Care Manager Registered Nurse ER

Community Health Systems; Naples (FL); On-site; USD 75,000 - 105,000; Full time

Job summary

Community Health Systems seeks a Care Manager – ER in Naples, FL to collaborate with the emergency department team to assess admissions and determine care status using evidence-based criteria (MCG/InterQual). The role supports efficient patient flow, guides patients to community resources, and facilitates transitions of care, including hospice or post-acute placements.

Responsibilities include ensuring proper documentation, coordinating with clinicians and social services, and maintaining

Qualifications

• RN with state licensure
• 1-3 years in acute care or hospital setting required
• 1-2 years in care management or utilization review preferred

Responsibilities

• Assess patients in the ED for medical necessity of admission and determine appropriate status
• Identify patients for alternative care settings and coordinate with community resources
• Provide guidance to patients and families regarding care transitions and hospice/post-acute options
• Verify next of kin contact information and document it
• Collaborate with ED clinicians, hospitalists, case managers, and social services to support transitions of care
• Maintain compliance with policies and standards

Skills

Clinical assessment

Care coordination

Communication

MCG/InterQual knowledge

Education

BSN preferred

Tools

MCG

InterQual

Job description

Job Summary

The Care Manager – ER collaborates with the emergency department team to assess potential admissions and determine appropriate status placement using evidence-based criteria such as MCG or third-party review tools. This role supports efficient patient flow by avoiding unnecessary admissions and guiding at-risk patients and families to appropriate community-based resources. The Care Manager – ER facilitates transitions of care, supports discharge planning, and ensures regulatory and documentation requirements are met for patients entering hospice or post-acute services.

Essential Functions

• Assesses patients in the emergency department for medical necessity of admission and ensures correct placement into inpatient, observation, or outpatient status using MCG or approved criteria.


• Identifies patients who may be appropriate for alternative care settings and works to avoid unnecessary or social admissions by coordinating with community resources.


• Provides timely guidance and education to patients and families regarding care transitions, including hospice services or post-acute facility placement, and secures patient choice documentation as required.


• Verifies next of kin contact information and ensures accurate documentation on patient records.


• Collaborates with ED clinicians, hospitalists, case managers, and social services to support seamless transitions of care.


• Performs other duties as assigned.


• Maintains regular and reliable attendance.


• Complies with all policies and standards.

Qualifications

• Bachelor's Degree in Nursing (BSN) preferred


• 1-3 years of experience in an acute care or hospital setting required


• 1-2 years of experience in care management or utilization review preferred

Knowledge, Skills and Abilities

• Knowledge of admission criteria and care level determination tools such as MCG or InterQual.


• Strong clinical assessment and decision-making skills.


• Ability to effectively coordinate community-based services and discharge planning.


• Excellent communication and interpersonal skills for patient and interdisciplinary team interactions.


• Strong organizational skills with attention to detail and compliance documentation.

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure required


• BCLS - Basic Life Support preferred

Job Info

• Job Identification 157640


• Job Category Allied Health


• Posting Date 07/07/2026, 03:15 PM


• Job Schedule Full time


• Job Shift Day