ED Nurse Care Manager: Throughput & Discharge Coordination

CentraState Healthcare System, Inc.; United States; On-site; USD 94,000 - 159,000; Full time

Benefits offered by this job

Medical coverage

Well-being rewards

Tuition reimbursement

PTO

retirement plans

Job summary

CentraState Healthcare System, based in Freehold, New Jersey, is seeking an Emergency Department (ED) Nurse Care Manager to optimize patient throughput and coordinate interdisciplinary care across the ED continuum.

The role partners with patients, families, physicians and payers to determine appropriate levels of care, supports discharge planning, and drives efficient, cost-effective care delivery in a Magnet-recognized, Great Place to Work-Certified organization.

Qualifications

• BSN or related field required or current enrollment in BSN program
• RN license in New Jersey required
• Experience in acute care utilization; case management training preferred
• Case Management certification preferred
• Excellent communication, negotiation, and conflict resolution skills
• Data and computer skills
• Knowledge of utilization review and appeals requirements
• Rapid cycle change or clinical performance improvement expertise

Responsibilities

• Complete initial medical necessity review and determine level of care with policy adherence
• Refer high risk patients to social services and coordinate complex discharge planning
• Collaborate to recommend post-discharge referrals and follow-up care
• Support patient flow by expediting diagnostics and disposition decisions
• Initiate discharge planning and assess social determinants of health
• Maintain knowledge of CMS, Joint Commission, Medicare rules and related regulations
• Educate care team on continuum of care and safe patient transitions
• Identify risk management or quality issues and escalate appropriately
• Perform other duties as assigned by management

Skills

Communication skills

Negotiation

Conflict resolution

Data skills

Computer skills

Utilization review knowledge

Performance improvement

Education

BSN or related field

RN license (NJ)

Case management certification preferred

Enrollment in BSN program

Job description

CentraState Healthcare System, based in Freehold, New Jersey, is seeking an Emergency Department (ED) Nurse Care Manager to optimize patient throughput and coordinate interdisciplinary care across the ED continuum.

The role partners with patients, families, physicians and payers to determine appropriate levels of care, supports discharge planning, and drives efficient, cost-effective care delivery in a Magnet-recognized, Great Place to Work-Certified organization.