Evening ED RN Case Manager — Care Coordination

Stony Brook University; Stony Brook (NY); On-site; USD 93,000 - 132,000; Full time

Job summary

Stony Brook Medicine is seeking an experienced RN Case Manager for the Emergency Department to coordinate utilization management, discharge planning, and patient transitions. You will collaborate with ED physicians, social work, and care management to determine the appropriate level of care and facilitate timely progression.

Qualified candidates should have NYS RN licensure, a BSN or related degree, and 5+ years of clinical nursing.

Qualifications

• Current New York State Registered Professional Nurse license.
• Bachelor's degree in Nursing or related field.
• Minimum of five years of clinical nursing experience.
• Strong clinical assessment and critical-thinking skills with the ability to evaluate complex patient presentations and determine appropriate level of care.
• Computer proficiency, including Microsoft Office Suite and electronic medical record systems.
• Excellent communication, interpersonal, organizational, and collaboration skills.
• Demonstrated ability to work effectively with physicians, patients, families, and interdisciplinary healthcare teams.
• Ability to prioritize and manage multiple time-sensitive responsibilities within a fast-paced Emergency Department environment.
• Creative, flexible, professional, and courteous demeanor.

Responsibilities

• Screen patients presenting to the Emergency Department to determine medical necessity and level of care.
• Apply MCG criteria with clinical judgment to support level-of-care determinations.
• Collaborate with ED physicians and the care team regarding patient status and disposition; escalate when criteria are not met.
• Perform initial utilization review and assist with payer notification, authorization, and documentation requirements.
• Identify patients who may be safely treated in a lower level or alternative setting and coordinate disposition.
• Conduct timely case management assessments to identify high-risk patients and complex needs.
• Initiate and coordinate discharge planning from the Emergency Department including home care and post-acute services.
• Identify barriers delaying discharge and develop transition plans with the team.
• Identify frequent ED utilizers and develop strategies to address needs and continuity of care.
• Facilitate communication with patients and families about plan of care and resources.
• Promote efficient patient flow and timely transitions from ED to appropriate settings.
• Collaborate with inpatient Case Management for admissions and continuity of care.
• Maintain accurate documentation of utilization review activities and discharge planning.
• Identify trends and opportunities to improve utilization, patient flow, and quality of care.
• Maintain knowledge of CMS requirements, payer policies, regulatory standards, and best practices.
• Provide a safe, patient-centered environment with high-quality customer service.
• Perform other duties as assigned.

Skills

Clinical assessment

Critical thinking

Communication

Collaboration

Time management

Education

Bachelor's degree in Nursing or related field

Tools

Electronic Medical Records

Microsoft Office Suite

Job description

Stony Brook Medicine is seeking an experienced RN Case Manager for the Emergency Department to coordinate utilization management, discharge planning, and patient transitions. You will collaborate with ED physicians, social work, and care management to determine the appropriate level of care and facilitate timely progression.

Qualified candidates should have NYS RN licensure, a BSN or related degree, and 5+ years of clinical nursing.