Emergency Dept Care Manager Registered Nurse - Full Time ( four 10's per week )

About the position

Embark on an enriching nursing career at Redeemer Health, where you can select the clinical environment that matches your passion and skills. Whether it's our hospital, home care services, or senior care communities, you are recognized as a valued clinical expert. Serving southeastern Pennsylvania and New Jersey, we are home to a diverse, inclusive workforce committed to professional growth. We offer competitive benefits, educational assistance, nursing scholarship opportunities, and a unique onboarding program that sets you up for long-term success while introducing you to our mission and celebrated service orientation. Together, let's drive excellence in healthcare.

Responsibilities

• Assist in identifying patients appropriate for Admission, Observation or other patient care status
• Function as a liaison between attending physicians, Physician Advisors, local CCRCs, SNFs, PCFs, patients, families and community
• Manage social issues that impact patient classification, discharge from the emergency room and ongoing medical management of patient care needs
• Assist in identifying physician and staff documentation opportunities to support Quality and Pay for Performance indicators
• Collaborate with patients, families and healthcare providers to promote health and manage illness in a cost-effective and quality-driven manner

Requirements

• Excel in delivering a positive patient outcome
• Exhibit a commitment to quality
• Have knowledge of population health and associated metrics
• Demonstrate critical thinking and excellent communication (both written and oral) skills
• Possess impeccable organizational skills and the ability to work and adjust to different environments
• Knowledge of Interqual and utilization review standards
• Experience in clinical documentation within electronic medical records required
• Experience in Care Coordination, Discharge Planning, Clinical Documentation and Utilization Review preferred
• Strong verbal, written and leadership skills
• Motivated, self-starter, enthusiastic personality
• Three years of acute care experience in Care Management, Discharge Planning or Utilization management preferred
• Basic knowledge of Word, Excel, and Power Point desired
• Demonstrates ability to coordinate care and utilize level of care criteria (InterQual, etc.)
• Strong knowledge of Managed Care, Medical Assistance and Medicare reimbursement required
• Ability to perform duties and documentation per departmental, DNV, PA Department of Health and other healthcare requirements
• Working knowledge of PA. Laws impacting health care delivery, i.e. Advance Directives, Guardianship, Abuse and Neglect and of community resources
• Demonstrates knowledge and understanding of physiological and psychosocial implications to enhance the care of individual patients
• Demonstrates ability to correlate medical necessity in achieving financial and quality of care outcomes
• Possesses strong knowledge of DRG's, LOS, variance analysis, and discharge planning related to the utilization of health care resources
• Acute care and long term care knowledge base required
• Works independently
• Utilizes time management techniques in accomplishing assigned tasks
• Recognizes patient and/or family level of understanding relative to medical information and communicates appropriately
• Possesses ability to negotiate and communicate with other departments, physician practice groups, 3rd party reviewers and outside facilities
• Exhibits professional written and verbal communications that are accurate and concise
• Possesses strong leadership skills and interpersonal skills

Nice-to-haves

• Experience in Care Coordination, Discharge Planning, Clinical Documentation and Utilization Review preferred
• Basic knowledge of Word, Excel, and Power Point desired

Benefits

• Competitive benefits
• Educational assistance
• Nursing scholarship opportunities
• Unique onboarding program