Full Job Description
Responsible for the coordination and implementation of systems and services leading towards an organized, multidisciplinary team approach to patient care management. Provides clear communication across the continuum to improve patient outcomes. Assures quality, cost-efficient care for an identified patient population through the continuum of care. Develops and coordinates efforts to reduce clinical resource utilization by working closely with physicians, nursing staff and other hospital personnel. Reviews medical records for appropriateness of admissions, continued stay and level of care changes against criteria of severity of illness and illness of service to ensure optimal reimbursement to the hospital.
Qualifications
Work requires the knowledge of theories, principles, and concepts normally acquired through completion of a Bachelor's degree in Nursing and a combination of 3 years in Adult, and/or Pediatric Critical Care, Stepdown, Medical/Surgical, and/or Maternal Child Nursing. Managed Care, Home Care, Discharge Planning or Case Management experience is strongly recommended. Case Management Society of America Certification (CCM) preferred. Licensure required as a Registered Nurse by the State of New Jersey.
