Emergency Department Case Manager

Mount Nittany Health•State College, PA

About The Position

The Emergency Department Case Manager works independently and collaboratively to ensure appropriate utilization of resources for patients across the continuum of care. As an integral member of the ED care team, the role provides strategic guidance to clinical and operations staff to help place patients at the correct level of care with clear orders and treatment plans. The position requires understanding ED care and patient flow, including the demands of high volume, rapid turnover, and patient and family expectations. The Case Manager evaluates patients who will remain in the hospital and completes the initial InterQual assessment. For patients discharged from the ED, the role assists with outpatient follow-up plans. The Case Manager also assesses behavioral health patients and collaborates with ED physicians to determine safety risk, appropriate level of care, and voluntary or involuntary status. The position communicates with family members and other relevant individuals to gather information needed to support the best patient outcomes, with particular attention to ED flow as it relates to behavioral health patients.

Requirements

  • Bachelor’s degree in a related field.
  • Alternatively, an Associate Degree in Social Work or Psychology with at least eight years of acute care clinical experience or four years of care manager or case manager experience will be considered.
  • At least two years of current health care experience, preferably in acute care.
  • Knowledge of hospital admitting procedures, health care legislation, and government or regulatory health-related agencies.
  • Ability to communicate effectively, express ideas clearly, actively listen, collaborate with physicians, work effectively with health care team members, and resolve interpersonal conflicts and problems without needing superiors.
  • Ability to identify and solve problems and demonstrate critical thinking skills.
  • Computer skills.
  • Meet the American Heart Association’s standards for Healthcare Provider Basic Life Support (BLS) and renew BLS every two years.

Nice To Haves

  • Bachelor’s degree in Social Work or Psychology.
  • Previous psychiatric experience.
  • Utilization management experience.
  • Care protocols experience.

Responsibilities

  • Ensure appropriate utilization of resources for patients across the continuum of care.
  • Provide strategic guidance to ED clinical and operations staff to support placement at the correct level of care and clear orders and treatment plans.
  • Evaluate patients who 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 ED physicians to determine safety risk, level of care, and voluntary or involuntary status.
  • Communicate with family members and other pertinent individuals to gather information that supports patient outcomes.
  • Consider ED care and patient flow, including the specific needs of behavioral health patients.
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