ER RN

Position Summary

The RN Case Manager supports physicians and the interdisciplinary team in coordinating patient care with the goal of improving clinical outcomes, patient satisfaction, and cost efficiency. This role integrates utilization management, patient education, care facilitation, and discharge planning.

Key Responsibilities

Facilitate precertification and payor authorization

Coordinate collaborative patient care across the continuum

Apply process improvement methodologies to evaluate care outcomes

Support clinical documentation and serve as a resource for coders

Communicate effectively with physicians

Provide age-appropriate care and understand life cycle principles

Required Skills & Experience

Strong interpersonal, communication, and negotiation skills

Analytical and data management capabilities

Proficient in PC and organizational / time management

Ability to work independently and exercise sound judgment

Preferred Qualifications

Minimum of 3 years RN clinical experience

Knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement

Education & Licensure

Required : Bachelor of Science in Nursing (BSN)

Required : Active RN license in the State of Michigan

Certifications : BLS (American Heart Association)

Additional Requirements

Minimum 5 years of acute inpatient case management experience

Experience in acute discharge planning

Familiarity with CarePort system

Preferred experience with AllScripts, GEMS / Sunrise

Must be comfortable working directly with patients and acclimating quickly

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