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OVERVIEW

Embark on an enriching nursing career at Redeemer Health, where you can select the clinical environment that matches your passion and skills. Whether it's our hospital, home care services, or senior care communities, you are recognized as a valued clinical expert. Serving southeastern Pennsylvania and New Jersey, we are home to a diverse, inclusive workforce committed to professional growth. We offer competitive benefits, educational assistance, nursing scholarship opportunities, and a unique onboarding program that sets you up for long-term success while introducing you to our mission and celebrated service orientation. Together, let's drive excellence in healthcare.

SUMMARY OF JOB

UP TO $6000 SIGN ON BONUS

The role of the ER Care Manager is to increase patient through put to the most appropriate level of care while facilitating interdisciplinary care across the continuum. The ER Care Manager will assist in identifying patients appropriate for Admission, Observation or other patient care status. The ER Care manager will function as a liaison between attending physicians, Physician Advisors, local CCRCs, SNFs, PCFs, patients, families and community. The role includes the management of social issues that impact patient classification, discharge from the emergency room and ongoing medical management of patient care needs. The ER Care Manager will assist in identifying physician and staff documentation opportunities to support Quality and Pay for Performance indicators. Goal is to collaborate with patients, families and health care providers to promote health and manage illness in a cost effective and quality driven manner.

CONNECTING TO MISSION:

Ongoing commitment to the Mission and Values of the Health System consistently demonstrated in all interactions with one another and the services we provide.

RECRUITMENT REQUIREMENTS

All candidates must excel in delivering a positive patient outcome, exhibit a commitment to quality, and have knowledge of population health and associated metrics. Candidates must also demonstrate critical thinking and have excellent communication (both written and oral) skills. This role requires impeccable organizational skills and the ability to work and adjust to different environments. Knowledge of Interqual and utilization review standards. Experience in clinical documentation within electronic medical records required. Experience in Care Coordination, Discharge Planning, Clinical Documentation and Utilization Review preferred. Strong verbal, written and leadership skills.

Motivated, self-starter, enthusiastic personality.

Three years of acute care experience in Care Management, Discharge Planning or Utilization management preferred. Basic knowledge of Word, Excel, and Power Point desired.

Demonstrates ability to coordinate care and utilize level of care criteria (InterQual, , etc.). Strong knowledge ofManaged Care, Medical Assistance and Medicare reimbursement required. Ability to perform duties and documentation per departmental, DNV, PA Department of Health and other healthcare requirements. Working knowledge of PA. Laws impacting health care delivery, i.e. Advance Directives, Guardianship, Abuse and Neglect and of community resources.

Demonstrates knowledge and understanding of physiological and psychosocial implications to enhance the care of individual patients. Demonstrates ability to correlate medical necessity in achieving financial and quality of care outcomes. Possesses strong knowledge of DRG’s, LOS, variance analysis, and discharge planning related to the utilization of health care resources. Acute care and long term care knowledge base required.

Works independently. Utilizes time management techniques in accomplishing assigned tasks. Recognizes patient and/or family level of understanding relative to medical information and communicates appropriately. Possesses ability to negotiate and communicate with other departments, physician practice groups, 3rd party reviewers and outside facilities. Exhibits professional written and verbal communications that are accurate and concise. Possesses strong leadership skills and interpersonal skills.

LICENSE AND REGULATORY REQUIREMENTS:

Must have current RN licensure (BSN preferred)).

Adheres to the Case Management Society of America (CMSA) Standards, Nurse Practice Act as applicable.

EQUAL OPPORTUNITY

Redeemer Health is an equal opportunity employer. We prohibit discrimination in employment due to race, color, gender, religion, creed, national origin, age, sex, sexual orientation, gender identity or expression, disability veteran status or any other protected classification required by law.