Care Manager ER RN

Community Health Systems Professional Services Corporation•Naples, FL

About The Position

The Care Manager – ER collaborates with the emergency department team to assess potential admissions and determine appropriate patient status using evidence-based criteria such as MCG or third-party review tools. The role supports efficient patient flow by avoiding unnecessary admissions and guiding at-risk patients and families to appropriate community-based resources. The Care Manager – ED facilitates transitions of care, supports discharge planning, and ensures regulatory and documentation requirements are met for patients entering hospice or post-acute services.

Requirements

  • 1–3 years of experience in an acute care or hospital setting required.
  • Knowledge of admission criteria and care-level determination tools such as MCG or InterQual.
  • Strong clinical assessment and decision-making skills.
  • Ability to coordinate community-based services and discharge planning effectively.
  • Excellent communication and interpersonal skills for patient and interdisciplinary team interactions.
  • Strong organizational skills with attention to detail and compliance documentation.
  • RN – Registered Nurse state licensure and/or compact state licensure in the state of employment or compact state licensure required.

Nice To Haves

  • Bachelor's Degree in Nursing (BSN) preferred.
  • 1–2 years of experience in care management or utilization review preferred.
  • BLS – Basic Life Support preferred.

Responsibilities

  • Assess patients in the emergency department for medical necessity of admission and ensure correct placement into inpatient, observation, or outpatient status using MCG or approved criteria.
  • Identify patients who may be appropriate for alternative care settings and work to avoid unnecessary admissions by coordinating with community resources.
  • Provide timely guidance and education to patients and families regarding care transitions, including hospice services or post-acute facility placement, and secure patient choice documentation as required.
  • Verify next of kin and emergency contact information and ensure accurate documentation on patient records.
  • Collaborate with ED clinicians, hospitalists, care managers, and social services to support seamless transitions of care.
  • Perform other duties as assigned.
  • Maintain regular and reliable attendance.
  • Comply with all policies and standards.
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