Emergency Department Care Navigator

Direct Jobs; Santa Fe (NM); On-site; USD 70,000 - 90,000; Full time

Job summary

Direct Jobs is seeking an Emergency Department Care Manager to enhance patient throughput and ensure proper care coordination. The role emphasizes collaboration with patients, families, and a multidisciplinary team to determine appropriate care levels.

Ideal candidates will have a nursing degree or MSW, 3+ years of case management experience, and relevant certifications. This full-time position has a schedule of 5 days a week, 8 hours a day, aimed at providing optimal patient outcomes.

Qualifications

• 3+ years of relevant clinical case/care management experience in the acute care setting.
• Familiarity with evidence-based medical necessity criteria sets.
• Competency in prior authorization functions and software.

Responsibilities

• Ensure timely implementation of the plan of care.
• Educate ED physicians and nurses about medical necessity.
• Coordinate and facilitate patient progression throughout the continuum.

Skills

Patient assessment

Care coordination

Interdisciplinary collaboration

Discharge planning

Clinical criteria application

Education

Graduate of an accredited school of nursing (BSN preferred)

Master’s degree in Social Work (MSW)

Tools

Prior authorization software

Evidence-based criteria sets

Medical and managed care terminology

Job description

Direct Jobs is seeking an Emergency Department Care Manager to enhance patient throughput and ensure proper care coordination. The role emphasizes collaboration with patients, families, and a multidisciplinary team to determine appropriate care levels.

Ideal candidates will have a nursing degree or MSW, 3+ years of case management experience, and relevant certifications. This full-time position has a schedule of 5 days a week, 8 hours a day, aimed at providing optimal patient outcomes.