Emergency Department Case Manager (RN)

Summary Job Description: Case Manager RN (ED)   Full-Time ,   First   Shift    Fri - Sun 10 am - 10 pm BHCOR-Case Management   I   Corbin , KY   The   Case Management Department   coo rdinates patient care across the healthcare continuum to promote quality outcomes, efficient use of resources, and a seamless patient experience. Case managers work collaboratively with physicians, nurses, social workers, patients, families, and community partners to assess patient needs, develop care plans, coordinate services, and   facilitate   safe transitions of care.   The Emergency Department (ED) Registered Nurse Case Manager position   is responsible for   an initial   medical necessity review for admitted patients and transition planning. This individual will use   established MCG criteria to assess both the   appropriate admission   status (inpatient or observation)   and   level   of care. This position will provide ongoing support and   expertise   through comprehensive   assessment, planning,   implementation   and overall evaluation of individual patient needs.   A high level   of communication with other members of the interdisciplinary team will   be required   to coordinate the   continuum of care activities, ensuring   optimum   utilization   of resources, quality outcomes related to   transition of care service delivery and compliance with external review agencies’ requirements. The   individual in this role should support an environment of care focused on evidence-based healing and   wellness .   Description:   Coordinates patient progression, care transitions, and discharge planning across the continuum of care.     Completes patient assessments,   utilization   reviews, and high-risk screenings to   identify   care needs and ensure   appropriate level   of care.     Develops, implements, and evaluates individualized plans of care in collaboration with physicians, nursing, social work, and interdisciplinary teams.     Arranges post-acute services including home health, hospice, skilled nursing, durable medical equipment, transportation, community resources, and follow-up care.     Educates patients and families on discharge planning, available resources, financial considerations, and self-management.     Facilitates safe,   timely , and cost-effective transitions of care while promoting quality outcomes and reducing readmissions.     Coordinates communication among patients, families, providers, payers, and care teams to ensure continuity of care.     Utilizes clinical criteria, case management tools, and documentation systems to support   utilization   management, regulatory compliance, and quality initiatives.     Advocates for patients while balancing clinical, financial, and organizational goals through effective care coordination and resource   utilization .     Performs other duties as assigned.     Requirements:    Associate Degree in Nursing   required ;   Bachelor's Degree   preferred.     Three years of nursing experience required; Case Management and Utilization Management experience preferred.     Current Registered Nurse (RN) license in the state of practice.     Basic Life Support (BLS) certification from the American Heart Association (AHA)   required   within   30 days   of hire.   Benefits:   Health, Vision, Dental and Pet Insurance   Life Insurance   Short Term and Long-Term Disability and Life Insurance   Identity Theft Protection   Tuition Reimbursement up to $6,000 annually    Company paid Maternity and Paternity Leave    5 days of Paid Time Off available upon hire    Bereavement Leave (includes pets)    PTO Sell Back Program    Compassionate Leave Sharing Program (PTO Donation)   Employee Support Fund, for employees in need of emergency financial support    Retirement with Company Match   Work Experience Education If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer.