Case Manager RN - ER Entry Point - FT - Mid Shift (3PM - 11:30PM) - 10K Sign on Bonus - MRH

Memorial Healthcare System - Hollywood, FL

Job Title: Case Manager RN - ER Entry Point - FT - Mid Shift (3PM - 11:30PM) - 10K Sign on Bonus - MRH

Position: Case Management Role

Job Type:

Pay:

Shift: Evenings

Work Type:

Address:

City: Hollywood

State: FL

ZIP Code:

Support appropriate medical record documentation.
Develop working relationships with community health resources to improve outpatient access to healthcare for ED population.
Track clinic patients and frequency of ED use for non-acute care.
Provide clinic patients options for future non-acute care.
Track barriers to clinic access.
Screen all ED patients with potential for admission identifying payer source.
Provide support for other entry points as indicated, including responding to requests about status in the PACU and supporting the Care Coordination Center in decision making regarding acute care transfers and direct admits.
Identify and address patients with frequent ED use for non-urgent care or patients with high hospital admission rates.
Work with attending/ED medical staff to assign appropriate designation.
Provide discharge planning focusing on the identification of available services or options for placement for ED patients.
Identify high risk patients who are greater risk for recurrent visits to the ED.
Work with multi-visit patients to offer resources in the community or refer to ED Social Work for referrals to social service organizations.
Perform utilization management responsibilities focused on determination of appropriate admission status utilizing criteria-based review and provision of resources and education to the healthcare team.
Assign appropriate admitting status: place in observation vs. admit.

Knowledge of relevant Federal and State utilization review and appeal requirements
Experience with medical necessity criteria
Discharge planning in an acute care setting or emergency department setting
Bachelor of Science in Nursing
Certification of Case Management (CCM)

Experience: Three (3) years’ RN experience

Education: Accredited Program: Nursing (Required), Bachelor of Science in Nursing preferred

License & Certification:

Schedule:

COVID-19 Requirements: Not Specified

Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.
We offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers).