Registered Nurse (RN) Emergency Department Case Manager

American Addiction CentersMilwaukee, WI
13d$38 - $56Onsite

About The Position

Centrally located in the south side of Milwaukee Be the Nurse Who Redefines Care. At Advocate Health, being a nurse means more than delivering exceptional clinical care—it means leading with purpose, compassion, and boldness. As part of our One Advocate Nurse community, you’ll join a unified team committed to lifting others up, embracing innovation, and creating inclusive spaces where everyone can thrive. You’ll be empowered to think boldly, collaborate with humility, and drive change through fearless curiosity. Whether you're at the bedside, in the community, or advancing care through research and education, you’ll help shape the future of health—because here, we’re redefining care for you, for us, for all. Your feedback matters. Every nurse’s voice is vital in shaping our culture and improving care. We value your insights and experiences because they help us grow stronger together Where You Will Work: Help patients transition safely through their hospital stay. Partner with patients, families, and the care team to assess needs, coordinate services, plan discharges, and support utilization management. About This Location: Aurora St. Luke’s Medical Center is a 938-bed, quaternary acute care community hospital that provides advanced health care expertise. The organization offers leading edge oncology, cardiovascular and neurology therapies for primarily adult patients. Nursing professional governance is a particular organizational strength, with over 40 years of experience in clinical nurse shared decision making. Aurora St. Luke’s has been recognized for Nursing Excellence by the American Nurses Credentialing Center Magnet Recognition Program® since 2001, most recently celebrating our 6th consecutive designation in February 2024. Ready to Take the Next Step: Apply Now! Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. This is Transformation One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward. Starting with You Caring for nearly 3 million people has inspired a transformation. One in which the patient’s experience guides our vision and empowers us to offer new possibilities in our communities. Reshaping Access What is access? It’s offering more sites of care than any other health system in the Midwest. But there’s a new frontier. Access is exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it Inspiring Professionals With our dynamically inclusive workforce and strong connections to the places where we live and work, we’ll touch more lives and contribute to stronger and more vibrant communities. Transforming Care We’re redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in: Cardiovascular Care Neurosciences Gynecology Oncology Pediatrics Primary Care Neurology Geriatrics Trauma Care

Requirements

  • Registered Nurse License issued by the state in which the Team Member practices.
  • Bachelor’s Degree in Nursing
  • 2 years of clinical nursing experience

Responsibilities

  • Conduct comprehensive assessments and create timely care plans & interventions
  • Collaborate and negotiate with patients/families and the multidisciplinary team to meet goals and preferences
  • Provide continuity of care and discharge planning aligned with regulatory standards
  • Coordinate smooth transfers and handoffs across units and settings
  • Deliver case management services (healthcare access, finances, housing, family dynamics, illness adjustment) using community resources
  • Initiate internal/external referrals; document discharge planning and UM activities accurately and on time
  • Perform concurrent/retrospective reviews using approved criteria
  • Partner closely with Social Work and support staff to implement safe, effective plans of care
  • Identify and remove barriers to discharge; expedite care delivery and report care coordination/UM outcomes
  • Collaborate with managers, physicians, medical directors, and physician advisors on status, progression of care, and regulatory compliance
  • Complete UM activities (payer updates, data collection, denials coordination, avoidable delay management); deliver CMS notices within required timeframes
  • Build relationships with community agencies; collaborate with Ambulatory Care Management/Continuing Health
  • Educate staff on admission status, acute care criteria, UM, care coordination, discharge planning, and regulatory requirements
  • Provide age-appropriate care per departmental standards

Benefits

  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program
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