Care Manager RN - Emergency Department

The ED RN Care Manager works in collaboration with the emergency department, admitting physicians, care management team, community providers and other healthcare providers to meet the clinical care coordination and utilization needs of the patients in the ED.  They review utilization criteria and work collaboratively with the physicians in the emergency department and community to assist with Level of Care (LOC) determinations.  They develop discharge plans and strategies that address the patient needs through the continuum of care post-discharge from the ED, reduce potentially avoidable volume, and provide quality of care in the least restrictive setting for the patient.  This professional collaborates with the healthcare team to achieve optimal clinical, financial, and patient satisfaction outcomes.  This professional works in an interdisciplinary environment.  They are tasked to assess patients for care coordination needs, facilitate the physician plan of care, implement and coordinate care progression directly from the ED, develop care plans for high ED utilizers to include community partners, and monitoring and evaluation of their options and services to meet the individual’s health needs on an ongoing basis.  This professional accomplishes those tasks through effective communication, collaboration, knowledge of evidence-based care, utilization review standards, coordination of community resources, and other interventions requisite to efficient clinical care progression for optimal patient health outcomes.

Education – Associate's degree in nursing required. Bachelor's of Science in Nursing preferred.

Experience – ASN with a minimum 3 years of acute care experience and/or combined relevant experience in acute care Utilization role, SNF, or community health setting, or BSN with at least 2 years of acute care experience and/or combined relevant experience in acute care, utilization role, SNF, or community health setting.

Licensure/Certification – Current license to practice as Registered Nurse in the State of Maryland, or if resident of a state that participates in Nurse Multi-State Compact agreement, holds Registered Nurse License from that state that is designated as "Compact" or "Multi-State Privilege" using primary source verification and provides additional documentation as required by the Maryland Board of Nursing.  RN License from a compact state with a designation of "Single State" does not meet the requirement and nurse must obtain a Maryland license. Care/case management certification required in 5 years of employment from an accrediting body.

Knowledge/Skills/Abilities – Knowledge of care management principles, professional practice standards, and health and public policy. Excellent clinical, interpersonal, and communication skills. Must be able to work collaboratively with other healthcare professionals as well as independently. Experience with coaching while working with the chronic, complex population. Must have knowledge of evidenced based practices, in depth knowledge of disease processes, and knowledge of community resources.  Must be proactive, assertive, and possess creative problem-solving skills. Experience in managed care, medical home or integrated care management environment is preferred. Must be proficient in computer skills, internet, information technology and electronic medical record use.

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