Lead Case Manager, Case Management

Job Overview:
The Team Leader supports operational efficiency of the Case Management Department to ensure seamless management of the day-to-day activities of all Case management staff and activities, including but not limited to discharge planning, care coordination activities, social work, Utilization Review, and Observation units (if there is one).

Qualifications:

Required:

• Graduate from an accredited school or university
• BSN degree
• Working knowledge of utilization review and discharged planning, hospital case management experience required
• Proficiency in MCG guideline application
• Knowledge of regulatory requirements, state and federal guidelines and conditions of participation

Preferred:

• Case Management certification, or required within 1 year of hire

Certifications and Licenses Required:

• Current Registered Nurse License in the state of New Jersey
• Basic Life Support (BLS) from the American Heart Association

Scheduling Requirements:

• Full-Time
• Day shift
• 40 hrs. weekly
• Monday Friday
• 8a 4:30p
• Some weekends if necessary
• Must be flexible

Essential Functions:
Reduces LOS through the rounding ensuring case manager collaboration with all members of the interprofessional team by addressing anticipated LOS, estimated date of discharge, and barriers to achieving improved hospital throughput. Ensures workflow, policy and procedures are followed. Provides support oversight and leadership to the Case Management team.

Quality & Fiscal Management
Ensures that appropriate resource utilization is maintained.
Demonstrates an understanding of level of care changes and the financial impact.
Participates in performance improvement initiatives

Other Duties:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Benefits and Perks:
At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.

• Paid Time Off (PTO) Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer