Emergency Department Case Manager

2 days ago


Plymouth, Massachusetts, United States Beth Israel Deaconess Hospital-Plymouth Full time
Job Summary

Beth Israel Deaconess Hospital-Plymouth is seeking a skilled Emergency Department Case Manager to join our team. As a key member of our care transitions department, you will play a critical role in improving patient outcomes, reducing length of stay, and decreasing unit cost.

Key Responsibilities
  • Utilization Management: Review anticipated admissions, assess for appropriate level of care assignment, and certify Medicare admissions.
  • Discharge Planning: Create and coordinate transition plans of care, ensure smooth care transitions, and increase patient and family satisfaction.
  • Care Coordination: Facilitate treatment, admission, discharge, and/or transfer in collaboration with physicians and primary nurses.
  • Quality and Risk Management: Identify potential quality and risk management issues, refer cases to the Manager, Care Transitions or directly to the Risk/Quality Manager.
Requirements
  • State of MA Registered Nurse (RN)
  • 3-5 years acute care nursing experience
  • Two years of recent utilization management and discharge planning experience
Preferred Qualifications
  • Bachelor's degree in nursing or healthcare related field
  • Three years of recent utilization management and discharge planning experience
  • ED nursing and/or case management experience
Knowledge, Skills, and Abilities
  • Expertise in utilization management and discharge planning principles, methods, and tools
  • Strong knowledge of DRGs, LOS, variance analysis, and discharge planning related to the utilization of health care resources
  • Excellent written, verbal, organizational, and presentation skills
  • Ability to multitask and work in a fast-paced environment


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