Rn Care Manager - Emergency Department, Allegheny General

Job Summary:

Responsible and accountable for facilitating the provision of quality and cost-effective care delivery for a designated patient population during an acute episode of care.

Ensures optimal care management, patient outcomes and reimbursement based upon enactment of the nursing process.

Responsibilities:

Coordinates the clinical care with the patient, family, physician(s), and other members of the interdisciplinary team.
Completes and documents admission, concurrent, and discharge reviews of all inpatients and selected outpatients.
Develops and implements an effective discharge plan while incorporating input from the patient, family, physician(s), and other members of the interdisciplinary team.
Identifies, analyzes, collects, and communicates data relative to quality and cost issues related to the assigned patient population.
Expands industry knowledge base for professional growth and development while providing ongoing applicable education to the patient, family, physician(s), and other members of the interdisciplinary team (IDT) including, but not limited to, appropriateness of care, documentation requirements, severity of illness and intensity of services criteria, insurance benefits/requirements/limits, discharge planning requirements, length of stay and resource utilization issues.
Adheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodies.
Requirements:

Current license to practice professional nursing in the state of Pennsylvania required.
BA/BS Required
Current CPR certification required.
Case Management certification preferred.
Critical Care (Emergency/ICU RN Experience) clinical nursing experience in an acute hospital setting with two (2) years’ experience in the population to which the individual is to be assigned required or 2 years relevant CM/UM experience in another healthcare setting.