Job Details
Job Description:
*Fingerprinting must be submitted and cleared prior to start!* Hospital rental property very limited. Shared contractor housing only. No pets or family allowed per hospital policy. The hospital was constructed in 1975 with a bed capacity of 73. Services provided to the community include comprehensive inpatient/outpatient emergency services, dental and ophthalmology services, orthopedics, OB/GYN, oral surgery, eye surgery and urological procedures. Approximately 49% of the surgeries performed are out patient/ambulatory surgical procedures. Learn more about our organization. Dental staff includes general dentists, endodontists, oral and maxillofacial surgeons, pediatric dentists, dental assistants and hygienists. The nursing staff includes registered nurses, licensed practical nurses, nursing assistants, community health nurses, nurse practitioners, nurse midwives, CRNA, and community health medics.
POSITION SUMMARY
The Nurse Case Manager, Emergency Department (ED) is responsible for establishing, coordinating, and maintaining the process to increase patient throughput to the most appropriate level of care while facilitating interdisciplinary care across the continuum for the ED. The Nurse Case Manager collaborates with the patient/family, multidisciplinary team, physicians, community resources and payers to ensure the patient’s progress and level of care is appropriately determined for the emergency episode of care and for the inpatient encounter to ensure that care is performed and facilitated in an efficient and cost-effective manner.
The Nurse Case Manager has well developed knowledge and skills in patient status determination (i.e. InterQual Criteria), in the assessment and care management of patients and families within the ED, inpatient and outpatient settings. The scope of practice includes patient/family assessment and management, resource management, identifying patients appropriate for Inpatient Admission, Observation, or Outpatient status, care facilitation, discharge planning with referral to all levels of care, and other related duties specific to the defined patient population. This Nurse Case Manager collaborates with other case managers, social work staff, the Access Center, Admissions, the Outcome Manager, and other physician and administrative leadership staff within the ED, the Coordinated Care Department and both the inpatient and outpatient settings. She/he uses knowledge of pathophysiology, pharmacology, and clinical care processes to participate with other clinical staff and physicians in the development of clinical practice guidelines and physician order sets for the purpose of improving quality of care, changing practice, and reducing costs. The role has a primary reporting relationship to the Director of Coordinated Care.
The ED/MH Nurse Case Manager works with an interdisciplinary team to assess care plans, monitor progress, and make recommendations to ensure safe and efficient hospitalizations. Responsible for evaluating patients in the ED for medical necessity and care coordination needs. Assesses potential admissions and works with advanced practice clinicians/physicians to determine appropriate admission status. Proposes and implements outpatient plans for safe discharge from the ED with physician approval. Coordinates care for patients with abuse, chronic pain, and frequent utilization issues. Interacts with patients or customers of all ages, from newborn to geriatric.
As part of this role, they will also interact with individuals who have mental health issues to help them access and navigate the resources they need to improve their well-being. with individuals who have mental health issues to help them access and navigate the resources they need to improve their well-being.
NECESSARY QUALIFICATIONS
Education:
· Associates degree in Nursing
License/Certification:
· A valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States
· Must have and maintain current Basic Life Support (BLS) certification by the American Heart Association throughout employment
· Must obtain Case Manager Certification (CCM or ACM) within 2 years from date of hire, if not already obtained
Experience:
· Minimum of (2) two years of current care/case management experience in the Emergency Department
· Two (2) years of patient care experience (Hospital, Home health, Skilled Nursing)
· Proficient with Electronic Medical Records, Outlook, Microsoft Office Word, and Excel.
Must have 1 year of travel experience
Position Urgency:
Normal
Shifts:
Sunday -Saturday 10 shifts variable 7a- 530p & weekend rotation with call
State License Details:
Must Be Currently Active
Minimum Years of Experience:
3
Minimum Guaranteed Hours:
No Guarantee
Specialty Type:
Nursing
Sub Specialty:
Care Manager, Registered Nurse
General Certifications:
BLS/BCLS
Bilingual:
No
EMR Used:
Allscripts
Holiday Coverage Required:
Yes
Pay Rate
$71.90 - $76.78/hour
About us :
At MedCadre , we’re dedicated collaborators, bridging the gap between top-tier professionals and healthcare organizations that prioritize excellence. By fostering transparent communication and leveraging deep industry expertise, we build enduring partnerships rooted in trust.
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