Job Description

The Emergency Department (ED) Case Manager is responsible for establishing, coordinating, and maintaining the process to increase patient through-put to the most appropriate level of care while facilitating interdisciplinary care across the continuum for the ED. The ED Case Manager collaborates with the patient/family, multidisciplinary team, physicians, community resources and payers to ensure the patient’s progress and level of care is appropriately determined for the emergency episode of care and for the inpatient encounter to ensure that care is performed and facilitated in an efficient and cost-effective manner. The ED Case Manager has well developed knowledge and skills in patient status determination (ie. MCG Criteria), in the assessment and care management of patients and families within the ED, inpatient and outpatient settings. The scope of practice includes patient/family assessment and management, resource management, identifying patients appropriate for Inpatient Admission, Observation, or Outpatient status, care facilitation, discharge planning with referral to all levels of care, and other related duties specific to the defined patient population. This Case Manager collaborates with other case manager’s/care coordinators, social work staff, the Patient Access Department, Admissions, and other physician and administrative leadership staff within the ED, the Case Management Department and both the inpatient and outpatient settings. She/he uses knowledge of pathophysiology, pharmacology, and clinical care processes to participate with other clinical staff and physicians in the development of clinical practice guidelines and physician order sets for the purpose of improving quality of care, changing practice, and reducing costs. Has full access to patient health information.

Shift: PRN, includes weekends and occasional holidays

Requirements

Job Qualifications:

• Currently licensed as a Registered Nurse by the North Carolina Board of Nursing. BSN preferred.
• Minimum of 2 years of clinical experience in a Emergency Department or hospital setting.
• Previous utilization and/or discharge planning experience preferred.
• Excellent interpersonal communication, problem solving and conflict resolution skills.
• Computer skills in word processing, data base management, and spreadsheet desirable.
• BLS Certification required.

Physical Demands:

Must possess full range of body motion to pass a basic FIT test to include bending, stooping, standing and sitting for extended periods of time. Must be able to lift and carry up to 30 pounds.

Reports to: Director of Case Management and Care Transitions