RN Case Manager (Emergency Room) - Barnes-Jewish Hospital

Case Management Nurse

Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center.

The CM Services reports through the division of Patient Care Services lead by the Chief Nursing Executive, Vice President of Patient Care Services. The CM Service is comprised of three departments: Case Management, Utilization Management, and Social Work. Through the Triad Model of Care Delivery, the objectives of the CM Services are for all patients to have access to healthcare through the BJH continuum and appropriate, safe discharge plans. The SW department is open 24 hours/day while the CM department is open 20 hours/day. Both departments provide coverage throughout the hospital including the Emergency Department, Outpatient Clinics, Registration sites, and Health Information Management. The Service employs registered nurses, social workers, a license practical nurse, a customer service representative, and administrative assistants.

Partners with the ED Treatment Team to ensure medical necessity of hospitalizations and corrects status for patients admitted from the Emergency Department. This is done in accordance with hospital and third-party payor guidelines and criteria. Collaborates with other team members across the organization to efficiently manage care of patients in the ED.

• Conducts level of care reviews for admissions from the Emergency Department.
• Assists with patient progression for patients in the Emergency Department. Work may include collaborating on start of care in the ED, facilitating transfer, coordinating direct admits, etc.
• Participates in quality improvement activities in alignment with organizational priorities.
• Contributes to the coordination of care for patients by partnering with medical clinics, home care and medical equipment resources, post-acute facilities, and community-based organizations to schedule follow up care.
• BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.

Minimum Requirements

• Education: Associate's Degree
• Experience: 2-5 years
• Licenses & Certifications: RN

Preferred Requirements

• Education: Bachelor's Degree, Master's Degree
• Experience: 5-10 years
• Supervisor Experience: No Experience

BJC Total Rewards

• Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
• Disability insurance* paid for by BJC
• Annual 4% BJC Automatic Retirement Contribution
• 401(k) plan with BJC match
• Tuition Assistance available on first day
• BJC Institute for Learning and Development
• Health Care and Dependent Care Flexible Spending Accounts
• Paid Time Off benefit combines vacation, sick days, holidays and personal time
• Adoption assistance

To learn more, go to our Benefits Summary.

*Not all benefits apply to all jobs

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer