Case Manager Registered Nurse, RN

Job Title: Case Manager RN

Location: WILLIAMSON STREET

Department Name: Case Management

Req #: 0000268745

Status: Salaried

Shift: Day

Pay Range: $102,800.00 - $133,800.00 per year

Pay Transparency:

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

At RWJBarnabas Health, our RN Case Managers play an essential role in helping patients and families navigate complex healthcare needs while ensuring safe, coordinated transitions throughout the continuum of care. As an RN Case Manager at Trinitas Regional Medical Center, you'll combine advanced nursing assessment, clinical judgment, and care coordination expertise to develop individualized plans that support positive patient outcomes and efficient care delivery. Working closely with physicians, nurses, social workers, and other interdisciplinary partners, you'll help identify barriers to discharge, connect patients with appropriate resources, and promote continuity of care across acute, post-acute, and community settings. This is an opportunity to make a meaningful impact on the patient experience while supporting quality, operational efficiency, and responsible healthcare resource utilization.

As an RN Case Manager, a typical day may include:

• Conducting comprehensive patient assessments and documenting clinical findings, discharge needs, and care coordination activities within the electronic health record

• Developing and implementing individualized care coordination interventions that promote safe discharge, reduce readmissions, and support positive patient outcomes

• Participating in interdisciplinary rounds to present patient cases, communicate discharge planning updates, and collaborate on appropriate next steps

• Identifying potential barriers to discharge and proactively coordinating solutions to support patient progression, appropriate length of stay, and efficient transitions of care

• Assessing healthcare-related social needs and social determinants of health to connect patients and families with appropriate community resources and support services

• Coordinating timely referrals for post-acute services, including durable medical equipment, home care, rehabilitation, and facility placement

• Collaborating with physicians, nursing teams, and Utilization Review partners to support medical necessity determinations, insurance authorizations, and clinical documentation requirements

• Applying knowledge of utilization management, level-of-care criteria, reimbursement models, and regulatory requirements to support clinically appropriate care decisions

• Monitoring patient progression throughout hospitalization and advocating for timely interventions that support quality, safety, and continuity of care

• Communicating with patients and families regarding discharge plans, available resources, and transitions of care while navigating complex conversations with compassion and professionalism

• Maintaining accurate, timely, and compliant documentation while ensuring adherence to CMS Conditions of Participation, HIPAA, patient rights, and organizational policies

• Participating in quality improvement initiatives focused on reducing length of stay, improving patient throughput, strengthening departmental performance, and enhancing the patient experience

This role might be for you if:

• You are an experienced Registered Nurse who enjoys combining clinical expertise with patient advocacy, care coordination, and problem-solving

• You understand the importance of safe discharge planning and helping patients successfully transition between healthcare settings

• Strong nursing assessment and critical thinking skills allow you to identify complex patient needs and develop practical, individualized solutions

• You enjoy collaborating with physicians, nurses, social workers, and other interdisciplinary professionals to coordinate patient care

• You are comfortable navigating utilization review, medical necessity criteria, insurance authorizations, and healthcare reimbursement processes

• You can identify barriers to patient progression and work proactively to support timely discharge and appropriate resource utilization

• You communicate clearly and compassionately with patients and families, including during challenging conversations involving discharge planning or complex care needs

• You understand how social determinants of health influence patient outcomes and are committed to connecting individuals with appropriate support services

• You are organized, adaptable, and comfortable managing multiple patients, competing priorities, and time-sensitive responsibilities

• You value accurate documentation, regulatory compliance, and evidence-based clinical decision-making

• You enjoy using performance data and quality improvement initiatives to strengthen patient outcomes and healthcare operations

• You bring cultural sensitivity, professionalism, and a collaborative approach to supporting patients and families from diverse backgrounds

To be considered for this RN Case Manager opportunity, you must hold a Bachelor of Science in Nursing (BSN) and possess a current New Jersey Registered Nurse (RN) license. An Associate Degree in Nursing (ADN) with applicable experience is accepted for employees hired before December 31, 2025, in accordance with organizational requirements. Candidates must possess three to five years of nursing experience, which may include inpatient nursing, case management, utilization review, discharge planning, or community health nursing. At least one year of utilization review or discharge planning experience is preferred. EARC certification is required within six months of hire and will be arranged by RWJBarnabas Health. Professional certification in Case Management, such as Accredited Case Manager (ACM) or Certified Case Manager (CCM), is preferred. The ideal candidate demonstrates strong clinical assessment, discharge planning, utilization management, care coordination, critical thinking, patient advocacy, and interdisciplinary collaboration skills. Candidates should possess knowledge of healthcare reimbursement models, medical necessity criteria, patient flow, social determinants of health, and applicable regulatory requirements, including CMS Conditions of Participation, Medicare Beneficiary Notices, patient rights, and HIPAA. Proficiency with electronic health records, referral platforms, and care coordination tools is important, along with the ability to manage complex caseloads and competing priorities in a fast-paced healthcare environment. This is a full-time, day shift opportunity supporting the Case Management department at Trinitas Regional Medical Center, part of RWJBarnabas Health.