Registered Nurse (RN) Case Manager - Emergency Department - Lorain Hospital

Mercy Health; Lorain (OH); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive pay and bonuses

Medical/dental/vision coverage

Tuition assistance

Job summary

Mercy Health in Lorain, OH is seeking an experienced Registered Nurse to coordinate discharge planning from the Emergency Department and ensure patient care needs are met across the care continuum.

You will collaborate with social workers, physicians, and the care team to optimize bed placement, manage barriers to discharge, and ensure safe transitions to the next level of care.

Qualifications

• Bachelor's degree in Nursing is required.
• Ohio Nursing Licensure and CPR certification required.
• Minimum of 3 years nursing clinical experience.

Responsibilities

• Develop discharge plans with the care team and arrange DME/transport.
• Coordinate with community agencies to meet discharge needs.
• Obtain insurance preauthorizations for post-acute services.
• Assess patient ability to purchase medications and supplies.
• Initiate timely discharge planning and reassess plans as needed.
• Promote appropriate level-of-care placement per regulations.

Skills

Discharge planning

Team collaboration

Critical thinking

Patient advocacy

Customer service

Education

Bachelor's degree in Nursing

Ohio RN license

CPR certification

Job description

THIS IS A COLLECTIVE BARGAINING UNIT POSITION

This Registered Nurse acts as principal liaison between ED, nursing, finance and physicians to ensure appropriate bed placement is assigned, patient care needs are met and treatment plans executed in the appropriate level of the continuum. Demonstrates knowledge and skills necessary to provide care appropriate to the age of the patient served on assigned unit. This person initiates the discharge plan of care beginning in the emergency room. Seeks appropriate referrals from appropriate multidisciplinary teams. Ensures that patients leaving the Emergency Room have the necessary resources for a safe discharge from the hospital.

Essential Job Functions

• Works collaboratively with the licensed social workers (LSWs) patients, family and health care team to develop a discharge plan that meets the needs of the patient. Arranges for DME, transportation, community referrals, skilled or intermediate nursing home placement, rehab, and other discharge needs as required.
• Works with community agencies to assist patients in getting all discharge needs met.
• Works with insurance companies to get authorizations and precertification for post-acute services.
• Assesses the patient’s ability to purchase medications, supplies and DME. Provides resources when they are available.
• Meet with patients and their families to discuss barriers to discharge.
• Initiates timely discharge planning and reassesses and revises the plan as required. Arranges for the placement of patients at an appropriate level of care in compliance to the requirements of third-party payors and federal and state regulations. Promotes patient and family choice for appropriate services such as intermediate care, skilled nursing, rehabilitation, home health care, hospice, foster care, group home, drug and alcohol treatment, or other specialized programs.
• Works alongside the ER Physician and the Multidisciplinary team to remove barriers to discharge.
• Keeps consistent with our mission by promoting financially sound decisions.
• Assists the ER, HUB, and Nursing Supervisor to ensure timely placement of patients and ER throughput.
• Maintains compliance with all CMS requirements.

Required Minimum Education:

• Bachelors Degree
• Specialty/Major:
• Nursing

Preferred Education:

• 4 year/ Bachelors Degree
• Specialty/Major:
• BSN

Licensure/Certification Required:

Nursing Licensure from the Ohio Board of Nursing, CPR certification

Licensure/Certification Preferred:

AACN-RN or CCM

Minimum Years and Type of Experience:

Minimum of 3 years nursing clinical experience

Other Knowledge, Skills and Abilities (Required):

• Ability to foster change in a workgroup/unit, and operate in a highly dynamic work environment.
• Exceptional customer service skills to ensure an optimal patient care experience.
• Possess strong critical thinking skills, including, but not limited to, the ability to analyze clinical, financial, and social situations, identifying problems and alternative courses of action.
• Must be flexible, resourceful and possess creative problem solving and prioritization skills.
• Ability to guide and direct the health care team for optimal patient flow and Transformation outcomes.
• Ability to organize and present information clearly and concisely.
• Strong positive interpersonal skills used to effectively communicate with physicians, patients, families and other members of the interdisciplinary team.

Other Knowledge, Skills and Abilities (Preferred):

Experience with Utilization Review and Case Management preferred.

Full Time - 40 Scheduled Weekly Hours

As a Mercy Health associate, you're part of a Mission that matters. We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affi... . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at [e-mail]