Aya Healthcare
Case Manager (RN) ED
Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider, we are also one of our area's largest employers. More than 2,500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day. A Brief Overview The position is responsible for facilitating the patient's level of care from preadmission through discharge from the Emergency Department to the community or to an alternative level of care. The case manager interfaces with physicians, nurses, and other healthcare team members to expedite medically appropriate, cost-effective care. The position proactively identifies potential patient admissions and patients with needs for discharge to appropriate community resources. The position works with physicians to identify appropriate patient status for admission to the acute care hospital (inpatient versus observation). What You Will Do Uses ED tracking system, medical record, and demographic information to identify patients needing CM intervention. Gathers sufficient information from and communicates with all relevant sources to facilitate appropriate discharge from ED to appropriate level of care to ensure it is done in an accurate, safe, timely and cost-effective manner to prevent readmission and/or frequent visits to ED. Identifies and facilitates resolution of clinical and operational roadblocks to achieve optimal outcomes by identifying alternatives as needed. Documents all care management assessments and interventions. Acts as a resource to ED staff and physicians (ED and hospitalists) regarding appropriateness of admission, levels of care (including related documentation requirements and observation vs. inpatient requirements). Performs pre-admission review of patients that are being worked up for admission. Resolves issues of incorrect status through discussions with ED and Admitting Physicians by obtaining additional information to support admission order or determine alternative level of care. Coordinates discharges home from the ED and facilitate transfers to external placement facilities and/or community resources/services as appropriate. Maintain expert knowledge of InterQual Level of Care criteria. Escalates to physician advisor when unable to resolve issues with the attending physician, according to policy and timeframes established. Complying with regulations, standards and legislation (local, state and federal) related to the continuum of care and patient transition. Education Qualifications ADN Experience Qualifications Minimum two years' RN Case Management experience in acute health care delivery setting Preferred Experience with Case Management and outcomes Required Experience with EPI Preferred Licenses and Certifications Registered Nurse - South Carolina Department of Labor, Licensing and Regulation in good standing Required Tidelands Health is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status. Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.
Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider, we are also one of our area's largest employers. More than 2,500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day. A Brief Overview The position is responsible for facilitating the patient's level of care from preadmission through discharge from the Emergency Department to the community or to an alternative level of care. The case manager interfaces with physicians, nurses, and other healthcare team members to expedite medically appropriate, cost-effective care. The position proactively identifies potential patient admissions and patients with needs for discharge to appropriate community resources. The position works with physicians to identify appropriate patient status for admission to the acute care hospital (inpatient versus observation). What You Will Do Uses ED tracking system, medical record, and demographic information to identify patients needing CM intervention. Gathers sufficient information from and communicates with all relevant sources to facilitate appropriate discharge from ED to appropriate level of care to ensure it is done in an accurate, safe, timely and cost-effective manner to prevent readmission and/or frequent visits to ED. Identifies and facilitates resolution of clinical and operational roadblocks to achieve optimal outcomes by identifying alternatives as needed. Documents all care management assessments and interventions. Acts as a resource to ED staff and physicians (ED and hospitalists) regarding appropriateness of admission, levels of care (including related documentation requirements and observation vs. inpatient requirements). Performs pre-admission review of patients that are being worked up for admission. Resolves issues of incorrect status through discussions with ED and Admitting Physicians by obtaining additional information to support admission order or determine alternative level of care. Coordinates discharges home from the ED and facilitate transfers to external placement facilities and/or community resources/services as appropriate. Maintain expert knowledge of InterQual Level of Care criteria. Escalates to physician advisor when unable to resolve issues with the attending physician, according to policy and timeframes established. Complying with regulations, standards and legislation (local, state and federal) related to the continuum of care and patient transition. Education Qualifications ADN Experience Qualifications Minimum two years' RN Case Management experience in acute health care delivery setting Preferred Experience with Case Management and outcomes Required Experience with EPI Preferred Licenses and Certifications Registered Nurse - South Carolina Department of Labor, Licensing and Regulation in good standing Required Tidelands Health is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status. Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.