The region’s leading network of healthcare providers, Inspira Health Network is seeking
a Case Manager to join the team. This position facilitates daily patient care processes through coordinating input from health professionals, conducting assessments of patient and family needs and formulating a documented, safe discharge plan ensuring continuity of care. We will rely on you to review all patients admitted to the hospital; evaluate the appropriateness of admission and continued stay using approved criteria; and facilitate appropriate reimbursement through ongoing communication to insurance company.
Schedule: Per Diem with weekend/holiday rotation.
LCSW, RN or certified Case Manager within the State of New Jersey
Associate’s degree in a relevant field; BSN/BSW or BA in related healthcare field preferred
2+ years of experience in utilization review, discharge planning and case management (within the last five years preferred)
Ability to coordinate and analyze data necessary to negotiate with families, patients and third-party payors for optimum care
Experience with physician and clinical staff practice patterns and operational issues
Knowledge of community agencies that provide patients and families with appropriate choices and options for post-hospital care or prevention of admission; Interqual criteria preferred
Ability to work independently and set priorities to coordinate care plans efficiently under constraints of managed care
Find your inspiration. Team players, leaders, innovators, nurturers, educators, advocates, people with character—these are the people we hire at Inspira. If you enjoy working with a supportive team of professionals in an environment of mutual respect, then consider joining us. At Inspira, each and every person has a genuine impact and an investment in patient care. Our team members enjoy excellent benefits, as well as opportunity for personal and professional growth.