CarePoint Health is one of New Jersey’s leading health care systems comprised of three long-standing and highly-regarded hospitals – Christ Hospital in Jersey City, Hoboken University Medical Center and Bayonne Medical Center. CarePoint united three area hospitals to provide 360-degree-coordinated care by integrating the medical facilities and physician networks associated with these institutions. With over 4,500 employees, CarePoint is the largest private employer in Hudson County, New Jersey and each year provides care to over 300,000 individuals.

CarePoint prides itself on its patient-focused approach to care delivery, with an emphasis on preventative medicine, health education, and disease management. Leveraging its vast network of physicians and healthcare experts, CarePoint is quickly becoming recognized as a leader in the broader healthcare landscape as it pioneers creative solutions to address urgent population health needs.

The Case Manager will work within an interdisciplinary team and collaborate with physicians, family members, nurses, and other hospital team members throughout the patient’s continuum of care. The Case Manager will provide compassionate quality care and concurrent assessment while assisting patients and families from pre-admission through discharge planning to ensure appropriate utilization of services in accordance with the Utilization Management Plan. 

     Performs utilization review function within 24  hours.

• Formulates a plan of care to meet identified needs in most appropriate setting at time of initial assessment.
• Performs utilization review function within 24 –48 hours of patient admission to the hospital and documents same on internal worksheet.
• Interviews patient and/or family with risk criteria for education needs and any special discharge concerns and continues to follow through discharge.      

      Reviews plan of care with health care team and patient/family.

• Attends interdisciplinary rounds and provides information to staff regarding Millman Care Guidelines, payor guidelines and identified variances in the care plan.
• Identifies issues that require patient education prior to discharge.
• Provides information regarding denials and LOS to medical staff.
• Initiates communication with physician for clinical work plan.     

      Coordinates the plan of service that is identified for effective hospital stay and discharge planning. Works closely with the Social Workers and other members of the Interdisciplinary Care Team, to effect a timely discharge. This includes:

• Assessment, developing a post-acute plan of care.
• Reassessment as needed based on clinical needs, functional status, insurance coverage, caregiver support.
• Implementation of safe and timely plan.
• Makes referrals to members of the care team for post hospital care.
• Coordinates hospital services such as diagnostic testing and treatment.
• Identifies patient/family educational needs and makes appropriate referrals.
• Performs retrospective and concurrent review by guidelines.

Full Time, Day Shift

8:30 am/9:00am - 4:30/5:00pm

Rotating weekends 

• Prior case management experience
• Diverse clinical experience in both Med/Surg and Critical Care a plus
• 3 - 5 years clinical hospital experience required
• Currently licensed NJ Registered nurse
• Case Management Certification preferred
• Excellent verbal and written communication skills required
• Must be able to make decisions, work independently and communicate effectively with Interdisciplinary teams, patient, families, and physician staff to formulate a safe discharge plan

• Competitive pay
• Medical, dental, and vision insurance
• 401k with Company match
• Generous paid time off
• Paid Holidays
• Tuition Reimbursement
• Advancement and career development opportunities

CarePoint Health is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status, or any other characteristic protected by law.