Nursing Jobs in Berkeley Heights, NJ
$100,903.04 - $141,288.62 / year
Overview About the Role: The primary purpose of the Case Management Coordinator 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 Case Management Coordinator seeks creative solutions to process and system issues, which create a barrier to the delivery of medically appropriate, cost-effective care. He/she is responsible to ensure compliance with regulatory standards related to level of care determinations, utilization and discharge planning. The Case Management Coordinator performs transitions of care and discharge planning, and supports the mission of University Hospital. Responsibilities What You’ll Do: Service provided is patient centered; actively contributes to creating a friendly, welcoming and safe environment; communicates clearly; responds to complaints and concerns by resolving issues immediately; organizes work processes to accommodate customer needs; meets or exceeds customer expectations; acts as a role model for Service Excellence; maintains professional composure; works effectively with team to ensure customer service scores meet/exceed targets; demonstrates respect for patient rights. Facilitates the development and implementation of a comprehensive, multidisciplinary plan of care for patients with complex medical and socio-economic problems; provides real time interventions to ensure compliance with health care regulations; meets with new admission patients to identify continuum and discharge needs; ensures documentation of initial discharge planning assessment within the first 72 hours. Identifies and documents proper level of care; discusses cases with attending and physician advisor; identifies anticipated length of stay; works with attending on clinical pathway or MCG guideline; proactively assists in resolving barriers; develops and implements case management plans and interventions; performs discharge planning; completes responsibilities by following established guidelines and protocols within the appropriate timeframe. Initiates the discharge plan and documents interventions; updates care plan weekly; confirms Face Sheet information; assures proper hand off for transfers; communicates discharge plan to new case manager; assesses need for referrals to outside resources; obtains authorizations for Home Care, Home IV infusion and DMEs; coordinates forms or electronic referrals; arranges transportation; meets departmental performance expectations for home care/hospice and equipment; confirms services and contact information. Identifies readmissions within 30 days; performs walking rounds and identifies high‑risk patients; works with Social Work and utilization management to reduce LOS and prevent denials; coordinates and manages distribution of IMM and assists with MOON; conducts or co‑leads care coordination rounds; promotes working relationship with patient/family; acts as advocate; works closely with Social Work and utilization management; serves as a resource regarding patient classification and reimbursement. Demonstrates competency with computer programs; achieves Department Team Dashboard Score Card goals; escalates avoidable days; completes mandatory trainings and in‑services; demonstrates knowledge of safety, security and infection control risks; participates in quality improvement by collecting and analyzing data, identifying trends and suggesting improvements; participates on clinical process improvement teams. Demonstrates commitment to excellent customer service; will rotate on weekends to provide coverage; understands and adheres to University Hospital compliance standards; keeps abreast of pertinent federal, state and hospital regulations, laws, and policies. Performs other related duties as assigned. Qualifications What You’ll Bring: Registered Nurse with a license to practice in the State of New Jersey required. Bachelor’s Degree in Nursing or a health care related fieldrequired. Master’s degree in Nursing or Health Care related field preferred. Minimum of four (4) years of acute care hospital clinical experience required. Case management certification from either CCM, ACMA or RN-BC preferred. Recent experience in case management, home health, utilization review, and or unit clinical specialty required. Basic computer skills required. Ability to work effectively and collaboratively with interdisciplinary teams. Demonstrates resourcefulness, effective written and oral communication, negotiating and analytical skills. Additional related experience may be substituted for the Bachelor’s degree on a year-for-year basis. Must be available to rotate on weekends as part of a team. BLS (CPR) required. What We Offer Vacation Accrued Time Medical & Prescription Drug Coverage Dental & Vision Insurance Health Savings Account (HSA) & Flexible Spending Account (FSA) Short- & Long-Term Disability Insurance Pension Plan Pet Insurance Employee Assistance Program (EAP) Professional Development Compensation (NJ Job Transparency Law) In compliance with New Jersey’s Pay Transparency Act, the salary range for this position is $100,903.04 - $141,288.62 University Hospital considers multiple factors when determining compensation, including (but not limited to) the scope and responsibilities of the position, the candidate’s relevant work experience, education and training, key skills, internal equity, market data, and organizational needs. About Us University Hospital is one of the nation’s leading academic medical centers. As the principal teaching affiliate of Rutgers New Jersey Medical School and the only state-certified Level 1 Trauma Center in Northern New Jersey, University Hospital is training the next generation of physicians and advancing science to discovery while taking exceptional care of patients, regardless of their financial situation. Apply Today We encourage candidates from all backgrounds to apply. If you want to grow your career in healthcare while serving a vibrant community, we’d love to meet you. $136,294 - $180,084 / year
Overview About the Role The Advanced Practice Nurse (APN) is a skilled health provider who through a written collaborative practice agreement with a physician is credentialed through the Medical Staff Office. As a member of the Medical Staff the APN demonstrates standards of professional practice that includes ethical decision making, job activities related to quality assessment/improvement, self-evaluation, leadership, and research. The APN is self-directed and purposeful in seeking necessary knowledge and skills to develop and maintain competency. The APN in the Surgery Practices utilizes critical judgment in the performance of comprehensive health assessments, differential diagnosis, and the prescribing of pharmacologic and non-pharmacologic treatments in the direct management of patients diagnosed with a variety of surgical conditions/diseases. The APN practice will promote wellness through conducting research, providing education and works autonomously as well as in interdisciplinary teams. Responsibilities What You’ll Do Collects comprehensive patient health data/history including past and present medical, surgical, family, and social history. Diagnostic tests and procedures relevant to the patient’s status are collected, interpreted, and documented at the Electronic Medical Record (EMR). Completes the medication reconciliation process by documenting the current list of medications (including over the counter and nutritional supplements) taken by patient at each visit. Performs and documents an appropriate comprehensive physical assessment of patients which will include a review of systems, evaluation of manifestations and toxicities related to medical conditions and anticoagulation management. In collaboration with the physician, critically analyzes the assessment data/diagnostic tests and determines a diagnosis. In addition, develops a comprehensive plan of care that includes interventions of treatments to attain outcomes. Evaluates patient progress in attaining expected treatment outcomes. Monitors for signs and symptoms related to disease progression/recurrence. Appropriately manages medical and anticoagulation management emergencies according to protocol/policy. Prescribes and/or orders medications. Obtains appropriate consents for surgery and procedures. Ensures completion of all needed pre-operative tests, forms, and documents. Documents assessments, prescribing, plan, modifications to plan, and evaluation of care in the EMR. Qualifications What You’ll Bring Required: Completion of an educational program which is designed and conducted to prepare graduates to practice as an NP/APN with a master’s degree in nursing and eligible for certification by a national certifying body. A current Registered/Professional Nurse license and registration in the State of New Jersey is required. Completion of an educational program which is designed and conducted to prepare graduates to practice as an NP/APN with a master’s degree in nursing and eligible for certification by a national certifying body. Evidence of excellent interpersonal skills, effective communication skills, and creative problem solving are essential. A minimum of two (2) years of clinical nursing experience and current BLS certification are required. To perform this job successfully, an individual must be able to perform in an expanded nursing role by providing specialty care to General Surgery patients in collaboration with the attending staff. Credential Required : Current NJ RN License, APN Certification, MSN, BLS Certification What We Offer Paid Time Off (PTO) Medical & Prescription Drug Coverage Dental & Vision Insurance Health Savings Account (HSA) & Flexible Spending Account (FSA) Short- & Long-Term Disability Insurance Pension Plan Pet Insurance Employee Assistance Program (EAP) Professional Development Compensation The expected salary range for this position is US/07S: $136,294.00 - $155,115.00 - $180,084.00, in accordance with the New Jersey Pay Transparency Law; final compensation will be commensurate with experience and qualifications. About Us University Hospital is one of the nation’s leading academic medical centers. As the principal teaching affiliate of Rutgers New Jersey Medical School and the only state-certified Level 1 Trauma Center in Northern New Jersey, University Hospital is training the next generation of physicians and advancing science to discovery while taking exceptional care of patients, regardless of their financial situation. Apply Today We encourage candidates from all backgrounds to apply. If you want to grow your career in healthcare while serving a vibrant community, we’d love to meet you. 
