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

Mercy Health • Lorain, OH

7d • 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 patient placement, meet care needs, and carry out treatment plans at the appropriate level of care. The role provides age-appropriate care and begins discharge planning in the emergency room, coordinating multidisciplinary referrals and ensuring patients have the resources needed for a safe discharge.

The nurse collaborates with licensed social workers, patients, families, and the health care team to identify discharge barriers and arrange services such as durable medical equipment, transportation, community referrals, post-acute care, rehabilitation, home health, hospice, and other specialized programs. The role coordinates with community agencies and insurers, assesses patients’ ability to afford medications and supplies, and supports timely patient placement and emergency department throughput. It maintains compliance with CMS requirements and promotes financially sound decisions consistent with Mercy Health’s mission.

This is a full-time, 40-hour-per-week collective bargaining unit position at Lorain Hospital, with a days/evenings work shift. Required qualifications include a bachelor’s degree in nursing, Ohio nursing licensure, CPR certification, and at least three years of clinical nursing experience. A BSN and AACN-RN or CCM certification are preferred; utilization review and case management experience are also preferred.

Requirements

• Bachelor’s degree in nursing.
• Nursing licensure from the Ohio Board of Nursing.
• CPR certification.
• At least three years of clinical nursing experience.
• Ability to foster change in a workgroup or unit and operate in a highly dynamic work environment.
• Exceptional customer service skills.
• Strong critical thinking skills, including analysis of clinical, financial, and social situations and identification of 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, nursing home placement, rehabilitation, and other discharge services as needed.
• Work with community agencies to help patients meet discharge needs.
• Coordinate with insurance companies to obtain authorizations and precertification 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 discharge barriers.
• Initiate timely discharge planning and reassess or 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 ER physician and multidisciplinary team to remove barriers to discharge.
• Promote financially sound decisions consistent with Mercy Health’s mission.
• Assist the ER, HUB, and Nursing Supervisor with timely patient placement and emergency department throughput.
• Maintain compliance with CMS requirements.
• Provide care appropriate to the ages of patients served on the assigned unit.

Benefits

• Competitive pay, incentives, referral bonuses, and a 403(b) with employer contributions when eligible.
• Medical, dental, vision, and prescription coverage; HSA/FSA options; life insurance; mental health resources; and discounts.
• Paid time off, parental and FMLA leave, short- and long-term disability, and backup care for children and elders.
• Tuition assistance, professional development, and continuing education support.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level