Case Management Coordinator

About the Role

The Case Management Coordinator plays a vital role in guiding patients through the healthcare system, ensuring their care is both clinically appropriate and aligned with their psychosocial needs. This position involves close collaboration with physicians and clinical staff to manage resource utilization effectively, keeping it within the scope of the patient’s insurance coverage. The coordinator actively identifies and addresses systemic or procedural barriers that may hinder the delivery of cost-effective, medically necessary care. Additionally, the role includes ensuring compliance with regulatory requirements related to care levels, utilization management, and discharge planning. The Case Management Coordinator also oversees transitions of care and discharge processes, all while upholding the mission and values of University Hospital. 

What You’ll Do 

• Coordinates patient progression through the healthcare system
• Collaborates with physicians and clinical staff to ensure appropriate use of resources based on clinical and psychosocial needs
• Ensures care remains within the scope of covered benefits
• Identifies and implements creative solutions to address process and system barriers to effective, cost-efficient care
• Ensures compliance with regulatory standards related to level of care, utilization review, and discharge planning
• Manages transitions of care and discharge planning activities
• Supports the mission and values of University Hospital through effective case management practices

What You’ll Bring

• • Must be a Registered Nurse licensed to practice in the State of New Jersey
  • Bachelor’s degree in Nursing or a healthcare-related field required
  • Master’s degree in Nursing or a healthcare-related field preferred
  • Minimum of four (4) years of clinical experience in an acute care hospital setting required
  • Case management certification (CCM, ACMA, or RN-BC) preferred
  • Recent experience required in one or more of the following areas:
    • Case management
    • Home health
    • Utilization review
    • Unit clinical specialty
  • Basic computer proficiency required
  • Strong ability to work collaboratively with interdisciplinary teams
  • Demonstrates resourcefulness and strong communication, negotiation, and analytical skills
  • Additional relevant experience may substitute for the Bachelor’s degree on a year-for-year basis

What We Offer

• Paid Time Off (PTO)
• Medical & Prescription Drug Coverage
• Dental & Vision Insurance
• Health Savings Account (HSA) & Flexible Spending Account (FSA)
• Short- & Long-Term Disability Insurance
• Pension Plan
• Pet Insurance
• Employee Assistance Program (EAP)
• Professional Development

Compensation

The expected salary range for this position is UL/05S: $99,904.00– $139,889.72 per year, in accordance with the New Jersey Pay Transparency Law; final compensation will be commensurate with experience and qualifications.

About Us

University Hospital is one of the nation’s leading academic medical centers. As the principal teaching affiliate of Rutgers New Jersey Medical School and the only state-certified Level 1 Trauma Center in Northern New Jersey, University Hospital is training the next generation of physicians and advancing science to discovery while taking exceptional care of patients, regardless of their financial situation.

Apply Today

We encourage candidates from all backgrounds to apply. If you want to grow your career in healthcare while serving a vibrant community, we’d love to meet you.