Registered Nurse RN - Case Manager - Emergency

About the role

The ED Case Manager coordinates actions within the emergency center admission process to ensure patients receive the right care at the right time and place. This role reviews the clinical appropriateness of admissions and communicates admission details to the Patient Access team. It supports the Level 1 Trauma ER at Trinity Health Ann Arbor, is a full‑time benefited position (.9 FTE, 36 hours per week) with weekend and holiday rotation.

Responsibilities

• Facilitates actions necessary for admitted or emergency center patients to receive the right care in the right place at the right time.
• Assess all patients that qualify as a readmission.
• Determine reason for return and implement alternative to admission plan when appropriate.
• Document readmission information/interventions in the Epic CM system.
• Identifies barriers to discharging patients from the E.D instead of admission as observation.
• Develops strategies and initiatives to address identified barriers.
• Work with other disciplines to assist in resolution of barriers to discharge.
• Report findings to Acute Care Flow Leadership team.
• Proactively consults with the EC physician to determine eligibility for admission.
• Facilitates appropriate documentation for inpatient admission as required by hospital and insurance criteria.
• Proactively consults with the EC physician to determine appropriate admission status (inpatient or observation) and level of care required.
• Facilitates appropriate documentation of reason for admission including the treatment plan as required by hospital and insurance criteria.
• Communicates medical necessity documentation requirements with attending physician as needed.

Qualifications

• Current Michigan Nursing License.
• Graduation from an accredited nursing program: minimum Associate’s degree in Nursing; BSN required within 5 years from the date of employment.
• Three (3) years recent experience in case management, utilization review, or a related field.
• Case Management certification is desirable: individuals must obtain CMSA certification within three years of employment or be in the process of obtaining it.

Benefits

• Full benefits package including Medical, Dental, Vision, PTO, Life Insurance, Short and Long‑term Disability.
• Benefits effective Day One! No waiting periods.
• Retirement savings plan with employer match.
• Opportunity for growth and advancement throughout Trinity Health.
• Tuition Reimbursement.

Schedule

• Scheduled 36 hours per week with a weekend and holiday rotation.
• Position is a .9 FTE (12‑hour shifts, 36 hours per week).
• Monday‑Friday hours are 8 am‑11 pm (shifts are 8 am‑8 pm or 11 am‑11 pm) and weekend/holiday shifts are 10 am‑10 pm.
• Orientation for this position would last for 6‑8 weeks from 8 a.m. to 5 p.m. Monday through Friday.