Manager, Utilization RN

Position Summary

The Care Manager ensures the patients’ progress throughout the period of care in an efficient and effective manner. Using nationally recognized, established clinical decision support criteria, the Care manager recommends the appropriateness of services, level of care, and setting for all admissions. The Care Manager acts as a patient advocate and communication link among patient, family, providers, and payers.

Minimum Requirements

• NJ Licensed RN
• Minimum 1 year experience in Care Management/Insurance Management or 1 year of RN experience in clinical data assessment and administration
• Knowledge and expertise in computer skills include, Microsoft Word, and EXCEL
• Demonstrated ability to work in a complex setting, excellence in communication skills, both verbal and written and strong interpersonal skills
• Ability to maintain confidentiality at all times in keeping with hospital policy

Preferred Requirements

• BSN from an accredited institution preferred
• 3 years experience in hospital utilization management and care management
• CCM
• CNOR

Salary - $42.78 - $57.02 hourly (based on experience)

Additional information

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required.
• This job description should not be construed as an exhaustive statement of duties, responsibilities or requirements, but a general description of the job. Nothing contained herein restricts the company’s rights to assign or reassign duties and responsibilities to this job at any time.
• Shore Medical Center is an Equal Opportunity Employer. All applicants will receive consideration for employment without regard to sex, affectional or sexual orientation, gender, gender identity, orientation or expression; marital status, domestic partnership status, civil union status, pregnancy, race, creed, ancestry, color, ethnicity, national origin, age, disability, religion, genetic information, or veteran status or any other basis prohibited by law.

About Shore Medical Center

At Shore Medical Center, kindness complements an extraordinary level of clinical sophistication. Located in Somers Point, NJ, Shore is a 196-bed, independent, 501(c)(3) non-profit acute care community hospital where advanced technology harmonizes with compassionate care. Since 1940, Shore has been a trusted healthcare provider for generations of families, friends, neighbors, and visitors throughout our region.

Shore attracts the area’s best doctors, nurses, and clinicians - and is the most favored hospital among many of these professionals for their own personal healthcare needs. We offer the highest quality of care across a wide range of specialties, including cancer, cardiovascular, neurological, orthopedic, adult and pediatric emergency, and maternity services.

Shore is a proud member of the Penn Cancer Network and maintains long-standing affiliations with Penn Medicine in cardiology, maternal-fetal medicine, neuroscience, and pulmonology - giving our patients and physicians seamless access to world-class care. We also partner with Onsite Neonatal Partners, Bayfront Emergency Physicians, Equum Medical for 24/7 critical care services, Mayo Medical Laboratories, Advanced Radiology Solutions, and Advantage Sleep Centers.

Shore is accredited by The Joint Commission and certified for disease-specific care in stroke, spine surgery, and knee and hip replacement. In Spring 2025, Shore earned an “A” grade from The Leapfrog Group, a national distinction for hospital quality and safety. Shore also earned the “Recognized Leader in Caring for People Living with Diabetes” designation by the American Diabetes Association and Leapfrog. This national recognition program calls attention to the complex inpatient care required by patients living with diabetes. Shore has also earned the The American Heart Association’s Get With The Guidelines® - Stroke Gold Plus award for dedication to ensuring all stroke patients have access to best practices and life-saving care.

SMC Employee Benefits

The mission of Shore Medical Center (SMC) is to care for and respect our patients, families and each other. Keeping with this mission, Shore is committed to providing each staff member with a unique and exceptional Total Rewards package to meet the needs of you and your family. Our employees have access to a broad range of benefits ranging from legal guidance, to a menu of stellar medical plans, supportive care, and in-house pharmacy and exclusive discounts just for being an SMC employee!

• 401(k)
• 401(k) matching
• Medical/Dental/Vision insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Certification reimbursement
• Referral incentive program
• Local community employee discounts
• Free Parking