Advanced Practice Nurse – Care Coordination

Overview:

Centra State Healthcare System, headquartered in Freehold, New Jersey, is a leading nonprofit healthcare provider dedicated to serving the community. Its comprehensive network includes Centra State Medical Center, a community-focused hospital, along with an ambulatory campus, two senior living facilities, three free‑standing community health pavilions, and a charitable foundation. As the third‑largest employer in Monmouth County, Centra State has earned repeated recognition as a Great Place to Work‑Certified™ company, reinforcing its reputation as an exceptional workplace.

Centra State Medical Center has an employment opportunity available for an Advanced Practice Nurse to support the Care Coordination department. This position facilitates the discharge process to ensure a smooth transition of care. Four 10‑hour day shifts (7a‑5p). The 1 day off is either a Tuesday, Wednesday or a Thursday. No weekends.

• Handles all responsibilities of a case manager.
• To facilitate the discharge process, places rehab orders as needed for the transition of care as required by most post‑acute facilities.
• Facilitates discharge orders including Covid testing orders by communicating with attending physician and writing the actual discharge order.
• Facilitates the writing of DME (Durable Medical Equipment) orders when needed for patients.
• Furnishes patients with appropriate prescription to obtain needed equipment.
• Facilitates the writing of level of care orders. When an account does not meet the level of care that the patient was admitted for and with collaboration with the attending physician enter the level of care order in the medical record.
• With collaboration of the attending physician, writes antibiotic and/or oxygen orders needed for post discharge.
• Performs peer‑to‑peer appeals on post‑acute denials.
• Acts as back up for the Physician Advisor handling peer‑to‑peer appeals and written appeals when necessary.
• Performs secondary clinical assessment and documentation to support inpatient admissions as well as to support subacute, long term care (trach weaning necessity/settings) post discharge.
• Assists denials staff with open communication and feedback to medical staff in regards to denials due to level of care and insufficient documentation.
• Supports care coordinators to provide real‑time feedback to providers for improved documentation that will defend the length of stay.
• Works collaboratively with care coordination manager in process improvement in regards to length of stay, denials and readmissions.
• Supports care coordination department with difficult discharges and/or refusal to leave facility to a more appropriate level of care.

• Bachelor’s degree in Nursing required.
• Current NJ APN license required.
• Previous healthcare experience required.

Previous experience in an inpatient hospital setting preferred. Experience with EPIC preferred. Strong professional, organizational, and interpersonal skills to effectively relate with all members of the healthcare team.

Centra State Healthcare System, in partnership with Atlantic Health System, is a fully accredited, not‑for‑profit, community‑based health system dedicated to providing comprehensive health services in central New Jersey. Beyond offering a wide range of advanced diagnostic and treatment options, Centra State is committed to being a valuable health partner, focusing on disease prevention, promoting healthy behaviors, and helping individuals of all ages live well.

Located in Freehold, Centra State includes a 284‑bed acute‑care hospital, a dynamic health and wellness campus, two award‑winning senior living communities, a charitable foundation, and convenient satellite health pavilions. These pavilions offer primary care, specialty physician practices, and access to outpatient services such as lab work and physical therapy. Centra State is proud to be among the less than two percent of hospitals nationwide to earn Magnet® designation for nursing excellence five times.

Additionally, it has been recognized as a Great Place to Work‑Certified™ Company by Great Place to Work® for four consecutive years. Joining Centra State means…