Registered Nurse, Clinical Care Coordinator, Case Manager, Care Coordination, Part Time, Day
Valley Health System
Summary
The Clinical Care Coordinator, Case Manager is responsible for coordinating patient progression, utilization management, discharge planning, admission status review, and transitions of care across the continuum. The role collaborates with patients, families, physicians, payers, Hospital Operations Resource Center (HORC), Physician Advisors, and interdisciplinary team members to promote appropriate resource utilization, timely patient placement, optimal clinical outcomes, regulatory compliance, and efficient patient throughput. Specialty assignments may include inpatient services, surgical services, or emergency department operations.
Job description
Position Summary
The Clinical Care Coordinator, Case Manager is responsible for coordinating patient progression, utilization management, discharge planning, admission status review, and transitions of care across the continuum. The role collaborates with patients, families, physicians, payers, Hospital Operations Resource Center (HORC), Physician Advisors, and interdisciplinary team members to promote appropriate resource utilization, timely patient placement, optimal clinical outcomes, regulatory compliance, and efficient patient throughput. Specialty assignments may include inpatient services, surgical services, or emergency department operations.
Education
Bachelor's degree (BSN) in nursing required. Registered Nurse. Licensed in State of New Jersey. ANCC Case Management Certification preferred.
Experience
Minimum five (5) years of clinical nursing experience required. Experience in medical or surgical, perioperative, procedural, or emergency nursing preferred. Experience in case management and/or utilization review strongly preferred.
Knowledge, Skills and Abilities
- Demonstrates knowledge of acute care nursing, care coordination, discharge planning, utilization management, patient progression, medical necessity criteria, admission status determination, CMS regulations, Medicare, Medicaid, managed care requirements, and healthcare reimbursement.
- Knowledge of MCG guidelines, care transitions, patient throughput processes, and electronic case management systems is required.
- Demonstrates strong communication, collaboration, critical thinking, clinical reasoning, problem-solving, and organizational skills.
- Effectively partners with physicians, patients, families, payers, and interdisciplinary healthcare teams while managing multiple priorities and facilitating patient progression.
- Proficient in electronic medical records, case management software, and patient tracking systems.
- Able to assess complex clinical situations, coordinate care across multiple disciplines, facilitate timely transitions, and make sound decisions regarding patient progression and resource utilization.
- Maintains professionalism and effectiveness in a fast-paced environment while balancing clinical, operational, and regulatory priorities.
Requirements
- Bachelor's degree (BSN) in nursing required
- Registered Nurse licensed in State of New Jersey
- Minimum five (5) years of clinical nursing experience required
- Knowledge of MCG guidelines, care transitions, patient throughput processes, and electronic case management systems required
- Knowledge of acute care nursing, care coordination, discharge planning, utilization management, medical necessity criteria, admission status determination, CMS regulations, Medicare, Medicaid, managed care requirements, and healthcare reimbursement
- Strong communication, collaboration, critical thinking, clinical reasoning, problem-solving, and organizational skills
- Proficient in electronic medical records, case management software, and patient tracking systems
- ANCC Case Management Certification preferred
- Experience in medical or surgical, perioperative, procedural, or emergency nursing preferred
- Experience in case management and/or utilization review strongly preferred
Benefits
- Medical, Dental & Vision
- Group Term Life & AD&D
- Flexible Spending Accounts
- Commuter Benefit Plans
- Short & Long-Term Disability
- Whole Life Insurance
- Legal Support
- 6 Paid Holidays
- Paid Time Off
- Wellness Time Off
- Extended Illness
- Retirement Plan
- Tuition Assistance
- Employee Assistance Program
- Fitness Center Discount
- Day Care Discounts
Company overview
The Valley Health System is an integrated healthcare network serving Las Vegas and Southern Nevada, operating as a subsidiary of Universal Health Services, Inc. (UHS). Established in 1979, the system has grown to become the largest provider of healthcare services in Southern Nevada, serving over two million residents across the region. The network comprises six acute care hospitals, two specialty hospitals, seven freestanding emergency departments, and numerous outpatient facilities and physician practices. Key hospitals include Centennial Hills Hospital Medical Center, Henderson Hospital, Spring Valley Hospital Medical Center, Summerlin Hospital Medical Center, Valley Hospital Medical Center, and West Henderson Hospital. The system offers comprehensive medical services including emergency care, cardiovascular services, neurosciences, maternity and women's health, orthopedics, oncology, behavioral health, and specialized programs in stroke and heart attack care. All Valley Health System hospitals are accredited by The Joint Commission and consistently earn national recognition for quality care, with certifications from the American Heart Association and American Stroke Association. The organization employs over 9,000 healthcare professionals dedicated to providing patient-centered care while also serving as a teaching institution with graduate medical education programs and clinical training opportunities for future healthcare providers.