Emergency Department Case Manager (RN)

Case Manager RN (ED)

Full-TimeFirstShiftFri - Sun 10 am - 10 pm

BHCOR-Case ManagementICorbin KY

TheCase Management Departmentcoordinates patient care across the healthcare continuum to promote quality outcomes efficient use of resources and a seamless patient experience. Case managers work collaboratively with physicians nurses social workers patients families and community partners to assess patient needs develop care plans coordinate services andfacilitatesafe transitions of care.

The Emergency Department (ED) Registered Nurse Case Manager positionis responsible foran initialmedical necessity review for admitted patients and transition planning. This individual will useestablished MCG criteria to assess both theappropriate admissionstatus (inpatient or observation)andlevelof care. This position will provide ongoing support andexpertisethrough comprehensiveassessment planningimplementationand overall evaluation of individual patient needs.A high levelof communication with other members of the interdisciplinary team willbe requiredto coordinate thecontinuum of care activities ensuringoptimumutilizationof resources quality outcomes related totransition of care service delivery and compliance with external review agencies requirements. Theindividual in this role should support an environment of care focused on evidence-based healing andwellness.

Description:

• Coordinates patient progression care transitions and discharge planning across the continuum of care.

• Completes patient assessmentsutilizationreviews and high-risk screenings toidentifycare needs and ensureappropriate levelof care.

• Develops implements and evaluates individualized plans of care in collaboration with physicians nursing social work and interdisciplinary teams.

• Arranges post-acute services including home health hospice skilled nursing durable medical equipment transportation community resources and follow-up care.

• Educates patients and families on discharge planning available resources financial considerations and self-management.

• Facilitates safetimely and cost-effective transitions of care while promoting quality outcomes and reducing readmissions.

• Coordinates communication among patients families providers payers and care teams to ensure continuity of care.

• Utilizes clinical criteria case management tools and documentation systems to supportutilizationmanagement regulatory compliance and quality initiatives.

• Advocates for patients while balancing clinical financial and organizational goals through effective care coordination and resourceutilization.

• Performs other duties as assigned.

Requirements:

• Associate Degree in Nursing;Bachelors Degreepreferred.

• Three years of nursing experience required; Case Management and Utilization Management experience preferred.

• Current Registered Nurse (RN) license in the state of practice.

• Basic Life Support (BLS) certification from the American Heart Association (AHA)within30 daysof hire.

Benefits:

• Health Vision Dental and Pet Insurance

• Life Insurance

• Short Term and Long-Term Disability and Life Insurance

• Identity Theft Protection

• Tuition Reimbursement up to $6000 annually

• Company paid Maternity and Paternity Leave

• 5 days of Paid Time Off available upon hire

• Bereavement Leave (includes pets)

• PTO Sell Back Program

• Compassionate Leave Sharing Program (PTO Donation)

• Employee Support Fund for employees in need of emergency financial support

• Retirement with Company Match