Registered Nurse - ED Case Manager - Per Diem

Position Purpose

The Case Manager is responsible for coordinating and facilitating all aspects of discharge planning needs of assigned patient population. Modifies approach based on age specific needs of patient population. As a RN Case Manager, You Will:

• Reduces unnecessary admissions to the acute care hospital.
• Has accountability for assigning correct levels of care (Outpatient Observation vs. Inpatient Admission), attention to the issues presented by readmissions and recommending options for safe discharge.
• Captivates all non-elective point of entry admissions (including direct admissions and SPU) and facilitates timely throughput of emergency room patients to ensure the safe delivery of services to the patient at the most appropriate level of care.
• Identifies community and other resources that are necessary for each individual patient and matches specific needs for continued care that are acceptable to the patient.
• Identifies services that require authorization and collaborates with payers to obtain needed authorizations for services.
• Safeguards patient has a primary care physician follow-up.
• Collaborates with the ED healthcare team to determine the treatment plan, while observing quality and patient safety parameters, LOS, readmissions, denials and appeals.

Minimum Qualifications

• Bachelor's degree in nursing required.
• Active PA RN License required.
• CCM or Accredited Case Manager certification preferred.
• Previous experience in Case Management, Utilization Management and discharge planning required.
• Demonstrates ability to use problem solving, critical thinking, and priority setting skills.
• Must be able to work independently and on a team.