The region’s leading network of healthcare providers, Inspira Health is seeking a full-time Care Coordination Manager to join our team. In this position, you will be responsible for the day-to-day case management operations of each care center and oversee interdisciplinary rounds as needed. You will also provide staff mentoring and professional development, which includes recognizing and counseling all case management staff.
Responsibilities:
Track and monitor outcomes, including length of stay, readmission, denials, patient satisfaction and patient rights items
Assist in tracking and reporting patient rights metrics, including patient preference, Medicare messages and Medicare outpatient observation notices
Serve as a resource for case managers and other interdisciplinary staff
Monitor staff attendance, timesheets and PTO requests
Monitor and oversee new staff orientation and evaluation
Complete yearly evaluations for case management staff
Maintain clinical competency and current knowledge of regulatory and payor requirements
Provide rotational on call services for the Care Coordination Department (Sat and Sun, 8AM – 4:30PM)
Qualifications:
BSN required; MSN preferred
RN license in New Jersey; Case Management certification preferred
10+ years of healthcare experience within the last 15 years; Management experience preferred
5+ years of case management and utilization review experience within the last 7 years
Knowledge of MCG criteria and understanding of Centers for Medicare & Medicaid Services (CMS) guidelines
Understanding of revenue cycles and UM processes
Capability to work as part of a team to improve care transition and overall patient experience
Strong verbal, written and interpersonal communication skills
Weekend on call rotation is required
At Inspira Health, you’ll join the area’s most dedicated and distinguished team to bring quality and compassionate care to our communities. We focus on clinical excellence, providing evidence-based care to help each patient achieve the best possible outcome. The scope and depth of our network can open many doors for your learning and career growth.
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.
