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RN - ED Case Manager
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Full-time
- The case manager interfaces with physicians, nurses, social workers, and other healthcare team members to expedite medically appropriate cost-effective care.
- Required: BSN or MSN or enrollment in an RN-BSN or RN-MSN program within 1 year of hire and completion within 5 years of hire if hired after July 1, 2012
- Performs pre-admission review of patients admitted from ED; performs inpatient admission review within 24 hours or first working day after admission and concurrent utilization review as necessary to assure payment authorization.
- Assists in triaging calls from other acute care facilities requesting patient transfers to EMC; determines transfer appropriateness by reviewing requested documentation and Interqual level of care criteria and discussions as necessary with admitting physician, supervisors and/or EMC administrators and/or other EMC personnel.
- Assists in development and implementation of care performance improvement plans based upon analysis of patterns and trends identified from data collection.
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