Emergency Department Case Manager

Mount Nittany HealthState College, PA
Onsite

About The Position

The Emergency Department (ED) Case Manager functions independently and collaboratively to assure appropriate utilization of resources for patients across the continuum of care. This role is an integral member of the ED care team, providing strategic guidance to clinical and operations staff to ensure patients are placed in the correct level of care without ambiguity in orders or treatment plans. The case manager understands the demands of ED care and patient flow, including high volume, fast turnover, and patient/family expectations. Responsibilities include evaluating patients for hospital admission, completing initial InterQual assessments, and assisting with outpatient follow-up plans for discharged patients. The ED Case Manager is also responsible for assessing behavioral health patients, collaborating with physicians to determine safety risk, correct level of care, and voluntary/involuntary status. This role involves communicating with family members and other pertinent individuals to gather necessary information for optimal patient outcomes, with a specific understanding of ED care and patient flow as it relates to behavioral health patients.

Requirements

  • Bachelor’s degree in a related field.
  • Minimum of two years current health care experience, preferably in acute care.
  • Knowledge of hospital admitting procedures, health care legislation and government/regulatory health related agencies.
  • Ability to communicate effectively and express ideas clearly.
  • Ability to actively listen.
  • Ability to work well with others to solve interpersonal conflicts and problems without need of superiors.
  • Ability to collaborate with physicians.
  • Excellent communication skills to work collaboratively with all members of the health care team.
  • Ability to identify and solve problems.
  • Critical thinking skills.
  • Computer skills.
  • Meets the American Heart Association’s standards for Healthcare Provider Basic Life Support (BLS) and renews BLS every two years.

Nice To Haves

  • A Bachelor’s Degree in Social Work or Psychology is preferred.
  • An Associate Degree in Social Work or Psychology with a minimum of eight years acute care clinical experience or four years care manager or case manager experience will be considered.
  • Previous psychiatric experience.
  • Utilization management experience.
  • Care protocols experience.

Responsibilities

  • Assure appropriate utilization of resources for patients across the continuum of care.
  • Provide strategic guidance to the department clinical and operations staff for appropriate patient placement.
  • Evaluate patients that will remain in the hospital and complete the initial InterQual assessment.
  • Assist with outpatient follow-up plans for patients discharged from the ED.
  • Assess behavioral health patients and collaborate with the ED physician to determine safety risk, correct level of care, and voluntary/involuntary status.
  • Communicate with family members and other pertinent individuals to gather necessary information for each patient.
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