Emergency Department Care Manager

Be a part of a community hospital dedicated to exceptional and individualized patient care!

This Philadelphia hospital is looking for an Emergency Department Care Manager  to join their team.

In this position you will:

• Assist physicians and the interdisciplinary team in facilitating the entry of patients into the appropriate level of care utilizing Interqual criteria
• Reduce unnecessary admissions to the acute care hospital
• Assign the correct levels of care to ED patients (outpatient observation vs. inpatient admission) and recommending options for safe discharge
• Coordinate all non-elective point of entry admissions and facilitating timely throughput of ED patients, ensuring safe delivery of services at the appropriate level of care
• Identify community and other resources necessary for each individual patient and matching specific needs for continued care
• Identify services that require authorization and collaborate with payers to obtain the needed authorizations for services
• Ensure patient has primary care follow up
• Collaborate with the ED healthcare team to determine treatment plans, while observing quality and patient safety parameters, LOS, readmissions, denials and appeals

 

 
 
 

Please be advised that we are only considering nurses with the following:

• Bachelors of Science in Nursing with current PA RN license
• Three years of case management experience including emphasis on discharge planning
• Knowledge of Managed Care, government payers, third party reimbursement, Interqual criteria
• Ability to handle multiple tasks simultaneously, effectively collaborate with healthcare team members, communicate clearly in writing and orally, and document in an electronic medical record completely and accurately
• Knowledge of information systems and MS Office applications; Midas preferred
• Case Management certification from an accredited organization is preferred

 



How Pathway Medical Works with You to Get the Job
 
Since 1998 we have focused exclusively on helping nurse case managers and related non-bedside nursing professionals find career opportunities that fit their lifestyle and advance their careers.
 
* We have long-standing relationships with nurse executives at dozens of leading healthcare organizations, ensuring that your accomplishments and skills get noticed by key decision makers.     
 
* We will review your resume to make certain it emphasizes the important skills and experience requirements of the job for which you are applying.
 
* We will then prepare you for your interview, enabling you to show why you are the best candidate for the job.
 
* When an offer is extended we will help you negotiate compensation, benefits and any additional employment issues.






We look forward to receiving your application for the Emergency Department Care Manager opportunity with this exceptional organization.  Please click on the "Apply Now" button to submit your resume for consideration.