Registered Nurse RN - Case Manager Emergency Dept

About the role

The ED Case Manager coordinates actions within the emergency center admission process that provide for patients receiving the right care at the right time, in the right place. This position is responsible for reviewing the clinical appropriateness of admission and for communicating admission details to the Patient Access team. This is a full‑time, benefited position supporting the 38‑bed, Level IV Trauma Emergency Department at Trinity Health Livingston Hospital in Brighton, a state‑of‑the‑art facility that opened in April 2026 and serves as Livingston County's only full‑service hospital.

Our Commitment: Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person‑centered care.

Responsibilities

• Facilitates actions necessary for admitted or emergency center patients to receive the right care in the right place at the right time.
• Assesses all patients that qualify as a readmission, determines reason for return, and implements alternative to admission plan when appropriate.
• Documents readmission information/interventions in the Epic CM system.
• Identifies barriers to discharging patients from the E.D. instead of admission as observation and develops strategies and initiatives to address identified barriers.
• Works with other disciplines to assist in resolution of barriers to discharge and reports findings to Acute Care Flow Leadership team.
• Proactively consults with the EC physician to determine eligibility for admission and 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, and 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.

Requirements

• Three (3) years recent experience in case management, utilization review or a related field.

Qualifications

• Current Michigan Nursing License.
• Graduation from an accredited nursing program: Minimum of an Associate's degree in Nursing; BSN required within 5 years from the date of employment in the role.
• Case Management certification is desirable: Individuals serving as case managers for the health system shall obtain CMSA certification within three years from their date of employment in the role or be in the process of obtaining certification as a case manager.

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

Employment Type: Full time; Shift: 12 Hour Day Shift. Scheduled 36 hours per week with a weekend and holiday rotation. Shift times are either 9 a.m. to 9 p.m. or 10 a.m. to 10