Case Management Manager

OverviewJoin our team as a Case Management Manager in Westwood, NJ. Why Join Us? Thrive in a People-First Environment and Make Healthcare Better Thrive: We empower our team with career growth opportunities, tuition assistance, and resources that support your wellness, education, and financial well-being. People-First: We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for. Make Healthcare Better: We use advanced technology to support our team and enhance patient care. Learn more about the benefits offered for this job. Get to Know Your Team: Hackensack Meridian Pascack Valley Medical Center is a 128-bed, full-service, acute-care community hospital with a new emergency department, a state-of-the-art maternity center, a womens imaging center, and an ICU. ResponsibilitiesThe Manager of Case Management supports the strategic and daily operations of the hospital's Case Management department, including case management, social work, utilization review, and transitions of care. This role partners with hospital leadership, physicians, Revenue Cycle, and interdisciplinary teams to improve patient outcomes, optimize length of stay and readmissions, ensure regulatory compliance, and support efficient care delivery.Support daily Case Management operations and initiatives focused on length of stay, readmissions, utilization management, and transitions of care.Partner with physicians and internal and external physician advisors on utilization review, medical necessity, and appropriate level of care.Monitor and analyze key performance indicators, including length of stay and readmission data, and implement workflows to improve performance.Collaborate with Revenue Cycle and other departments on medical necessity reviews, audits, denials, and related improvement initiatives.Ensure departmental practices align with applicable federal and state regulations, standards of practice, and organizational requirements.Support Case Management staff through regular communication, education, workflow development, and training on regulatory requirements and emerging trends.Partner with the Director of Case Management to drive operational improvements and achieve hospital and organizational goals. QualificationsJob Requirements: Associate degree or higher in Nursing, or Bachelor's degree or higher in Social Work (BSW)Current Registered Nurse (RN) license required for nursing candidatesOne (1) or more years of Case Management leadership experiencePreferred Job Requirements: Two (2) or more years of acute hospital-based case management experienceCertification in case management (ACM or CCM)Rate of pay is determined based on experience and education and may include other pay components such as differentials and call pay based on role.