RN Case Manager - Emergency Department - Remote

Overview

The RN Case Manager for the Emergency Department is responsible for providing utilization management and safe discharge planning for patients in need of care at entry points, focusing on patient-centered care and collaboration with the healthcare team.

In Short

• Provide utilization management for patients in the Emergency Department.
• Collaborate with healthcare teams to address patient needs.
• Support discharge planning and community health resource connections.
• Track patients' ED usage and barriers to care.
• Perform clinical assessments and decision-making for patient care.
• Identify high-risk patients for recurrent ED visits.
• Ensure appropriate medical record documentation.
• Educate patients and families about care options.
• Utilize criteria-based reviews for admission status.
• Work in a fast-paced environment with a focus on patient-centered care.

Requirements

• Registered Nurse with a valid RN license in Florida.
• Three years of RN experience, preferably in acute care or emergency settings.
• Experience with medical necessity criteria and discharge planning.
• Strong clinical assessment and critical thinking skills.
• Effective communication skills, both written and verbal.
• Ability to work collaboratively with healthcare teams.
• Knowledge of federal and state utilization review requirements is preferred.
• Bachelor of Science in Nursing preferred.
• Certification of Case Management (CCM) preferred.

Benefits

• Competitive salary and benefits package.
• Opportunities for professional development and career advancement.
• Supportive work environment focused on patient care.
• Access to community health resources and support.
• Commitment to diversity and inclusion in the workplace.