Registered Nurse (RN) Case Manager - Emergency Department - Lorain Hospital

Bon Secours Mercy Health•Lorain, OH

5d•Onsite

About The Position

The Registered Nurse Case Manager serves as the principal liaison among the Emergency Department, nursing, finance, and physicians to support appropriate bed placement, meet patient care needs, and ensure treatment plans are carried out at the appropriate level of care. The role provides care appropriate to the ages of patients served and initiates discharge planning in the emergency room, seeking referrals from multidisciplinary teams and ensuring patients have the resources needed for a safe discharge. The case manager collaborates with licensed social workers, patients, families, and the health care team to develop and coordinate discharge plans. This includes arranging equipment, transportation, community referrals, post-acute placements, and other services; working with community agencies and insurers; assessing patients’ ability to afford medications and supplies; and addressing barriers to discharge. The role also supports timely patient placement and Emergency Department throughput, promotes patient and family choice, and maintains compliance with CMS requirements and applicable regulations. This is a full-time, 40-hour-per-week collective bargaining unit position at Mercy Health’s Lorain Hospital, with a days/evenings work shift. Mercy Health describes its benefits as including competitive pay, incentives, referral bonuses, a 403(b) with employer contributions when eligible, health and insurance coverage, paid time off and leave, disability coverage, backup care, tuition assistance, professional development, and continuing education support. Benefits may vary by market and employment status.

Requirements

Bachelor’s degree in Nursing.
Nursing licensure from the Ohio Board of Nursing.
CPR certification.
At least 3 years of nursing clinical experience.
Ability to foster change in a workgroup or unit and work in a highly dynamic environment.
Strong customer service skills.
Strong critical thinking skills, including the ability to analyze clinical, financial, and social situations and identify problems and alternative actions.
Flexibility, resourcefulness, creative problem-solving, and prioritization skills.
Ability to guide and direct the health care team to support patient flow and transformation outcomes.
Ability to organize and present information clearly and concisely.
Strong interpersonal and communication skills for working with physicians, patients, families, and interdisciplinary team members.

Nice To Haves

Bachelor of Science in Nursing (BSN).
AACN-RN or CCM certification.
Experience with Utilization Review and Case Management.

Responsibilities

Collaborate with licensed social workers, patients, families, and the health care team to develop discharge plans that meet patient needs.
Arrange durable medical equipment, transportation, community referrals, skilled or intermediate nursing home placement, rehabilitation, and other discharge needs.
Work with community agencies to help patients obtain required discharge resources.
Obtain authorizations and precertification from insurance companies for post-acute services.
Assess patients’ ability to purchase medications, supplies, and durable medical equipment, and provide available resources.
Meet with patients and families to discuss barriers to discharge.
Initiate timely discharge planning and reassess and revise plans as needed.
Arrange placement at the appropriate level of care in compliance with third-party payer requirements and federal and state regulations.
Promote patient and family choice among appropriate care and service options.
Work with the Emergency Department physician and multidisciplinary team to remove barriers to discharge.
Support financially sound decisions in keeping with the organization’s mission.
Assist the Emergency Department, HUB, and Nursing Supervisor with timely patient placement and Emergency Department throughput.
Maintain compliance with CMS requirements.
Serve as a liaison among the Emergency Department, nursing, finance, and physicians to support appropriate bed placement and execution of treatment plans.