Registered Nurse RN - Case Manager - Emergency

Job description

Employment Type:
Full time
Shift:
Rotating Shift
Description:
POSITION PURPOSE
• The ED Case Manager coordinates actions within the emergency center admission process that provide for patient's receiving the right care at the right time, in the right place.
• This position is responsible for reviewing the clinical appropriateness of admission and for the communication of admission details to the Patient Access team.
• This position is a Full-Time, benefited position.
• Scheduled 36 hours per week with a weekend and holiday rotation.
• Position is a .9 FTE (12 hour shifts, 36 hours per week). Monday-Friday hours are 8am-11pm (shifts are 8am-8pm or 11am-11pm) and weekend/holiday shifts are 10am-10pm.
• Orientation for this position would last for 6-8 weeks from 8 a.m. to 5 p.m. Monday through Friday.
• This position supports the Lv1 Trauma ER at Trinity Health Ann Arbor.

MINIUMUM QUALIFICATIONS
• Current Michigan Nursing License
• Graduation from accredited nursing program: Minimum of Associates degree in Nursing, BSN required within 5 years from the date of employment in the role.
• Experience: Three (3) years recent experience in case management, utilization review or a related field.
• Certification: Case Management is desirable: Individuals serving as case managers for the health system shall obtain CMSA certification within three years from their date of employment in the role or be in the process of obtaining certification as a case manager.

WHAT YOU WILL DO
• Facilitates actions necessary for admitted or emergency center patients to receive the right care in the right place at the right time.
• Assess all patients that qualify as a readmission. Determine reason for return and implement alternative to admission plan when appropriate. Document readmission information/interventions in the Epic CM system.
• Identifies barriers to discharging patients from the E.D instead of admission as observation. Develops strategies and initiatives to address identified barriers. Work with other disciplines to assist in resolution of barriers to discharge. Report findings to Acute Care Flow Leadership team.
• Proactively consults with the EC physician to determine eligibility for admission. Facilitates appropriate documentation for inpatient admission as required by hospital and insurance criteria.
• Proactively consults with the EC physician to determine appropriate admission status (inpatient or observation) and level of care required. Facilitates appropriate documentation of reason for admission including the treatment plan as required by hospital and insurance criteria.
• Communicates medical necessity documentation requirements with attending physician as needed.

POSITION BENEFITS AND HIGHLIGHTS
• Full benefits package including Medical, Dental, Vision, PTO, Life Insurance, Short and Long-term Disability.
• Benefits effective Day One! No waiting periods.
• Retirement savings plan with employer match.
• Opportunity for growth and advancement throughout Trinity Health
• Tuition Reimbursement

Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.