RN Care Manager/Project Evaluator

Catholic Charities, Diocese of Trenton is a faith‑inspired non‑profit organization that offers a wide variety of career opportunities. We provide a focus on work‑life balance, competitive salaries, and comprehensive benefits. Job Summary: Provides utilization management and systems review activities for “For My Baby & Me.” Works collaboratively with agency partners and community stakeholders, and makes recommendations on protocols and systems to support optimum program/grant outcomes. Essential Functions Oversee evaluation activities, including the development of effective data collection, monitoring, and reporting in compliance with applicable grants (For My Baby and Me). Utilize best practice standards to render medical necessity determinations. Analyze, evaluate, and measure project outcomes and incorporate results into sustainability and strategic evaluation planning. Write process and outcomes reports, including quarterly performance assessments and protocol recommendations. Provide case consultations for complex cases and situations. Collaborate with interdisciplinary teams to assess physical, behavioral, social, and transitional care needs and assist as needed to develop person‑centered, integrated, recovery‑oriented service plans. Monitor staff for appropriateness and congruence of application of medical necessity criteria during utilization review; provide training as needed. Assist in the recommendation of client care to designated collaborating agencies and monitor care and length of stay. Recognize quality of care issues and report them appropriately through internal/external processes under the direction of the Nurse Executive/Director of Nursing. Implement valid and reliable monitoring tools to conduct quantitative and qualitative analysis of consumer care/quality measures in accordance with acceptable statistical and quality improvement processes and systems. Manage, monitor, and report on concurrent and retrospective review of consumer records to ensure consumers received/are receiving the right care, timely and cost‑effective, and recommend solutions to improve efficiency and effectiveness of service delivery. Provide linkages, referrals, and coordination of care. Perform other duties as assigned by nurse executive/director of nursing. Minimum Qualifications Master’s Degree in Nursing from an accredited university. Current, unrestricted license to practice independently as a registered nurse in the state of NJ. CPR certification. Bilingual preferred. Knowledge / Skills / Abilities Experience and knowledge of substance abuse treatment, mental health, vocational rehabilitation, community integration programs, peer services, mobile crisis, PACT team, and other community services. Experience in QI and program evaluation methodology including planning, execution, and reporting. Extensive clinical knowledge base. Some travel may be involved. Strong knowledge about the impact of mental health, substance use disorders, and psychosocial stressors on physical health conditions. Excellent verbal and written communication skills and interpersonal skills essential. Strong computer skills, including Excel and database management, and ability to document while simultaneously taking information over the phone or in person. Position Requirements Exempt Weekly Work Hours: 40 Proposed Salary: $80,000 annually Schedule: Monday–Friday 8:00 AM – 5:00 PM This position is currently accepting applications. Catholic Charities is an Equal Opportunity Employer and an affirmative action initiative. #J-18808-Ljbffr