Emergency Department Case Manager Nurse – Full-Time Benefits

Trinity Health; Brighton (AL); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Full benefits package (Medical, Dental

Vision

PTO

Life Insurance

Short and Long-term Disability

Day One benefits

Employer match Retirement plan

Tuition Reimbursement

Job summary

Trinity Health Livingston Hospital in Brighton, MI is seeking an ED Case Manager to coordinate admission processes and ensure patients receive the right care at the right time. This full-time role includes 36 hours per week with 12-hour day shifts and a rotating weekend schedule, plus 6–8 weeks of orientation.

You will assess readmissions, address discharge barriers, and collaborate with EC physicians to determine admission status and required documentation.

Qualifications

• Current Michigan Nursing License.
• Graduation from accredited nursing program: Minimum of Associates degree in Nursing, BSN required within 5 years from the date of employment in the role.
• Experience: Three (3) years recent experience in case management, utilization review or a related field.
• Certification: Case Management is desirable: Individuals serving as case managers for the health system shall obtain CMSA certification within three years from their date of employment in the role or be in the process of obtaining certification as a case manager.

Responsibilities

• Facilitates actions necessary for admitted or emergency center patients to receive the right care in the right place at the right time.
• Assess all patients that qualify as a readmission. Determine reason for return and implement alternative to admission plan when appropriate. Document readmission information/interventions in the Epic CM system.
• Identifies barriers to discharging patients from the E.D instead of admission as observation. Develops strategies and initiatives to address identified barriers. Work with other disciplines to assist in resolution of barriers to discharge. Report findings to Acute Care Flow Leadership team.
• Proactively consults with the EC physician to determine eligibility for admission. Facilitates appropriate documentation for inpatient admission as required by hospital and insurance criteria.
• Proactively consults with the EC physician to determine appropriate admission status (inpatient or observation) and level of care required. Facilitates appropriate documentation of reason for admission including the treatment plan as required by hospital and insurance criteria.
• Communicates medical necessity documentation requirements with attending physician as needed.

Skills

Nursing license

Case management

Utilization review

Education

Associates degree in Nursing

BSN within 5 years

CMSA certification (desirable)

Job description

Trinity Health Livingston Hospital in Brighton, MI is seeking an ED Case Manager to coordinate admission processes and ensure patients receive the right care at the right time. This full-time role includes 36 hours per week with 12-hour day shifts and a rotating weekend schedule, plus 6–8 weeks of orientation.

You will assess readmissions, address discharge barriers, and collaborate with EC physicians to determine admission status and required documentation.