Case Manager (RN) Case Management per Diem Day

Job Title: Case Manager RN PD

Location: Jersey City Medical Center

Department Name: Case Management

Req #: 0000256920

Status: Hourly

Shift: Day

Pay Range: $50.44 - $65.56 per hour

Pay Transparency:

The above reflects the anticipated hourly wage 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:

Since 1882, Jersey City Medical Center has provided Hudson County with advanced, state-of-the-art medical treatment across various disciplines. Jersey City Medical Center, among many accolades, has earned 14 "A" national safety ratings from the Leapfrog Group since the program's inception in 2012, was awarded Magnet Recognition for superior nursing, was named Best Regional Hospital by US News and World Report and ranked among the 100 best places to work in healthcare (nationally). Jersey City Medical Center is also ideally located- in the vibrant Jersey City waterfront community overlooking the harbor, just 10 minutes from New York City, with a grand view of the Statue of Liberty.

Qualifications:

Required:

• BSN
• Current RN License in NJ
• Minimum of 3 - 5 years' experience in a hospital setting, Case Management, Utilization Management or Home Care
• 1 or more years utilization review / discharge planning experience

Preferred:

• Successful completion of all Orientation Programs
• Strong communication and organizational skills
• Proficient computer Skills
• Strong critical thinking and assessment skills
• Knowledge of system applications and EMR

Certifications and Licenses Required:

• Active NJ RN license or compact RN license with NJ endorsement
• BLS from the American Heart Association
• ACM or CCM certification
• EARC certification is required within 6 months of hire and will be arranged by RWJBH
• Certification as required by law, stature, and or regulation of area or specialization

Scheduling Requirements:

• Day Shift
• Per Diem
• Scheduled as needed with a minimum requirement of 3 shifts a month, 1 day being a weekend
• Will need to work 1 winter and 1 summer holiday

Essential Functions:

The RN Case Manager provides direct case management services to patients and their families utilizing an interdisciplinary team approach,

This role requires a working knowledge of case management responsibilities and topics including, but not limited to: assessment and documentation, discharge planning, transitions of care, interdisciplinary rounds, regulatory compliance, utilization management, revenue cycle, healthcare financing, inpatient capacity, patient flow, and healthcare related social needs (social determinants of health).

This role requires collaboration with the interdisciplinary team, including physicians, clinical nurses, and others as needed.

The RN Case Manager will actively participate in initiatives that improve key performance indicators (such as length of stay, throughput) that align with RWJBH System Goals and ensure continuity of care.

The RN Case Manager applies advanced nursing assessment, critical thinking, and care coordination skills to identify and implement acute- and post-acute interventions that optimize patient outcomes, improve access, ensure quality, and steward healthcare resources.

• Conduct comprehensive assessments in the electronic health record
• Develop and implement individualized clinical interventions to support safe discharge, reduce readmissions, and coordinate care
• Participate in interdisciplinary rounds (IDR), presenting cases and communicating discharge planning updates.
• Utilize health risk assessments and Social Determinants of Health (SDOH) screenings to identify at-risk patients and coordinate appropriate referrals.
• Complete timely referrals for post-acute care services (e, g,, DME, home care, facility placement) using electronic referral systems.
• Ensure compliance with CMS Conditions of Participation, HIPAA, and organizational policies.
• Collaborate with the Utilization Review team to support insurance authorization and clinical documentation needs
• Demonstrate working knowledge of utilization management, level of care criteria, and payment models (e,g,, Medicare FFS, bundled payments, managed care)
• Proactively manage patient flow by identifying discharge barriers and escalating complex issues to appropriate leaders.
• Address healthcare-related social needs by assessing and coordinating appropriate SDOH services to support safe discharges
• Participate in ongoing professional development, quality improvement, and department-wide initiatives focused on LOS reduction, performance, and engagement.
• Serve as clinical nursing resource to the interdisciplinary team by synthesizing patient assessment data, monitoring progression of care, and advocating for timely interventions that align with best practices.
• Demonstrate subject matter expertise in nursing assessment, application of utilization review criteria, and the interpretation of patient status in order to ensure clinical appropriateness and regulatory compliance.

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 healthcare destination providing patient-centered, high-quality academic medicine compassionately and equitably while delivering a best-in-class work experience to every team member. 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 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