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

Entry Point Case Manager

The role of the Entry Point Case Manager is to provide utilization management and safe discharge planning for patients presenting to the Emergency Department (ED) or other entry points in need of care. Works in collaboration with the healthcare team to problem solve patient difficulties in the case management arena. Addresses the patient's healthcare service needs as identified in the Emergency Department.

Responsibilities include:

• Responding to requests about status in the PACU, and supporting the Care Coordination Center in decision making regarding acute care transfers and direct admits.
• Identifying and addressing patients with frequent ED use for non-urgent care or patients with high hospital admission rates.
• Working with attending/ED medical staff to assign appropriate designation.
• Providing discharge planning which focuses on the identification of available services or options for placement for ED patients.
• Identifying high risk patients who are greater risk for recurrent visits to the ED.
• Working with multi-visit patients to offer resources in the community and/or refer to ED Social Work for referrals to social service organizations.
• Performing utilization management responsibilities focused on determination of appropriate admission status utilizing criteria-based review and provision of resources and education to the healthcare team.
• Assigning appropriate admitting status: place in observation vs. admit.
• Working to support appropriate medical record documentation.
• Screening all ED patients with potential for admission identifying payer source.
• Developing working relationships with community health resources to improve outpatient access to healthcare for ED population.
• Tracking clinic patients/frequency of ED use for non-acute care.
• Providing clinic patients options for future non-acute care.
• Tracking barriers to clinic access.

Competencies include:

• ACCOUNTABILITY
• ANALYSIS AND DECISION MAKING
• CLINICAL POLICIES AND STANDARDS
• CUSTOMER SERVICE
• DISCHARGE PLANNING CLINICAL EFFECTIVENESS
• PATIENT AND FAMILY CENTERED CARE
• RESPONDING TO CHANGE
• STANDARDS OF BEHAVIOR
• TEAM WORK

Education and Certification Requirements:

• Accredited Program: Nursing (Required)
• BLS American Heart E-Card (BLS AHA ECARD) - American Heart Association
• BLS American Heart RQI E-Card (BLS AHA-RQI ECARD) - American Heart Association
• BLS Cert American Heart_non ecard (BLS AHA) - American Heart Association
• BLS Certification Grace (BLS GRACE) - Employee Grace Period for Essential Credential
• BLS Cert Red Cross (BLS RC) - Red Cross
• Registered Nurse Compact License (RN LICENSE COMPACT) - Compact RN Multistate
• Registered Nurse License (RN LICENSE) - State of Florida

Additional Job Information:

• Complexity of Work: This role requires decisive judgment with the ability to build and foster positive relationships. The incumbent must be able to lead others and take appropriate action when required. Must be able to provide education and resources relevant to the effective progression of care, utilization of services, appropriate level of care, and safe patient transition to the patient/family and health care team. Solid clinical assessment, critical thinking, decision making and organizational skills. Demonstrated interpersonal skills, effective written and verbal communication skills, and ability to work collaboratively with internal and external customers. Knowledge of relevant Federal and State utilization review and appeal requirements preferred.
• Required Work Experience: Three (3) years' RN experience. Experience with medical necessity criteria, discharge planning in an acute care setting or emergency department setting.
• Other Information:
• Additional Education Info: Bachelor of Science in Nursing preferred.
• Additional Certification Info: Certification of Case Management (CCM) preferred.

Working Conditions and Physical Requirements:

• Bending and Stooping = 0%
• Climbing = 0%
• Keyboard Entry = 80%
• Kneeling = 0%
• Lifting/Carrying Patients 35 Pounds or Greater = 40%
• Lifting or Carrying 0 - 25 lbs Non-Patient = 60%
• Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0%
• Lifting or Carrying > 75 lbs Non-Patient = 0%
• Pushing or Pulling 0 - 25 lbs Non-Patient = 60%
• Pushing or Pulling 26 - 75 lbs Non-Patient = 60%
• Pushing or Pulling > 75 lbs Non-Patient = 0%
• Reaching = 60%
• Repetitive Movement Foot/Leg = 0%
• Repetitive Movement Hand/Arm = 80%
• Running = 0%
• Sitting = 80%
• Squatting = 0%
• Standing = 80%
• Walking = 80%
• Audible Speech = 80%
• Hearing Acuity = 80%
• Smelling Acuity = 0%
• Taste Discrimination = 0%
• Depth Perception = 80%
• Distinguish Color = 60%
• Seeing - Far = 80%
• Seeing - Near = 80%
• Bio hazardous Waste = 60%
• Biological Hazards - Respiratory = 60%
• Biological Hazards - Skin or Ingestion = 60%
• Blood and/or Bodily Fluids = 60%
• Communicable Diseases and/or Pathogens = 60%
• Asbestos = 0%
• Cytotoxic Chemicals = 0%
• Dust = 60%
• Gas/Vapors/Fumes = 60%
• Hazardous Chemicals = 60%
• Hazardous Medication = 40%
• Latex = 60%
• Computer Monitor = 80%
• Domestic Animals = 60%
• Extreme Heat/Cold = 0%
• Fire Risk = 0%
• Hazardous Noise = 0%
• Heating Devices = 0%
• Hypoxia = 0%
• Laser/High Intensity Lights = 0%
• Magnetic Fields = 0%
• Moving Mechanical Parts = 0%
• Needles/Sharp Objects = 60%
• Potential Electric Shock = 0%
• Potential for Physical Assault = 60%
• Radiation = 0%
• Sudden Decompression During Flights = 0%
• Unprotected Heights = 0%
• Wet or Slippery Surfaces = 60%

Shift: Evenings

Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification. Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.

Memorial Healthcare System is proud to be an equal opportunity employer committed