Care Manager Registered Nurse ER

Physicians Regional Medical Center - Collier; Naples (FL); On-site; USD 65,000 - 90,000; Full time

Job summary

Physicians Regional Medical Center - Collier is seeking a Care Manager for the ER to assess admissions and determine appropriate status using established criteria. The role focuses on efficient patient flow, guiding at-risk patients to community resources, and coordinating transitions of care with emphasis on discharge planning and regulatory documentation.

The position requires RN licensure with BSN preferred, and 1–3 years in acute care.

Qualifications

• BSN preferred; 1-3 years acute care/hospital setting required.
• 1-2 years in care management or utilization review preferred.
• RN licensure required.

Responsibilities

• Assesses patients in the emergency department for medical necessity of admission and determines status using MCG or approved criteria.
• Identifies patients for alternative care settings and coordinates with community resources to avoid unnecessary admissions.
• Guides transitions of care, discharge planning, and ensures documentation for hospice or post-acute services.

Skills

Care coordination

Clinical assessment

Communication

Decision making

Education

Bachelor's Degree in Nursing (BSN)

Tools

MCG criteria

InterQual criteria

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.
• Coaches to comply 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