Case Manager, BSN- Care Coordination, Per Diem, Vineland

divh2Job Description/h2pFacilitates a patients hospitalization from pre-admission through discharge. Collaborates with physicians, nurses, social workers and other members of the healthcare continuum to ensure appropriate, cost-effective care. Applies clinical expertise and medical necessity criteria to perform the functions of utilization management, care coordination, resource utilization, and discharge planning. Must utilize established criteria to review appropriateness of admission and continued stay. Perform initial and ongoing assessment to ensure a timely transitional care plan is developed that will support each patients needs and prevent hospital readmission. Identify and prevent potential barriers in transition of care. Ensure discharge plan is consistent with patients clinical course, continuing care needs, and covered services. Identify patients and/or families who require social work referral. Actively participate in multidisciplinary rounds. Collaborate with next level of care providers as appropriate./ppQualifications:/pulliBSN required if hired after September 1, 2021. For Mannington only, all hired on or after June 1, 2023 have BSN required, or must enrolling a BSN program by 6 months of employment and obtain their BSN by their 3rd work anniversary in a BSN required position./liliHired prior to BSN preferred, associate degree required./liliMinimum 3 years of experience in hospital setting required./lili1-3 years of case management experience preferred./liliClinical background in assigned unit/service line preferred./liliPrevious utilization management experience preferred./liliPrevious experience with regulatory and compliance requirements preferred./li/ulpCertification/Licensure:/pulliLicensed Registered Nurse in New Jersey required./liliCase Management Certification preferred./li/ulpKnowledge Skills:/pulliDemonstrates excellent communication skills (oral and written) and interpersonal skills necessary to communicate with families, patients, interdisciplinary healthcare team members, vendors, and third-party payors for optimum care./liliExcellent clinical and administrative skills and judgement./liliProficiency in Microsoft Office./liliAbility to work independently, setting priorities to coordinate care plans efficiently./liliWorking knowledge of Milliman criteria preferred./li/ulpBenefits Information:/ppClick Here to Review Our Great Benefits Offerings/p/div