RWJBarnabas Health

RN Care Manager

RWJBarnabas Health$100K — $143K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in nursing from an accredited school
  • Two years of experience in critical care, population health management, or acute care preferred
  • Experience in Utilization Management, Case Management, Disease Management, or Care Coordination
  • Proficiency in Epic electronic health record (EHR) system
  • Excellent communication and interpersonal skills to engage effectively with diverse populations
  • Outcomes-driven with a demonstrated ability to achieve performance targets
  • Flexibility to adapt to changing workflows, priorities, and patient care needs

Responsibilities

  • Review patients for enrollment in the care management program based on medical necessity
  • Conduct comprehensive assessments and develop individualized care plans
  • Coordinate care for patients with complex medical and psychosocial needs
  • Integrate patient's story into the multidisciplinary plan of care
  • Facilitate access to services and ensure patient care progression
  • Collaborate with multidisciplinary teams to eliminate barriers to care delivery
  • Assess patients' unmet health and social needs and develop care plans accordingly
  • Monitor adherence to care plans and evaluate patient progress
  • Participate in clinical performance improvement activities
  • Build and maintain positive relationships that advocate for the patient
  • Document clinical activities and support accurate clinical documentation
  • Adapt to evolving priorities and operational changes

Benefits

  • 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 partners including NJ Devils, NJ PAC, and Verizon
Full Job Description
Job Title: Nurse Care Coordinator

Location: RWJ - 379 Campus Dr,

Somerset

Department Name: ACO



Status: Salaried

Shift: Day

Pay Range: $100,000.00 - $143,195.00 per year

Pay Transparency:

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Job Overview:

As part of RWJBarnabas Healths Transform Together team you will play an instrumental role in a department that is providing fully coordinated patient care from a holistic approach to improve the overall performance of the value based population across the healthcare continuum by ensuring the population receives the right care at the right time by the right people The RN Care Manager will utilize skilled intervention clinical best practice knowledge and collaboration with the patient physician and multidisciplinary treatment team to pace care achieve quality outcomes and negotiate appropriate reimbursement You will ensure the timely and seamless clinical transition of patients through medically appropriate levels of care

Essential Functions:
  • Reviews all patients identified for review to determine the medical necessity and appropriateness of enrollment in the care management program
  • Conduct comprehensive assessments develop individualized care plans and monitor progress towards closing care gaps and health goals
  • Coordinate and manage care for patients with complex medical and psychosocial needs ensuring smooth transitions across the continuum of care
  • Holds interprets and integrates the patients story into the overall multidisciplinary plan of care
  • Coordinates and facilitates access to services and patient care progression using best practice interventions that will produce favorable patient outcomes
  • Collaborates with physicians nursing social work and multiple disciplines departments payers and agencies to eliminate barriers to efficient delivery of care in the appropriate setting
  • Work with patients to plan and monitor care by assessing patients unmet health and social needs Develop a care plan with the patient family caregivers and providers
  • Monitors adherence to care plans evaluates effectiveness monitors patient progress in a timely manner
  • Actively participates in clinical performance improvement activities as assigned
  • Builds a network of positive working relationships that advocate for the patient
  • Documents clinical activities in the medical record and supports and coaches accurate clinical documentation by physicians and others
  • Adapt to evolving priorities and operational changes to meet the needs of the organization and patient population
  • Pursues continuing education in area of expertise leadership
  • Performs other duties as assigned


Qualifications

Required:
  • Bachelors degree in nursing from an accredited school
  • Two years registered nurse experience in critical care population health management or acute care preferred
  • Experience in either Utilization Management Case Management Disease Management Care Coordination or Discharge Planning
  • Proficiency in Epic electronic health record EHR system
  • Excellent communication and interpersonal skills to engage effectively with diverse populations
  • Outcomes driven with demonstrated ability to achieve performance targets
  • Flexibility to adapt to changing workflows priorities and patient care needs

Preferred:
  • Prior telephonic care experience a plus

Certifications and Licenses Required:
  • Current unrestricted New Jersey nursing license with the ability to obtain licensure in other states


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.

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!


About RWJBarnabas Health

RWJBarnabas Health is the largest integrated healthcare delivery system in New Jersey, with hospitals, ambulatory care centers, and clinics throughout the state. The system includes eleven acute care hospitals, three children's hospitals, a pediatric rehabilitation hospital, a behavioral health center, and numerous other clinical facilities. RWJBarnabas Health is committed to providing high-quality, compassionate care to patients and their families, and to advancing medical research and education.
Learn more about RWJBarnabas Health
Size
35,000 employees
Industry

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