Director (Registered Nurse), Case Management (Full-Time/Days) at RWJBarnabas Health – Livingston, New Jersey

Job Overview:
The Director of Case Management at Cooperman Barnabas Medical Center is responsible for the operational oversight of the Case Management Department, including but not limited to clinical resource management, utilization review, discharge planning, patient advocacy, oversight of nursing and social work functions, medical necessity determinations, and concurrent review.

Qualifications:

Required:

• Minimum 5 years clinical experience in hospital, home health, or community setting
• Minimum 3 years recent experience in Case Management/UR/Discharge Planning required
• Minimum 2 years of supervisory experience is required
• BSN Degree

Preferred:

• Master's Degree preferred, preferably in nursing

Certifications and Licenses Required:

• Current and valid license to practice as a Registered Nurse in the state of New Jersey
• Certification in Case Management strongly preferred/required within 1 year of hire
• Basic Life Support (BLS) from the American Heart Association

Scheduling Requirements:

• 9am - 5pm each day
• 37.5 hours weekly
• Days
• Full-Time

Essential Functions:

• This role is accountable for the execution, adaptation, and outcomes of case management as documented in the Utilization Management Plan with regard to resources, appropriateness of care, and adherence to a designated length of stay for each patient and in alignment with state and federal guidelines.
• Responsible for the operational oversight of the Case Management Department, including but not limited to clinical resource management, utilization review, discharge planning, patient advocacy, oversight of nursing and social work functions, medical necessity determinations, and concurrent review.
• Ensure that Case Management Department is in compliance with all applicable policies, laws and regulations.

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