Emergency Department Throughput & Care Management Lead

CHRISTUS Health; Longview (TX); On-site; USD 70,000 - 100,000; Full time

Job summary

CHRISTUS Health is seeking an Emergency Department Care Manager to coordinate patient throughput and care across the continuum. You will assess needs, coordinate admissions or home care, and facilitate post-ED referrals with a focus on medical necessity and efficient resource use.

The role requires a nursing (BSN preferred) or MSW background, 3+ years in acute care care management, and strong knowledge of prior authorization processes. Schedule: 11AM–11PM, Full Time.

Qualifications

• Graduate of an accredited school of nursing (BSN preferred) or Master’s degree in Social Work (MSW) required.
• 3+ years of relevant clinical case/care management experience in the acute care setting required.
• Familiarity with evidence-based medical necessity criteria sets required.
• Competency in prior authorization functions and software, including the application of criteria and timelines required.
• Proficiency in medical and managed care terminology required.

Responsibilities

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Use approved criteria to conduct patient assessment and admission clinical review to ensure the appropriateness of setting and timely implementation of the plan of care.
• Educates ED physicians and nurses about medical necessity and admission criteria.
• Plans for discharges from the ED for patients who do not require admission, including Home Health, DME, placement, and community resources.

Skills

Clinical case management

Medical terminology

Prior authorization

Patient education

Education

BSN preferred

MSW preferred

Job description

CHRISTUS Health is seeking an Emergency Department Care Manager to coordinate patient throughput and care across the continuum. You will assess needs, coordinate admissions or home care, and facilitate post-ED referrals with a focus on medical necessity and efficient resource use.

The role requires a nursing (BSN preferred) or MSW background, 3+ years in acute care care management, and strong knowledge of prior authorization processes. Schedule: 11AM–11PM, Full Time.