BHS Baptist Healthcare System is Hiring an Emergency Department Case Manager Part Time 2nd Shift Near Louisville, KY
Job Description: Part Time 20 weekly hours, 2nd shift - rotating weekends and holidays *Sign On Bonus Eligible!* Job Summary This registered nurse position is responsible for screening potential ED hospital admissions using established criteria (InterQual®) for appropriateness of hospital admission, correct patient status and appropriate level of care. This position requires extensive communication with ED staff, Attending and ED physicians, Room Reservations and Patient Access personnel. Scheduling will require flexibility to provide adequate ED coverage during high occupancy periods. Principal Duties and Responsibilities 1. Screens potential admissions using InterQual® criteria for appropriateness of hospital admission and refers for secondary review per procedure. 2. Assists with patient placement to the appropriate level of care based on results of screening and unit ability to meet ongoing patient care needs 3. Initiates appropriate action to resolve clinical and operational delays impeding progression of the patient. 4. Effectively communicates with other healthcare providers as well as patient/families in matching the patient’s care needs with available resources and services 5. Facilitates/performs discharge planning that may include patient education, follow-up appointments, community resources, institutional referrals or other alternate settings, medical supplies, prescriptions. 6. Enhances understanding of the Cooperative Care Program through availability and interactions with patients/ families and all health care providers. Serves as resource to nursing staff and physicians. 7. May initiate insurance authorizations for plans requiring 24h notification or have on-line authorization processes. 8. Functions in role of a continuous improvement motivator utilizing advanced problem-solving skills. 9. Implements cost and resource management strategies. 10. Promote quality improvement by identifying and intervening in - Quality of care issues - Abnormal lab, etc., not addressed - Inappropriate antibiotic/medication use - Inappropriate blood/blood product use - Deficient clinical documentation - Risk Management and Infection Control Issues 11. Develops and maintains good working relationships with Cooperative Care unit teams, hospital and medical staff, and personnel from community health, welfare and social service agencies. 12. Demonstrates knowledge of growth and development and coordinates case management process for the age specific population. 13. Performs other duties as requested by the manager. Minimum Education, Training, and Experience RN with at least 5 years of experience in acute care nursing required. Active Kentucky RN License BSN preferred Utilization review/discharge planning, case management experience preferred. CCM preferred. If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer. Founded in 1924, Baptist Health has been bringing advanced medical technology, modern facilities, and many of the region's most prominent physicians and medical professionals to the communities of our commonwealth for nearly a century. Headquartered in Louisville, the Baptist Health family of hospitals, care centers, physician offices and health facilities has experienced tremendous growth in recent years. Counting all nine hospitals, we have more than 2,700 licensed beds. Baptist Health has more than 300 points of care include outpatient facilities which offer Urgent Care, occupational medicine, physical therapy and diagnostics. Home care is also available in 39 Kentucky counties, six counties in Illinois and six counties in Southern Indiana. Our physician network of more than 3,000 employed and affiliated physicians continues to grow as we endeavor to improve access to healthcare and enhance the health of Kentucky as a whole. EEO Statement: Baptist Health is an Equal Employment Opportunity employer, and seeks to employ individuals without regard to race, color, national origin, gender, sexual orientation, gender identity, age, disability, marital status, citizenship status, military status, religious or political beliefs, protected veteran status, employment status or any other protected class identified in any federal, state, or local law. Baptist Health specifically encourages minority, female, disabled, veteran and other candidates from diverse backgrounds to apply and strengthen our team. Please note that Baptist Health is a drug-free workplace and employment with Baptist Health is subject to post offer, pre-employment drug testing. NOTICE OF NONDISCRIMATION AND ACCESSIBILITY TO SERVICES Persons with hearing and speech impairments can contact Baptist Health facilities by using the Kentucky Relay Service, a toll-free telecommunication device for the deaf (TDD). For voice to TDD, call 800.648.6057. For TDD to voice, call 800.648.6056.
Job Summary