Job Overview:

The regional complex case manager RCCM is an innovative and expert clinician focused on difficult to place, high-cost, high length-of-stay, and/or escalated patients. In conjunction with the interdisciplinary care team and a regional leadership, the RCCM will manage the care and discharge planning functions of identified patients.

Qualifications:

Required:

• At least three to five years of strong acute care case management experience
• Bachelors in Nursing required; MSW required

Preferred:

• Masters Degree in Nursing, Social Work, Healthcare Management, or comparable field preferred
• For Social Work, LCSW preferred
• Case Management Certification ACM, CCM preferred; to be completed within 12 months of hire preferred

Certifications and Licenses Required:

• New Jersey Registered Nurse OR Licensed Social Worker

Scheduling Requirements:

• Travel Required within Northern Region Daily to Weekly
• Opportunity for a hybrid schedule after a pre-determined onboarding period

Essential Functions:

• Manages a caseload of psychosocially, legally, and/or medically complex patients referred via campus case management departmental leadership
• Engages assigned patients in any setting, including acute, post-acute, ambulatory settings, and home based upon the needs and agreed upon goals of the complex case team
• Provides case management and discharge planning services with a goal of mitigating delays and achieving goal length of stay
• Participates and attends hospital committees/boards/meetings which pertain to area of expertise, i.e. LOS meetings, complex discharge meetings, other board and committee meetings as appropriate to specific assignments, etc.
• Provides timely, consistent updates to leadership and clinicians involved in care of patients
• Provides feedback and education as needed to care team, including clinicians and unit/service level case management staff
• Conducts interviews with patients and families with cultural humility
• Accurately assesses problem situations
• Uses purposeful strategy to intervene in problem situations
• Educates patients/families and facilitates referrals to community resources; serves as a liaison among patients, medical staff, the hospital at large and outside community agencies
• Communicates clearly and concisely both verbally and in writing
• Prepares and submits complete and accurate reports as needed by leadership
• Documents patient-level activities in patients medical records
• Provides accurate and timely documentation according to departmental guidelines, including compliance related needs Patient choice, 2nd IM, etc.
• Assists as needed in a variety of complex care management tasks, including but not limited to:
  • Identification of unknown patients admitted to the hospital
  • Preparing for and/or appearing at guardianship proceedings
  • Liaising with foreign consulates and embassies
  • Collaborating with governmental organizations such as APS, DDD, DCP&P, etc.
  • Consulting medical ethics and palliative care
  • Facilitating communication among specialty consultants
  • Navigating the intersection of medical illness and serious and persistent mental illness
  • Addressing concerns for futile care
  • Leverages resources for uninsured/underinsured patients
• Demonstrates professional development on the job as evidenced by:
  • Stays current with field of practice through journals, articles, and other pertinent literature
  • Maintains an accurate and up to date database resources and referrals
  • Show initiative in application of current scope of practice knowledge
  • Develops complex discharge plans; analyzes and solves specific problems

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

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