- Naples, Florida, United States
- 1–3 years
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.
Responsibilities
- 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.
Requirements
- Bachelor's Degree in Nursing (BSN) preferred
- Nice to have: 1-2 years of experience in care management or utilization review
- Nice to have: BLS - Basic Life Support