Emergency Room RN Case Manager St Ann's
Westerville, OH - USA
Job Summary
- Key Responsibilities of an ED RN Case Manager
Patient Assessment
- Review patients for medical necessity and level of care.
- Assess psychosocial financial and discharge planning needs.
- Identify barriers to care including transportation housing insurance medication access and caregiver support.
Care Coordination
- Collaborate with ED physicians nurses social workers hospitalists and specialists.
- Coordinate admissions transfers and observation status placements.
- Facilitate communication between patients families and the healthcare team.
Utilization Management
- Review admission criteria and medical necessity working with our UR dept
Discharge Planning
- Develop discharge plans early in the ED stay.
- Arrange home health services durable medical equipment rehabilitation skilled nursing facility placements or hospice services when appropriate.
- Coordinate follow-up appointments and community resources.
Patient and Family Education
- Educate patients and families regarding treatment plans and discharge instructions.
- Explain care options insurance considerations and available resources.
- Promote self-management and prevent avoidable return visits.
Community Resource Management
- Connect patients with:
- Behavioral health services
- Substance use treatment programs
- Housing and shelter resources
- Transportation assistance
- Financial and medication assistance programs
Throughput and Length-of-Stay Management
- Assist with reducing ED boarding and delays in care.
- Expedite placement decisions and discharge arrangements.
- Support patient flow initiatives to improve ED efficiency.
High-Risk Patient Management
- Identify frequent ED utilizers and high-risk populations.
- Develop care coordination plans to reduce avoidable readmissions and repeat ED visits.
- Collaborate with outpatient care managers and population health teams.
Common Performance Metrics- ED length of stay
- Observation conversion rates
- Admission appropriateness
- Readmission rates
- Avoidable ED utilization
- Discharge disposition outcomes
- Patient satisfaction
Requirements/Qualifications
- Associates degree from an accredited RN program
- Current license to practice as registered nurse in the State of Ohio
- Minimum of 3-5 years recent clinical experience in an acute care setting.
Our professional nurses are truly the heart and soul of Mount Carmel. Their resilience compassion humility and determination drive exceptional patient outcomes every return Mount Carmel is committed to supporting our colleagues through opportunities for personal well-being professional advancement and clinical growth.
Our culture of shared governance teamwork and collaboration fosters an environment where nurses have a voice and can focus on what matters most: providing outstanding care to our patients and the communities we serve.
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. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.
Required Experience:
Manager
About Company
Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians caring for diverse communities across 25 states. Nationally recognized for care and experience, the Trinity ... View more