Registered Nurse - ED Case Manager - Per Diem

Trinity Health•Langhorne, PA

1d•Onsite

About The Position

The Case Manager is responsible for coordinating and facilitating all aspects of discharge planning needs of assigned patient population. Modifies approach based on age specific needs of patient population. As a RN Case Manager, you will: Reduces unnecessary admissions to the acute care hospital. Has accountability for assigning correct levels of care (Outpatient Observation vs. Inpatient Admission), attention to the issues presented by readmissions and recommending options for safe discharge. Coordinates all non-elective point of entry admissions (including direct admissions and SPU) and facilitates timely throughput of emergency room patients to ensure the safe delivery of services to the patient at the most appropriate level of care. Responsible for identifying community and other resources that are necessary for each individual patient and matches specific needs for continued care that are acceptable to the patient. Identifies services that require authorization and collaborates with payers to obtain needed authorizations for services. Ensures patient has a primary care physician follow-up. Collaborates with the ED healthcare team to determine the treatment plan, while observing quality and patient safety parameters, LOS, readmissions, denials and appeals.

Requirements

Bachelor's degree in nursing required.
Active PA RN License required.
Previous experience in Case Management, Utilization Management and discharge planning required.
Demonstrates ability to use problem solving, critical thinking, and priority setting skills.
Must be able to work independently and on a team.

Nice To Haves

CCM or Accredited Case Manager certification preferred.

Responsibilities

Coordinating and facilitating all aspects of discharge planning needs of assigned patient population
Reducing unnecessary admissions to the acute care hospital
Assigning correct levels of care (Outpatient Observation vs. Inpatient Admission)
Recommending options for safe discharge
Coordinating all non-elective point of entry admissions
Facilitating timely throughput of emergency room patients
Identifying community and other resources that are necessary for each individual patient
Identifying services that require authorization and collaborates with payers to obtain needed authorizations for services
Ensuring patient has a primary care physician follow-up
Collaborating with the ED healthcare team to determine the treatment plan