Emergency Department Care Manager
3 weeks ago
The Emergency Department Care Manager plays a pivotal role in optimizing patient throughput and ensuring seamless care coordination across the continuum. This dynamic professional collaborates with patients, families, multidisciplinary teams, physicians, community partners, and payers to determine the most appropriate level of care.
Key Responsibilities- Conduct thorough patient assessments and admission clinical reviews to ensure timely implementation of the plan of care.
- Review anticipated admissions, placements in Observation status, and discharges using evidence-based criteria to assign the appropriate level of care.
- Screen patients for appropriateness of admission, including observation versus inpatient status, utilizing MCG and/or InterQual criteria.
- Provide education to ED physicians and nurses on medical necessity and admission criteria.
- Initiate and maintain communication with physicians and other treatment team members to develop, implement, and evaluate the plan of care.
- Provide education to providers and staff on documentation needs and opportunities to support the appropriate level of care and treatment.
- Initiate prior authorization processes for post-ED referrals and services.
- Utilize financial and insurance resources to maximize patient healthcare benefits.
- Intervene with physicians and other healthcare providers regarding clinical and utilization issues to ensure optimal patient outcomes.
- Communicate with third-party payors and/or review organizations as necessary, providing information in accordance with regulation and/or contract requirements.
- Escalate to physician advisor when unable to resolve discrepancies with the attending physician.
- Identify and intervene with patients at risk for readmission.
- Manage high-utilization patients and explore alternatives for care to reduce frequent ED visits.
- Plan discharges from the ED for patients not requiring admission, arranging for Home Health, DME, placement, and community resources as needed.
- Provide patient and family education and counseling on existing health problems.
- Utilize high-risk screening criteria to make community and post-ED referrals.
- Anticipate and intervene with barriers/variances to care delivery.
- Coordinate and facilitate patient progression throughout the continuum.
- Collaborate with the interdisciplinary team to facilitate care coordination and delivery.
- May assist with coordination of patient transfers to other inpatient facilities when indicated.
- Document all CM assessments and interventions in the medical record.
- Associate's Degree in Nursing required.
- Bachelor's Degree in nursing or healthcare-related field preferred.
- 3+ years of relevant clinical case/care management experience in the acute care setting required.
- RN License in state of employment or compact required.
- Case Manager certification preferred.
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Emergency Department Care Manager
4 weeks ago
Longview, Texas, United States Christus Health Full timeJob SummaryThe Emergency Department Care Manager plays a pivotal role in ensuring seamless patient flow and optimal care coordination within the Emergency Department. This dynamic professional collaborates with multidisciplinary teams, patients, and families to determine the most suitable level of care, leveraging expertise in patient status determination...
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Emergency Department Care Manager
1 week ago
Longview, Texas, United States Christus Health Full timeJob SummaryThe Emergency Department Care Manager plays a vital role in ensuring the efficient and effective care of patients in the emergency department. This position requires a strong understanding of clinical criteria and the ability to collaborate with multidisciplinary teams to determine the appropriate level of care for patients.Key...
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Emergency Department Care Manager
4 weeks ago
Longview, Texas, United States Christus Health Full timeJob SummaryThe Emergency Department Care Manager is a critical role within Christus Health, responsible for ensuring seamless patient care transitions and optimizing resource utilization. This position requires a skilled professional with expertise in clinical case management, care coordination, and patient advocacy.Key ResponsibilitiesPatient Assessment and...
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Emergency Department Technician
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RN Emergency Department Nurse
1 week ago
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RN Emergency Department Night Shift
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RN Emergency Department Nurse
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Longview, Texas, United States Longview Regional Medical Center Full time{"Job Title": "RN Emergency Department", "Job Description": "Job SummaryWe are seeking a skilled and compassionate Registered Nurse to join our Emergency Department team at Longview Regional Medical Center. As a RN in this role, you will have the opportunity to provide high-quality patient care and work collaboratively with a talented team of healthcare...
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RN Emergency Department Night Shift
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Longview, Texas, United States CHRISTUS Health Full timeJob SummaryWe are seeking a skilled Registered Nurse to join our Emergency Department team on a PRN basis. As a key member of our healthcare team, you will provide high-quality patient care and contribute to a positive patient experience.Key ResponsibilitiesProvide routine and complex care to patients in the Emergency Department, utilizing the nursing...
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Longview, Texas, United States CHRISTUS Health Full timeJob SummaryWe are seeking a skilled Registered Nurse to join our Emergency Department team on a per diem basis. As a key member of our healthcare team, you will provide high-quality patient care and contribute to a positive and supportive work environment.ResponsibilitiesProvide routine and complex care to patients in the Emergency Department, utilizing the...
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Emergency Medicine Physician
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Longview, Texas, United States SCP Health Full timeJob Summary:SCP Health is seeking an Emergency Medicine Physician to join our team. As a key member of our emergency department, you will be responsible for providing high-quality patient care in a fast-paced environment.Key Responsibilities:55,000 Volume: Manage a high-volume emergency department with a focus on efficient patient flow and quality care.Level...
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Longview, Texas, United States Longview Regional Medical Center Full timeJob SummaryWe are seeking a skilled Registered Nurse to join our team in the Emergency Department at Longview Regional Medical Center. As a Registered Nurse, you will play a vital role in providing exceptional care to our patients and their families.ResponsibilitiesEvaluate assigned patients and develop individualized care plansImplement and document nursing...
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Emergency Medicine Physician
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Longview, Texas, United States SCP Health Full timeJob SummaryWe are seeking an experienced Emergency Medicine Physician to join our team at SCP Health.Key ResponsibilitiesManage a high-volume emergency department with 24 beds, providing 24/7 physician coverage and 17 hours of APP coverage.Utilize EPIC EMR system to document patient care and communicate with colleagues.RequirementsBoard certification in...
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Emergency Medicine Physician
1 week ago
Longview, Texas, United States SCP Health Full timeEmergency Medicine OpportunityWe are seeking an experienced Emergency Medicine Physician to join our team at SCP Health. As a key member of our emergency department, you will be responsible for providing high-quality patient care in a fast-paced environment.Key Responsibilities:Manage a high-volume patient load, prioritizing cases and making sound decisions...
