What are the responsibilities and job description for the CARE COORDINATOR, UTILIZATION MANAGEMENT position at JFK Johnson Rehabilitation Institute?
Care Coordinator, Utilization Management
BAYSHORE MEDICAL CENTER Holmdel, New Jersey
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Our team members are the heart of what makes us better.
At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay, promote efficient utilization of resources and ensure that care meets evidence-based practice standards and regulatory/payor requirements and follows the state of New Jersey regulations for Nursing.
Responsibilities
A day in the life of a Care Management, Care Coordinator, Utilization Management at Hackensack Meridian Health includes:
Education, Knowledge, Skills and Abilities Required:
Compensation
Minimum rate of $1,329.12 Annually
HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
Job Duties
The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:
In addition to our compensation for full-time and part-time (20 hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.
HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER
All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.
Our Network
Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility
As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.
Apply
Share
See the area you’ll be working in and get an idea of what your daily routine around the office can be like. Learn More
Awards We’ve Received
2025
US News & World Report 2025 - HUMC - #1 Hospital in NJ & #1 in NY Metro Area
2025
US News & World Report 2025 - Joseph M. Sanzari Children’s Hospital - #1 Children’s Hospital in NJ and #3 Children’s Specialties in the Nation
2025
US News & World Report 2025 - JSUMC - #5 Hospital in NJ
2025
US News & World Report 2025 - John Theurer Cancer Center at HUMC - Ranked Nationally
2025
US News & World Report 2025 - HUMC - Best Hospitals Honor Roll
2025
Becker’s Hospital Review 2025 - 7 HMH Institutions Named Among Becker’s Top 100
2025
Newsweek 2025 - Hackensack Meridian Health - America’s Greatest Workplaces for Mental Well-Being 2025
2025
Newsweek 2025 - Best Hospitals USA - HUMC - #59
JOBS FOR YOU
At Hackensack Meridian Health, we help our patients live better, healthier lives – and we help one another succeed. Here, competitive benefits are just the beginning. It’s also about how our team members support one another and how we show up for our community. Together, we’re ready to transform health care and advance our mission to serve as a leader of positive change.
Join us and let’s keep getting better together.
STAY CONNECTED
From roles that are right for you to new opportunities, join our talent community and stay up to date with job openings and more.
SIGN UP
BAYSHORE MEDICAL CENTER Holmdel, New Jersey
Apply
- Requisition # 2025-166031
- ShiftDay
- StatusPer Diem
Our team members are the heart of what makes us better.
At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay, promote efficient utilization of resources and ensure that care meets evidence-based practice standards and regulatory/payor requirements and follows the state of New Jersey regulations for Nursing.
Responsibilities
A day in the life of a Care Management, Care Coordinator, Utilization Management at Hackensack Meridian Health includes:
- Follows departmental workflows for utilization review activities including admission reviews, admission denials, continued stay reviews, continued stay denials, termination of benefits, communication of information to insurance company, billing certifications, concurrent managed care denial appeals and retrospective medical record utilization reviews.
- Obtains and evaluates medical records for inpatient admissions to determine if required documentation is present.
- Obtains appropriate records as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions.
- Performs chart reviews for appropriateness of admission and continued hospital stay applying appropriate clinical criteria. Performs admission review within 24 hours or the first business day.
- Refers cases not meeting criteria to the physician advisor or designated vendor for determination and action.
- Participates actively on appropriate committees, workgroups, and or meetings.
- Identifies and refers quality issues for review to the Quality Management Program.
- Participates in multidisciplinary rounds, specific to assigned units. Brings forth issues which impact discharge and length of stay in a timely manner.
- Performs appropriate reassessments and evaluates progress against care goals and the plan of care and revises plans, as needed
- Collaborates with all members of the multidisciplinary team to support length of stay reduction and observation management goals.
- Provides appropriate CMS documents to the patient and family/support person as per regulatory guidelines (ie., Important Message 4 to 48 hours prior to discharge, appeal and HINN notices)
- Maintains annual competencies and completes training and continuing education in applicable platforms. (Epic, Xsolis Cortex, Enterprise Analytics, Google Suites)
- Adheres to the Medical Center's Organization Competencies and the Standard of Behavior.
- Other duties as assigned
Education, Knowledge, Skills and Abilities Required:
- BSN or BSN in progress and/or willing to acquire within 3 years of hire or transfer into the position.
- Effective decision-making skills, demonstration of creativity in problem-solving, and influential leadership skills.
- Excellent verbal, written and presentation skills.
- Moderate to expert computer skills.
- Familiar with hospital resources, community resources, and utilization management.
- NJ State Professional Registered Nurse License.
- AHA Basic Health Care Life Support HCP Certification.
- Certified Case Manager (CCM), Certified Clinical Medical Assistant (CCMA), or American Case Management Association (ACMA) certification strongly preferred.
Compensation
Minimum rate of $1,329.12 Annually
HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
Job Duties
The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:
- Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.
- Experience: Years of relevant work experience.
- Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
- Skills: Demonstrated proficiency in relevant skills and competencies.
- Geographic Location: Cost of living and market rates for the specific location.
- Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
- Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.
In addition to our compensation for full-time and part-time (20 hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.
HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER
All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.
Our Network
Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility
As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.
Apply
Share
- X
- LinkedIn
See the area you’ll be working in and get an idea of what your daily routine around the office can be like. Learn More
Awards We’ve Received
2025
US News & World Report 2025 - HUMC - #1 Hospital in NJ & #1 in NY Metro Area
2025
US News & World Report 2025 - Joseph M. Sanzari Children’s Hospital - #1 Children’s Hospital in NJ and #3 Children’s Specialties in the Nation
2025
US News & World Report 2025 - JSUMC - #5 Hospital in NJ
2025
US News & World Report 2025 - John Theurer Cancer Center at HUMC - Ranked Nationally
2025
US News & World Report 2025 - HUMC - Best Hospitals Honor Roll
2025
Becker’s Hospital Review 2025 - 7 HMH Institutions Named Among Becker’s Top 100
2025
Newsweek 2025 - Hackensack Meridian Health - America’s Greatest Workplaces for Mental Well-Being 2025
2025
Newsweek 2025 - Best Hospitals USA - HUMC - #59
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At Hackensack Meridian Health, we help our patients live better, healthier lives – and we help one another succeed. Here, competitive benefits are just the beginning. It’s also about how our team members support one another and how we show up for our community. Together, we’re ready to transform health care and advance our mission to serve as a leader of positive change.
Join us and let’s keep getting better together.
STAY CONNECTED
From roles that are right for you to new opportunities, join our talent community and stay up to date with job openings and more.
SIGN UP
Salary : $1,329
