Nursing Jobs in Totowa, NJ
$90,000 - $145,000 / year
192635 Job Description Serves as liaison between the patient and facility/physician. Ensures a continuum of quality patient care throughout hospitalization and oversees provisions for patient's discharge. Assesses, plans, oversees and evaluates the appropriateness of care throughout admission and hospitalization of the patient. Job Responsibility Facilitates patient management throughout hospitalization. Performs concurrent utilization management using evidence based medical necessity criteria. Submits data to management regarding case management and/or quality initiatives. Serves as an in-patient liaison - planning, assessing, implementing and evaluating patient in collaboration with the health care team. Conducts chart review for appropriateness of admission and continued length of stay; Facilitates throughput. Conducts clinical reviews and interacts with third party payers to obtain approval of hospital days, pre-certification and post-discharge eligibility in relation to clinical course. Ensures compliance with current state, federal, and third party payer regulations. Documents the case management process in the medical record; completes and documents a care coordination assessment on the patient. Serves as a liaison to patient, family, admitting, primary care physician, health care team, and hospital departments. Completes applicable areas of the patients discharge instruction sheet and the patient transfer sheet; ensures case management documentation is current and accurate. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Emergency Department experience, preferred. Knowledge of Milliman guidelines, preferred Two years of experience in an acute care setting, preferred Ability to manage a diverse caseload, including complex discharge planning needs Strong time management, workflow, critical thinking and conflict resolution skills Team-oriented; able to coordinate self-scheduling collaboratively Flexible to float as needed Flexibility in days as needed Alternating weekends and holidays Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). $93,600 - $109,200 / year
Description RN, Care Transitions Coordinator Welcome to Holy Name, a medical center where innovation is not just a goal — it's a commitment. Here, medical excellence thrives, allowing hope to reign supreme and leaving no room for fear. At our hospital, every patient is cared for with undivided attention — because healing every soul is our sole focus. Holy Name is New Jersey's only independent Catholic health system, comprising a 361-bed acute care hospital, a renowned cancer center, a state-of-the-art fitness center, a residential hospice, a prestigious nursing school, and an extensive physician network. Healing at Holy Name goes beyond medicine and technology – it is infused with faith, conviction, compassion, and a commitment to educating the next generation of healthcare professionals through a variety of residency and educational programs. Our mission to provide care for the body, mind, and soul spans education, prevention, diagnosis, treatment, rehabilitation, and overall wellness. This is at the core of who we are and what we do, and we've done it this way across generations, every single day, for nearly 100 years. Every innovation, medical breakthrough, and groundbreaking treatment is powered by some of the best minds in medicine, ensuring nothing is left on the table or the road to recovery. A Brief Overview The Care Transitions Coordinator is responsible for facilitating and coordinating services for patients through the continuum of care. The Care Transitions Coordinator ensures appropriate utilization of resources and safe delivery of care to all patients and provides quality and cost-effective care that will lower Length of Stay (LOS) and decrease the fragmentation of services that can potentially compromise patient care. Care Transitions Coordinator collaborates efforts as a team in order to perform one or more of the following roles: Discharge Planning and Disease Management of acute and chronic conditions, facility placement needs as needed and timely referrals and evaluations of all post-acute care needs. The Care Transitions Coordinator play a pivotal role for patients as part of the interdisciplinary team in order to ensure patient safety, quality of care and positive patient outcomes. Rotation of coverage for weekends and holidays will be required and are assigned throughout the year. What You Will Do Modification of plan of care, as necessary, to meet the ongoing needs of the patient Communicate relevant information to third party payors and the care team. Completion of all required documentation in patient records Issues Notices of Non-Coverage per hospital policy. Refers appropriate cases for social work intervention based on department criteria Knowledgeable about Indigent Medication Programs Verifies patient demographics and insurance information is correct Expedites execution of plan of care for patients in Observation units. Arranges transportation for patients slated for discharge. Uphold compliance of regulatory standards for Observation patients including CMS requirement for Code 44. Utilizes “Patient Choice” list for support services post discharge and documents. Initiates home care referrals for VNS, orders durable medical equipment and arranges ambulance transportation as needed for patients prior to discharge or transfer to another facility. Participates as an active, informative and cooperative team member of the health care staff by attending discharge rounds for case finding/follow up and participating in the discharge plan while acting as an advocate for the patient. Arranges family meetings to assist in discharge planning as indicated Other duties as assigned Education Qualifications Bachelor's Degree BSN Preferred or Experience Qualifications 4-6 years 3-5 years experience in an acute care setting Required and Disease Management and Discharge planning experience Preferred Knowledge, Skills, And Abilities Analytical and problem solving along with excellent verbal and written communication skills. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure Upon Hire Required and CCM - Certified Case Manager Upon Hire Preferred At Holy Name, we believe in rewarding every team member with more than a paycheck—we invest in your future and well-being. Full-time and part-time employees have access to a comprehensive benefits package designed to support your health, financial security, and quality of life. We offer low-cost medical coverage with generous employer contributions, dental and vision plans, discounted prescriptions, and access to on-site child care. Additional benefits include 401(k) matching, tuition reimbursement, paid time off, flexible spending accounts, legal and voluntary coverage options, life insurance, and free on-site parking. If you are hired at Holy Name, your final base compensation will be determined based on factors such as employment status (Full/Part-Time or Per Diem) skills, education, and/or experience. In addition to those factors – we believe in the importance of pay equity and consider any internal equity of our current team members as a part of any final offer. Pay Range: $93,600.00 - $109,200.00 Holy Name is a mission-driven facility whose quality standards and philosophy are rooted in the principles of its founders, the Sisters of St. Joseph of Peace. Those principles are exercised daily by the Medical Center's dedicated and talented staff members. Holy Name is an Equal Opportunity Employer. 
$123,173 - $133,121 / year
Duties Description Nurses are vital members of a multi-disciplinary team focused on providing compassionate care through patient-centered and recovery-focused mental health services to individuals with serious mental illness including: Planning and supervising nursing care Coordinating and providing nursing care Conducting nursing assessments Preparing, implementing, and modifying nursing care plans Providing health teaching, counseling, and education to individuals and families Implementing infection control protocols and procedures Observing and recording individuals symptoms and care; reporting responses to medications or changes in health Minimum Qualifications Candidates from outside or within State Service can be considered for hire under the Hiring for Emergency Limited Placement – Statewide (NY HELPS) program as a Registered Nurse 2 Psychiatric if they have possession of a license and current registration as a registered professional nurse in New York State; and one year of post-licensure clinical nursing experience working with individuals, at least 50% of whom have been diagnosed with mental illness, addiction, or substance use disorder. OR Candidates within State Service can be considered for transfer to a competitive class position if they have one year of permanent competitive or 55-b/55-c service in a title eligible for transfer under Section 70.1 of the Civil Service Law. Additional Comments If you would like to join the Kingsboro Psychiatric Center Nursing Team and contribute to a workforce dedicated to public service, we offer a generous benefits package including: Shift Differential for evening & night shifts Nurse Residency Program Alternate Work Schedules Additional compensation may apply based on shift assignment. 7% shift differential for evening shift. 10% shift differential for night shift. All OMH employees receive a generous benefits package including: NYS medical, dental, and vision insurance Access to tuition assistance programs Paid time off – 13 paid vacation days in the first year, 5 paid personal days, 13 paid holidays, & paid sick leave NYS Retirement programs A background check will be required. Additional Comments: Posted hiring rate includes the sum of the statutory hiring rate for PS&T Grade 20 ($74,193), an Increase Hiring Rate ($9,980), Geographic Pay Differential ($35,000), and Downstate Adjustment ($4,000); and the posted job rate is the sum of the statutory job rate ($94121), Geographic Pay Differential ($35,000), and Downstate Adjustment ($4,000). Notes: If you fail to maintain your license and/or registration once you are appointed, action will be taken to remove you from the position. In order to be eligible for appointment and to maintain employment, you cannot be listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). If you are appointed and subsequently listed as an excluded individual or entity on any of these lists (or excluded from any other Federal or Federally assisted program), you may be terminated from your employment. If appointed you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI) number issued by the National Plan and Provider Enumeration System (NPPES); and otherwise actively participate to the degree necessary to allow for your services to be billed through Medicare and Medicaid. If you are appointed and you lose the ability to bill through Medicare and Medicaid, you may be terminated from your employment. 
