Community Health Systems

Operates acute care hospitals nationwide

Care Manager ER

Medical, Clinical & VeterinaryPosted on Nov 10

Full-timeNaples, FL, USANo salary listedIn-person

About the Job

Requirements

One to three years of experience in an acute care or hospital setting is required.
Knowledge of admission criteria and care-level determination tools such as MCG or InterQual.
Strong clinical assessment and decision-making skills.
Ability to coordinate community-based services and discharge planning.
Strong organizational skills with attention to detail and compliance documentation.
An RN state license in the state of employment or a compact-state license is required.

Responsibilities

Assess emergency department patients for medical necessity of admission and ensure correct inpatient, observation, or outpatient placement using MCG or approved criteria.
Identify patients who may be appropriate for alternative care settings and work to avoid unnecessary admissions by coordinating with community resources.
Provide timely guidance and education to patients and families regarding care transitions, including hospice services or post-acute facility placement, and secure patient-choice documentation as required.
Verify next-of-kin and emergency contact information and ensure accurate documentation on patient records.
Collaborate with emergency department clinicians, hospitalists, care managers, and social services to support seamless transitions of care.
Perform other duties as assigned.
Maintain regular and reliable attendance.
Comply with all policies and standards.

Desired Qualifications

One to two years of experience in care management or utilization review.
A Bachelor's Degree in Nursing (BSN).
BLS (Basic Life Support) certification.
Strong communication and interpersonal skills for interactions with patients and interdisciplinary teams.

Job Summary

The Care Manager – ER collaborates with the emergency department team to assess potential admissions and determine appropriate status placement using evidence-based criteria such as MCG or third-party review tools. This role supports efficient patient flow by avoiding unnecessary admissions and guiding at-risk patients and families to appropriate community-based resources. The Care Manager – ED facilitates transitions of care, supports discharge planning, and ensures regulatory and documentation requirements are met for patients entering hospice or post-acute services.

Essential Functions

Assesses patients in the emergency department for medical necessity of admission and ensures correct placement into inpatient, observation, or outpatient status using MCG or approved criteria.
Identifies patients who may be appropriate for alternative care settings and works to avoid unnecessary admissions by coordinating with community resources.
Provides timely guidance and education to patients and families regarding care transitions, including hospice services or post-acute facility placement, and secures patient choice documentation as required.
Verifies next of kin contact information and emergency contact, and ensures accurate documentation on patient records.
Collaborates with ED clinicians, hospitalists, care managers, and social services to support seamless transitions of care.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.

Qualifications

Bachelor's Degree in Nursing (BSN) preferred
1-3 years of experience in an acute care or hospital setting required
1-2 years of experience in care management or utilization review preferred

Knowledge, Skills and Abilities

Knowledge of admission criteria and care level determination tools such as MCG or InterQual.
Strong clinical assessment and decision-making skills.
Ability to effectively coordinate community-based services and discharge planning.
Excellent communication and interpersonal skills for patient and interdisciplinary team interactions.
Strong organizational skills with attention to detail and compliance documentation.

Licenses and Certifications

RN - Registered Nurse - State Licensure and/or Compact State Licensure licensed in state of employment or compact state licensure required
BLS - Basic Life Support preferred

About the Company

Community Health Systems

Operates acute care hospitals nationwide

Community Health Systems operates general acute care hospitals across 14 states, owning or leasing 71 facilities to deliver healthcare outside urban centers. Its main business is running hospital networks and providing medical and surgical services to patients, funded by payments from patients, insurers, and government programs like Medicare and Medicaid. The company also offers management services to its affiliates through a professional services corporation. Its workflow centers on developing and operating healthcare delivery systems, supporting a wide range of needs from emergency care to specialized treatments. The goal is to help people get well and live healthier by providing accessible non-urban and suburban hospital-based care while navigating a regulated, competitive US healthcare market.

Company size: 5,001-10,000
Company stage: IPO
Headquarters: Franklin, TN
Founded: 1985

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