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ER Case Manager-RN

2 months ago


Montgomery, Alabama, United States Jackson Hospital Full time
Job Title: ER Case Manager-RN

Job Summary:

The ER Case Manager-RN will coordinate cases and collaborate with the development and implementation of a discharge plan for an assigned group of ED patients. This role serves as a resource for other members of the ED healthcare team and provides education on issues related to the continuum of care, reimbursement, regulatory agency guidelines, and resource use as well as clinical issues.

Key Responsibilities:

  • Perform routine assessments of needs requiring post-discharge services.
  • Review severity of illness and intensity of service indicators to ensure appropriateness of care criteria is met.
  • Document discharge assessment and plans in the medical record and computer system per department guidelines.
  • Collect and maintain data for tracking and reporting for outcome and quality studies and performance improvement.
  • Coordinate efforts on patients presenting to the ED with psychiatric and/or behavioral issues, including working within the local mental health system for appropriate services and placement.

Qualifications:

  • Minimum Bachelor's degree in Nursing.
  • Experience in working with mental health patients required.
  • Knowledge of the local and State agencies required.
  • Knowledge of CMS and JCAHO Standards required.
  • Case management experience required.
  • Licensed in the State of Alabama as a registered nurse.

Equipment and Software:

  • ICD-9 code book.
  • DSM.
  • Computer.
  • Software (including Affinity, Microsoft Word, Excel, and GroupWise).
  • Fax.
  • Copier.
  • Other Office equipment.

Working Conditions:

  • Works predominantly indoors with moderate amount of daily walking, standing, and under high levels of stress.
  • May be exposed to the risk of communicable diseases, radiation, chemicals, and injury related to movement of patients and/or equipment involving a minimum of 50 pounds, or injury from irrational patients or persons.