Nursing Jobs in Bernards, 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. $112,753 - $163,282 / year
Overview About the Role Leverages extensive subject matter expertise on clinical systems and knowledge of clinical operations and workflows to coordinate the activities of medical staff in the planning, development, implementation, and support of clinical information systems/solutions to improve the delivery of patient care and hospital operations. Advances efficient and effective patient care by adapting and integrating current hospital processes. Ensures the integration of clinical content across users and/or applications. Ensures that systems are implemented and functioning under the guidance of acceptable University policies and procedures and meet all regulatory requirements. Develops testing strategies according to system build and downstream system requirements. Develops and manages complex projects. Provides work direction and guidance to Analyst and Project Staff as needed. For the purpose of a project or assignment, may report to a Manager or Associate Director for assignments and tasks. Responsibilities What You’ll Do Assists physicians, nurses, and other clinicians with design, implementation, workflow optimization, and issue resolution related to electronic health record (EHR) and other clinical applications. Functions as a liaison between the clinical community and IT analysts, and a key resource for application and/or clinical workflows and software systems. Develops and manages complex projects. Works with clinical users to understand clinical information technology project needs. Recommends resource planning and support needs to ensure successful project implementation. Oversees the design and development of application programs from analysis to implementation and assists with these duties as needed. Creates system specification and workflow documents for new projects and/or features. Maintains existing specifications and project documents for complex clinical IT initiatives that include technical details, user expectations, project goals, work effort, accountability, and deliverables. Coordinates the installation of software and/or hardware. Works in concert with other HST/IS&T Departments pertaining to the planning and implementation of systems to ensure that HST/IS&T standards are met. Manages documentation and communication for problem determination and resolution. Researches complex issues and offers solutions. Qualifications What You’ll Bring Required: Bachelor’s Degree, with preference for Hospital Administration, a health related discipline (Nursing, Pharmacy, etc.), or related clinical field. Licensure in a clinical profession is required. Five (5) years of experience in information systems with preference given to candidates within a hospital environment. Extensive subject matter expertise on clinical systems and knowledge of clinical operations and workflows. Direct experience with electronic medical records is a plus; prior Epic experience is highly desirable. Must complete certification on Epic application specified by management within 6 months of training. Demonstrates interpersonal skills working in a service-oriented environment. Excellent oral and written communications skills. Capable of functioning/leading in a team environment. Equivalent education, experience and/or training may be substituted for the degree requirements. Additional relevant experience, or clinical expertise, may be substituted for information systems experience. What We Offer Vacation 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 In compliance with New Jersey’s Pay Transparency Act, the salary range for this position is PS35S: $112,753.00 - $136,646.00 - $163,282.00. 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. The expected salary range for this position is 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.