What are the responsibilities and job description for the Manager, Care Managment position at HMH HOSPITALS CORPORATION?
Our team members are the heart of what makes us better.
At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The Manager of Case Management, is responsible for all activities related to Case Management, Social Work and Utilization Management, including, but not limited to discharge planning, medical necessity, and denial prevention. Ensure transition management promoting appropriate length of stay, readmission prevention and patient satisfaction. Provide Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care; and education provided to physicians, staff, patients, families and caregivers. Promotes collaboration with all appropriate departments to meet identified goals.
Qualifications:
Education, Knowledge, Skills and Abilities Required:
- Bachelor's degree in nursing, or Master's degree in nursing, social work or related field
- At least 5 years full time experience in an acute care setting.
- Familiar with hospital resources, community resources, and/or resource/utilization management.
- Care coordination, case management, discharge planning and/or utilization review experience.
- Effective decision-making /problem-solving skills, demonstration of creativity in problem-solving, and influential leadership skills.
- Excellent verbal, written and presentation skills.
- Moderate to expert computer skills.
Education, Knowledge, Skills and Abilities Preferred:
- Minimum of 2 years of experience in Nursing Leadership.
- 3-5 years previous experience in Case Management.
- Extensive knowledge of medical necessity and EPIC.
- Working knowledge of the financial aspects of third party payers and reimbursement.
Licenses and Certifications Required:
- NJ State Professional Registered Nurse License or NJ Licensed Clinical Social Worker or NJ Licensed Social Worker.
- Case Management certification by a nationally recognized organization within 1 year.
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!