Job Summary:

Coordinates comprehensive care for ER patients to ensure seamless, cost-effective, and high-quality care delivery. Leads a multidisciplinary team in providing quality care to a designated patient population and their families. Evaluates patients for appropriateness of care and medical necessity, assesses and coordinates efforts to meet resource management goals, enhances patient outcomes, and monitors the cost-effectiveness of care. Performs all duties in accordance with the medical center’s mission, vision, and purpose.

Knowledge, Skills, and Abilities:

Knowledge and understanding of patient care for a specified population. Verbal and written communication skills. Interpersonal skills. Knowledge and understanding of computer systems. Ability to work in a team environment. Ability to multi-task. Problem solving skills. Organizational and time management skills. Demonstrates productivity in a fast-paced environment.

Responsibilities:

• Performs and documents comprehensive assessments for ER patients whose diagnosis, procedures, or psychosocial needs indicate they would benefit from case management, ensuring rapid identification of at-risk patients.
• Collaborates with patients, families, and the interdisciplinary team to develop and implement a plan of care appropriate to the urgent nature of the ER setting.
• Continuously reassesses and documents patients’ clinical and psychosocial needs, as well as the effectiveness of case management interventions.
• Facilitates timely access to appropriate resources and services, coordinating with hospital departments, community agencies, and social services to address patient needs efficiently.
• Coordinates and implements case management interventions to achieve goals within the limited time frame typical of the ER environment.
• Leads case management activities for specific ER patient populations, such as frequent utilizers, high-risk patients, or those with complex social needs.
• Monitors patient progress and collaborates with the clinical team to adjust the plan of care as the patient’s condition evolves during their ER visit.
• Evaluates the appropriateness and medical necessity of proposed care plans, ensuring alignment with hospital policies and best practices for acute care.
• Facilitates safe and timely transitions, including admission to inpatient units, transfer to other facilities, or discharge with appropriate outpatient follow-up.
• Collaborates closely with social workers, nurses, physicians, and other team members to address patients’ immediate and long-term needs, including psychosocial support, community resources, and follow-up care.
• Utilizes reports, data, and scheduling tools to evaluate performance measures, identify trends, and support quality improvement initiatives within the ER case management program.
• The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time.

Physical and Environmental Demands:

Requires occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, occasional handling or working with potentially dangerous equipment, occasional exposure to biohazardous conditions such as risk of radiation exposure, blood borne pathogens, fumes or airborne particles, and/or toxic or caustic chemicals which mandate attention to safety considerations, occasional working hours significantly beyond regularly scheduled hours, occasional work produced subject to precise measures of quantity and quality, occasional bending, occasional lifting and carrying up to 25 pounds, occasional climbing, occasional crawling, occasional crouching/stooping, occasional driving, occasional kneeling, occasional pushing/pulling, occasional reaching, occasional sitting, frequent standing, occasional twisting, and frequent walking. (occasional-up to 20%, frequent-from 21% to 50%, constant- 51% or more)

Education and Experience Required:

One (1) year of nursing experience in an inpatient setting.

Certifications, Licenses, or Registration required:

Valid RN license

Preferred Qualifications:

RN case management certification preferred.