Director Of Case Management

Job Title: Director Of Case Management

Location: Newark Beth Israel Med Ctr

Department: Case Management

Req#:

Status: Full-Time

Shift: Day

Pay Range: $170,000.00 - $180,000.00 Annual

Pay Transparency:

The above reflects the anticipated annual salary 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:

The Director of Case Management oversees the Case Management Department. Candidates should possess a BSN (Master's Degree in Nursing preferred) and or MSW (LCSW preferred), along with a minimum of 5 years of clinical experience in hospital, home health, or community settings. Additionally, candidates must have at least 3 years of recent experience in Case Management, Utilization Review, or Discharge Planning, and a minimum of 2 years in a supervisory role, with prior management or leadership experience required. This role focuses on clinical resource management, utilization review, discharge planning, and patient advocacy. This role ensures compliance with state and federal guidelines and is accountable for case management outcomes as outlined in the Utilization Management Plan.

Qualifications:

Required:

• BSN required for RN; Master s Degree preferred, preferably in nursing
• MSW required for SW; LCSW preferred
• 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 supervisory experience is required
• Prior management or leadership experience
• Prior Case management experience
• Current and valid license to practice as a Registered Nurse or Social Worker in the state of New Jersey
• Certification in Case Management strongly preferred/required within 1 year of hire
• Working knowledge of healthcare reimbursement systems required
• Expert knowledge related to application of medical necessity criteria

Preferred:

Certifications and Licenses Required (if applicable):

• N/A

Scheduling Requirements (non-exempt positions):

• Day
• Full-Time
• 37.5 Hour Work Week

Essential Functions:

• Expert knowledge of regulations regarding utilization review, discharge planning, auditing, scopes of practice for case management and social work,

• Ability to establish and maintain effective working relationships with the all customers, internal and external,

• Excellent interpersonal communication and negotiation skills,

• Strong analytical and data management skills,

• Expert working knowledge of discharge planning, utilization management, case management, care coordination, performance improvement, post-acute levels of care, and community resources

• Strong organizational and time management skills as evidenced by capacity to prioritize multiple tasks and role components

• Ability to work independently and exercise sound judgment in interactions with physicians, payors, and patients and families

• Excellent working knowledge of denials management

• Knowledge of professional standards for RN Case Managers and Social Workers,

• Excellent knowledge of state and federal regulations regarding Utilization Management, Discharge Planning and hospital billing Strong ability to lead, mentor and inspire people

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to supports 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

RWJBarnabas Health is an Equal Opportunity Employer