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 position supports 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.

Responsibilities

• Facilitate 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.
• Identify barriers to discharging patients from the E.D. instead of admission as observation; develop 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 consult with the EC physician to determine eligibility for admission.
• Facilitate appropriate documentation for inpatient admission as required by hospital and insurance criteria.
• Proactively consult with the EC physician to determine appropriate admission status (inpatient or observation) and level of care required.
• Facilitate appropriate documentation of reason for admission including the treatment plan as required by hospital and insurance criteria.
• Communicate medical necessity documentation requirements with attending physician as needed.

Requirements

• Current Michigan Nursing License.
• Graduation from an accredited nursing program: minimum of an Associate degree in Nursing; BSN required within 5 years from the date of employment in the role.
• Three (3) years recent experience in case management, utilization review, or a related field.
• 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

• Full‑time, 36 hours per week.
• Weekend and holiday rotation.
• Shift times: either 9 a.m. to 9 p.m. or 10 a.m. to 10 p.m., every third weekend rotation.
• Orientation: 6‑8 weeks from 8 a.m. to 5 p.m., Monday through Friday.