DEM Case Manager RN
The role of the Department of Emergency Medicine (DEM) Case Manager is to increase patient through put to the most appropriate level of care while facilitating interdisciplinary care across the continuum. The DEM Case Manager will assist in identifying patients appropriate for Admission, Observation or other patient care status.
The DEM Case manager will function as a liaison between attending physicians, Physician Advisors, local CCRCs, SNFs, PCFs, patients, families and community. The role includes the management of social issues that impact patient classification, discharge from the DEM and ongoing medical management of patient care needs.
The DEM Case Manager will assist in identifying physician and staff documentation opportunities to support Quality and Pay for Performance indicators. Goal is to collaborate with patients, families and health care providers to promote health and manage illness in a cost effective and quality driven manner.
Preferred Candidate: RN, BSN or MSN with 3 plus years of Acute Care Hospital Case Management or ER Case Management experience. Knowledge of: Acute Care Criteria, Care Coordination, DC Planning, Inter Qual/Milliman criteria, precertification, Utilization Management, insurance, managed care and community resources
Qualifications:EDUCATION AND EXPERIENCE:
Associate's Degree NURSING Over 3 years to 5 years Acute care case management experience required
BSN preferred
Master's of Social Work preferred
SKILLS AND ABILITIES:- Demonstrated analytical skills, required
- Demonstrated problem solving skills, required
- Ability to make quality, independent decisions, required
- Strong verbal communication and listening skills, required
- Effective interpersonal skills, required
- Ability to work as part of a team, required
- Ability to maintain the strictest levels of confidentiality, required
- Ability to work effectively and efficiently under tight deadlines, high volumes and multiple interruptions, required
- Possesses strong technical aptitude, required
- Possesses familiarity with Microsoft Office (Word, Excel, Power point, etc.), required
- Competency in the use of a variety of computer hardware and software systems., required
LICENSES AND CERTIFICATIONS:
Registered Nurse in PA – Licensed, Upon hire, required