Qualifications: Licensed to practice as a Registered Nurse in the State of New Jersey required. Bachelor's Degree in Nursing or a related health care field required (Master's Degree in Nursing or Health Care related field from an accredited university desirable). Minimum of four (4) years of related clinical experience required. Experience in case management, utilization review, and/or unit clinical specialty required. CCM certification desirable. Basic computer skills required. Ability to work effectively and collaboratively with interdisciplinary teams. Demonstrates resourcefulness, effective written and oral communication, negotiating and analytical skills. Equivalent experience, education and/or training may be substituted for the education requirements.
Responsibilities: The primary purpose of the Case Management Coordinator (CMC) position is to coordinate the patient’s progress through the system. He/she collaborates with physicians and clinical staff to ensure resource utilization is appropriate to the patient’s clinical and psychosocial needs and that it remains within covered benefits. The CMC conducts reviews using criteria that demonstrate medical necessity to achieve reimbursement and conducts audits for Quality Indicators. In addition he/she monitors usage of pathways/practice guidelines, performs utilization review functions and discharge planning. The CMC collaboratively determines level of care needs beyond acute care and ensures a smooth transition to the next level of care and services. Supports the mission of University Hospital.
University Hospital offers a competitive salary & comprehensive benefits package including on-site child care. Affirmative Action/Equal Opportunity Employer, M/F/D/V. For more information, visit www.uhnj.org/hrweb.