal communication and negotiation skillsStrong analytical, data management and PC skillsCurrent working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursementUnderstanding of pre-acute and post-acute venues of care and post-acute community resourcesStrong organizational and time management skills, as evidenced by a capacity to prioritize multiple tasks and role componentsAbility to work independently and exercise sound judgment in interactions with physicians, payers, and patients and their familiesCommitted to scheduled weekend rotation to meet department needsCommitment to rotate to evenings as requiredEducation, Knowledge, Skills and Abilities Preferred:R.N. with at least 2 years clinical experience in the relevant clinical specialty (e.g., care managers for pediatric patients should have pediatric nursing experience) with a minimum of 2 of the 2 years in Case Management in an acute care settingLicenses and Certifications Required:AHA Basic Health Care Life Support HCP CertificationNJ State Professional Registered Nurse LicenseLicenses and Certifications Preferred:Certified Case Manager
Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. Its also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.The individual in this position bears overall responsibility for coordinating patient care activities to ensure that care meets evidence-based practice standards, and regulatory/payer requirements. The role integrates and coordinates utilization management, care coordination, and discharge planning functions. RN Case Managers may work in units such as ETD, Observation, PACU or in any other area of HackensackUMC as deemed appropriate by the leadership of the department. Shift and weekend rotation as needed. The RN Case Manager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and promote efficient utilization of resources.Responsibilities:Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursementApplication of process improvement methodologies in evaluating outcomes of careCoordination of communication with physicians, nursing, and staff of ancillary departmentsEvaluation of care provided against the Length of StayCollaboration with Admitting to ensure accuracy of patient demographic and insurance informationCommunication with patients and their families around medical plan of care and discharge planAssessment and plan for discharge needs and arrangements, including leading multi-disciplinary care conferences and morning 'flash meetings' in conjunction with NursingCoordinates/facilitates patient care progression throughout the continuumCompletes utilization management for assigned patientsManages all aspects of discharge planning for assigned patientsQuality-Actively participates in clinical performance improvement activitiesService a. Calls and communicates with major payors to discuss pitfalls and problem cases and documents interventions in Case Management IT systemGrowth a. Uses Interqual Guidelines as a coaching tool to aid physicians /hospitalists in appropriate placement of patients Consults with Physician Advisor as appropriateAdheres to the Medical Center's Organizational Competencies and the Standards of Behavior
Qualifications:Education, Knowledge, Skills and Abilities Required:Case Manager, Registered Nurse Graduate of a NLN/AACN accredited program in nursing a plusBachelor's degree in nursing (BSN) or 1 year experience for non BSN HackensackUMC employeesExcellent interpersonal communication and negotiation skillsStrong analytical, data management and PC skillsCurrent working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursementUnderstanding of pre-acute and post-acute venues of care and post-acute community resourcesStrong organizational and time management skills, as evidenced by a capacity to prioritize multiple tasks and role componentsAbility to work independently and exercise sound judgment in interactions with physicians, payers, and patients and their familiesCommitted to scheduled weekend rotation to meet department needsCommitment to rotate to evenings as requiredEducation, Knowledge, Skills and Abilities Preferred:R.N. with at least 2 years clinical experience in the relevant clinical specialty (e.g., care managers for pediatric patients should have pediatric nursing experience) with a minimum of 2 of the 2 years in Case Management in an acute care settingLicenses and Certifications Required:AHA Basic Health Care Life Support HCP CertificationNJ State Professional Registered Nurse LicenseLicenses and Certifications Preferred:Certified Case Manager