Details
Posted: 23-Jan-26
Location: Morristown, New Jersey
Responsible for assisting with the continuum of care: performing tasks identified by the case management team for discharge planning, utilization management, and care coordination support.
Principal Accountabilities:
1. As assigned, provide support to the RN Case Managers and Social Workers in completing routine post-acute care arrangements. This includes setting up routine post-acute services according to MD orders.
2. Completes tasks related to transfer of patients to post-acute care facilities including: a. Communication with facility related to bed availability, including use of case management electronic discharge systemb. Sharing of internal referral information electronically or via faxc. Assuring transfer of documentation/medical record complete d. Arranging transportation, confirmation of arrangements, and communication with families regrading transfer arrangements e. Maintaining and managing authorizations of post-acute settings, such as skilled nursing facilities, home care agencies, infusion service, durable medical equipment services, hospice, acute rehab, and long-term acute care facilities f. Demonstrating independence and proactive initiation of duties related to transfer of patients described above
3. Assist the department in maintaining authorization or overcoming coverage denials by payers by providing medical records as demanded or required.
4. Arrange medical transportation where required, including receiving insurance or medical group authorization.
5. Prepare and fax necessary documentation/information to facilitate prior authorization
6. Follow up on the above referrals by phone to ensure receipt of referral to intended company/facility and ensure all necessary information/documentation was provided. Receive and document authorizations requested.
7. Secures requested information for the healthcare team, patient, and/or family. This could include prescription availability, insurance requirements, and community resources
8. Uses case management electronic system to support case management, utilization management and discharge planning process, as directed
9. Supports the case management staff in tasks related to care coordination, discharge planning, and/or utilization management
10. Assist with data collection
11. Keeps team members updated with progress of assigned tasks. Escalates issues to case manager, social worker or leadership staff in a timely manner.
12. Documents accurately and thoroughly all transactions during the shift, according to department policy.
Required:
1. High School diploma or GED equivalent
2. Minimum two years' experience with a medical group, managed care organization, utilization management, hospital admitting, or medical nursing unit
Preferred:
1. Associate degree preferred
2. Hospital and/or insurance experience preferred.
At Atlantic Health System, our promise to our communities is; Anyone who enters one of our facilities, will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 20,000 team members. Headquartered in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include:
- Morristown Medical Center, Morristown, NJ
- Overlook Medical Center, Summit, NJ
- Newton Medical Center, Newton, NJ
- Chilton Medical Center, Pompton Plains, NJ
- Hackettstown Medical Center, Hackettstown, NJ
- Goryeb Children's Hospital, Morristown, NJ
- CentraState Healthcare System, Freehold, NJ
- Atlantic Home Care and Hospice
- Atlantic Mobile Health
- Atlantic Rehabilitation
We also have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group. Atlantic Accountable Care Organization is one of the largest ACOs in the nation, and we are a member of AllSpire Health Partners.
We have received awards and recognition for the services we have provided to our patients, team members and communities. Below are just a few of our accolades:
- 100 Best Companies to Work For (r) and FORTUNE(r) magazine for 15 years
- Best Places to Work in Healthcare - Modern Healthcare
- 150 Top Places to work in Healthcare - Becker's Healthcare
- 100 Accountable Care Organizations to Know - Becker's Hospital Review
- Best Employers for Workers over 50 - AARP
- Gold-Level "Well Workplace": Wellness Council of America (WELCOA)
- One of the 100 Best Workplaces for "Millennials" Great Place to Work(r) and FORTUNE(r) magazine
- One of the 20 Best Workplaces in Health Care: Great Place to Work(r) and FORTUNE(r) magazine
- Official Health Care Partner of the New York Jets
- NJ Sustainable Business
Morristown Medical Center is a nationally-recognized leader in cardiology and heart surgery, orthopedics, gynecology, geriatrics, gastroenterology and GI surgery, pulmonology and lung surgery, and urology.
We are the only hospital in New Jersey named one of America's '50 Best Hospitals' for six consecutive years by Healthgrades and one of the World's Best Hospitals by Newsweek. We were included on Becker's Healthcare 2020 list of "100 Great Hospitals in America". In addition, Leapfrog recognized us with an "A" hospital safety grade - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in 2020.
Morristown Medical Center is a Magnet Hospital for Excellence in Nursing Service, the highest level of recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated a Level I Regional Trauma Center by the American College of Surgeons and a Level II by the State of NJ.
Atlantic Health System offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted:
Team Member Benefits
- Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
- Life & AD&D Insurance.
- Short-Term and Long-Term Disability (with options to supplement)
- 403(b) Retirement Plan: Employer match, additional non-elective contribution
- PTO & Paid Sick Leave
- Tuition Assistance, Advancement & Academic Advising
- Parental, Adoption, Surrogacy Leave
- Backup and On-Site Childcare
- Well-Being Rewards
- Employee Assistance Program (EAP)
- Fertility Benefits, Healthy Pregnancy Program
- Flexible Spending & Commuter Accounts
- Pet, Home & Auto, Identity Theft and Legal Insurance
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Note: In Compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job postings will include the hourly wage or salary (or a range), as well as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer.
EEO STATEMENT
Atlantic Health System, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.
