RN Case Manager, Care Coordination, Full Time, Days
Company: Valley Health System
Location: Paramus
Posted on: May 18, 2025
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Job Description:
Position SummaryCoordinates the care for observation patients in
the Clinical Decision Unit (CDU) from both a discharge planning and
utilization review perspective. Performs concurrent utilization
review activities on all patients within the assigned caseload.
Collaborates and educates the medical staff on appropriate
utilization review guidelines and documentation in accordance with
CMS regulations and Commercial payors guidelines. Monitors and
intervenes on LOS, resource utilization and denial management/
prevention within the assigned caseload. To coordinate and
facilitate patient care through the Valley Hospital Health Care
System as it relates to a multidisciplinary approach to patient
care and utilization of resources. Scheduled Hours: 8:00 am - 4:30
pm. Schedule to include rotating weekends and
holidays.EducationBachelor's degree (BSN) in nursing required.
Bachelor's degree required. ANCC case management certification
preferred. Expectations: achieve ANCC case management certification
within two years (effective 2016), or when requirements for sitting
for the eExperienceMinimum 5 years' experience in clinical nursing,
minimum of 3 years in case management/ utilization.Special
SkillsRegistered Nurse, Licensed in State of New Jersey, Current
acute care clinical knowledge with broad-base medical / surgical
background. Demonstrates effective interaction and communication
skills. Strong critical thinking, clinical reasoning skills and
effective problem-solving. Ability to perform work accurately and
pay attention to details, often changing from one task to another
without loss of efficiency or composure. Ability to function
competently in stressful situations and changing work environment,
Ability to work collaboratively within the health- system with
patients and families; and with multidisciplinary team members
(i.e. , physicians, Rehab, Respiratory, DI, Lab, etc.). Ability to
utilize effective time management to set priorities, perform job
related responsibilities, and respond quickly to emergency
situations. Ability to use critical thinking and clinical reasoning
skills effectively problem-solve and provide case management
services.Job LocationThe Valley Hospital-ParamusShiftDay (United
States of America)EEO StatementValley Health System does not
discriminate on the basis of ancestry, age, atypical hereditary
cellular or blood trait, civil union status, color, creed,
disability, domestic partnership, gender, gender identity or
expression, familial status, genetic information, liability for
service in the Armed Forces of the United States, marital status,
medical condition or illness, mental or physical handicap, national
origin, nationality, perceived disability, pregnancy, race, refusal
to submit to genetic testing or make available results of such
tests, religion, sex, sexual orientation, veteran's status or any
other protected basis, in accordance with all applicable Federal,
State and Local laws. This applies to all areas of employment,
including recruitment, hiring, training and development, promotion,
transfer, termination, layoff, compensation, benefits, social and
recreational programs, and all other conditions and privileges of
employment.
Keywords: Valley Health System, Fairfield , RN Case Manager, Care Coordination, Full Time, Days, Executive , Paramus, Connecticut
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