Registered Nurse Emergency Department Case Manager RN
About The Position
At Saint Francis Hospital, the Emergency Department Registered Nurse Case Manager coordinates patient care in a fast-paced emergency setting. The role focuses on early identification of patient needs, care coordination, utilization management, and safe transitions of care to support high-quality, cost-effective outcomes and patient flow and throughput from the Emergency Department. The RN Case Manager partners with ED physicians, nurses, and interdisciplinary teams to support timely and appropriate care decisions. The position includes assessing patients, determining appropriate levels of care, facilitating admissions, transfers, or safe discharges, and coordinating care across inpatient, observation, and post-acute settings. The role also supports patient-flow, throughput, and length-of-stay initiatives; conducts clinical, psychosocial, and discharge-planning assessments; applies medical-necessity and utilization criteria; ensures compliance with regulatory, accreditation, and payer requirements; educates patients and families; and advocates for patients while balancing quality, safety, and resource utilization. This is a full-time position scheduled for 36 hours per week on a 12-hour day shift. Every other weekend and holiday work is expected.
Requirements
- Graduation from an accredited nursing school.
- Valid RN license in Connecticut.
- Minimum of three years of acute care RN experience.
- BLS certification required.
Nice To Haves
- Bachelor’s degree in Nursing.
- Emergency Department experience strongly preferred.
- Demonstrated knowledge of utilization management, level-of-care determination, and care coordination.
- Working understanding of CMS/HCFA, OBRA, State of Connecticut regulations, and Joint Commission (JCAHO) standards.
- Case Management certification (CCM or ACM) preferred, or obtained within a designated timeframe.
Responsibilities
- Collaborate with ED providers and care teams to assess patient needs upon presentation.
- Identify appropriate levels of care and facilitate admissions, transfers, or safe discharges.
- Coordinate care across inpatient, observation, and post-acute settings.
- Support patient flow, throughput, and length-of-stay initiatives.
- Conduct clinical, psychosocial, and discharge-planning assessments.
- Apply nationally recognized medical-necessity and utilization criteria.
- Ensure compliance with regulatory, accreditation, and payer requirements.
- Educate patients and families on care plans, resources, and next steps.
- Advocate for patients while balancing quality, safety, and resource utilization.
Benefits
- Medical, dental, prescription drug, and vision coverage.
- Retirement savings program with employer match.
- Time off, which may include paid time off, vacation, sick time, and holidays.
- Tuition reimbursement and professional development opportunities.
- Basic and supplemental life and AD&D insurance.
- Well-being initiatives.
- Career growth and advancement opportunities within Trinity Health.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
