What are the responsibilities and job description for the Emergency Department Case Manager position at Sweetwater Hospital Association?
Welcome to One of the Few Organizations Led and Managed by Nurses!
Position Overview:
The Emergency Department Case Manager is responsible for an initial medical review for admitted patients and transition planning. Other responsibilities include care coordination and identification of patient.
Qualifications:
- Education consistent with training necessary to preform job with progressive on-the-job experience.
- Ability to interact with patients, families, physicians, co-workers and community agencies.
- Maintain confidentiality
- Ability to organize and prioritize multiple requests and duties
- Ability to maintain high moral standards both at work and in the community
Duties and Responsibilities:
- Initial medical necessity review using an approved tool( MCG, InterQual) to help access the appropriate status (inpatient or observation).
- Collaborate with ED nurses and providers to create patients discharge plans. This may include assistance with setting up equipment and medication, home health referrals and post -acute facility transfers.
- Manage high-use patients. Identify patients that meet high user qualifications criteria and work on compressive post-discharge care plan that includes primary care coordination, insurance enrollment, transportation and housing arrangements.
- Address regulatory issues including but not limited to: assure medical necessity and level of care, CMS two midnight rule, CMS condition code 44, Medicare Outpatient Observation Notice (MOON), and Emergency Medical Treatment and Active Labor Act (EMTALA).
- Ensure timely, accurate, and complete documentation of clinical information.
- Collaborate with Case Management and Utilization Review on the transition of patients from the ED to Acute or Intensive care units.
What We Offer:
- Competitive compensation and benefits package.
- Opportunities for professional development and continuing education.
- Supportive and collaborative work environment.
- Health, dental, and vision insurance.
- Paid time off and retirement savings plan.
Sweetwater Hospital is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.”
DRUG FREE WORKPLACE – “all positions/ applicants require drug testing as a condition of employment.”
Email Resume to: Brandalyn.Steele@sweetwaterhospital.org
