Coordinates the care and services of Clara Maass Medical Center patient population across the continuum of illness. Assumes responsibility for utilization management and monitoring process. Conducts admission and continued stay review on groups of patients, in accordance with the PRO, special negotiated PPO and/or HMO contracts, and on other classifications of patients as designated by the Utilization/Case Management Review Plan. Coordinates patient care, in conjunction with the medical, nursing and other ancillary staff members. Identifies trends and patterns of resource use and patient care, and makes recommendations in compliance with established policy and procedure. Ensures continuity of care for those patients with post-hospital health care needs and maximizes the patient's and family's abilities to meet the continuing care needs within their social and financial framework. Uses an understanding of principles of growth and development to assess each patient's age specific needs and provide age specific treatment and care.
Job Requirements :
Registered Nurse with a baccalaureate degree from an accredited school or university preferred, or equivalent RN degree with commensurate clinical experience. Minimum of 2-3 years experience in a hospital setting. Minimum of one year experience in Case Management/Utilization Management or Home Care.
Internal Number: REQ34446-POS58397
About RWJ Barnabas Health
Welcome to Barnabas Health, New Jersey’s largest integrated health care delivery system. It includes Clara Maass Medical Center in Belleville; Community Medical Center in Toms River; Kimball Medical Center in Lakewood; Monmouth Medical Center in Long Branch; Newark Beth Israel Medical Center in Newark; Barnabas Health Behavioral Health Center in Toms River; and Saint Barnabas Medical Center in Livingston. The System also includes the Barnabas Health Outpatient Centers with the Barnabas Health Ambulatory Care Center in Livingston and the Saint Barnabas Family Imaging and Breast Center in Bedminster; ambulatory care facilities, geriatric centers, a state-wide behavioral health network and comprehensive home care and hospice programs.Barnabas Health's 19,600 employees (second largest private employer in the state) and 4,750 physicians (one-fourth of N.J. practicing physicians), and 450 residents provide treatment and services for more than 225,00...0 inpatients and same day surgery patients, 451,000 Emergency Department patients and over 1.5 million outpatients each year, and deliver more than 17,500 babies annually.Among our nationally recognized services and facilities are New Jersey’s only certified burn treatment facility; world-class cardiac surgery services for adults and pediatrics; the state’s oldest, most experienced center for heart transplants, ranked in top 10 by volume in the nation; New Jersey’s only lung transplant program; two kidney transplant centers which are among the largest in the nation with 35 years of experience; six certified chest pain centers by the American Society of Chest Pain Centers; three Joint Commission-accredited Primary Stroke Centers, one Comprehensive state-accredited Stroke Center, and three state-accredited Primary Stroke Centers.Our renowned services also include the most comprehensive robotic surgery service in the region with cardiothoracic surgery, general surgery, adult and pediatric urology, gynecology, and gynecologic oncology; a highly respected neurology and neurosurgery program; a widely recognized reproductive medicine and science program; nationally recognized geriatric services; comprehensive cancer services, providing patients with state-of-the-art technology and cutting-edge treatment options through participation in clinical research trials; three Valerie Fund Children’s Centers for Cancer and Blood Disorders; renowned women’s and children’s services, including Children's Hospital of New Jersey at Newark Beth Israel Medical Center and The Children’s Hospital at Monmouth Medical Center; and New Jersey’s only neonatal ECMO program for life-support.Throughout Barnabas Health, our dedicated physicians, nurses and health professionals are committed to providing the highest quality of patient care and health education to the community and the region.