Emergency Department Care Manager assists physicians and the interdisciplinary team in facilitating the entry of patients into the appropriate level of care by utilizing InterQual criteria. The Care Transition Coordinator is responsible for identifying community and other resources that are necessary for each individual patient and matches specific needs for continued care that are acceptable to the patient. In addition, you will collaborate with the ED healthcare team to determine the treatment plan, while observing quality and patient safety parameters, LOS, readmissions, denials and appeals.
BSN or BA in Nursing OR Enrolled, or committed to enroll in BSN or BA in Nursing program, making steady progress toward degree. Must have a current PA RN license and Case Management certification from an accredited organization preferred. Three years of utilization management or case management experience, including emphasis on discharge planning.
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