Emergency Room RN Case Manager - St Ann's

Emergency Room RN Case Manager

At Mount Carmel, we're committed to making a meaningful difference in the lives of our patients and communities. Our colleagues people like you share our passion for always going above and beyond to provide the highest standards of care. The Emergency Room RN Case Manager, in collaboration with internal and external interdisciplinary teams, coordinates and directs patient care throughout the emergency department stay and transition process. The role promotes safe, timely, and cost-effective care through comprehensive assessment, discharge planning, resource management, utilization review, patient advocacy, and collaboration with patients, families, providers, and community partners. This position supports optimal patient outcomes while ensuring appropriate utilization of healthcare resources and exceptional customer service.

Key Responsibilities of an ED RN Case Manager

• Patient Assessment
  • Review patients for medical necessity and level of care.
  • Assess psychosocial, financial, and discharge planning needs.
  • Identify barriers to care, including transportation, housing, insurance, medication access, and caregiver support.
• Care Coordination
  • Collaborate with ED physicians, nurses, social workers, hospitalists, and specialists.
  • Coordinate admissions, transfers, and observation status placements.
  • Facilitate communication between patients, families, and the healthcare team.
• Utilization Management
  • Review admission criteria and medical necessity, working with our UR dept
• Discharge Planning
  • Develop discharge plans early in the ED stay.
  • Arrange home health services, durable medical equipment, rehabilitation, skilled nursing facility placements, or hospice services when appropriate.
  • Coordinate follow-up appointments and community resources.
• Patient and Family Education
  • Educate patients and families regarding treatment plans and discharge instructions.
  • Explain care options, insurance considerations, and available resources.
  • Promote self-management and prevent avoidable return visits.
• Community Resource Management
  • Connect patients with:
    • Behavioral health services
    • Substance use treatment programs
    • Housing and shelter resources
    • Transportation assistance
    • Financial and medication assistance programs
• Throughput and Length-of-Stay Management
  • Assist with reducing ED boarding and delays in care.
  • Expedite placement decisions and discharge arrangements.
  • Support patient flow initiatives to improve ED efficiency.
• High-Risk Patient Management
  • Identify frequent ED utilizers and high-risk populations.
  • Develop care coordination plans to reduce avoidable readmissions and repeat ED visits.
  • Collaborate with outpatient care managers and population health teams.

Common Performance Metrics

• ED length of stay
• Observation conversion rates
• Admission appropriateness
• Readmission rates
• Avoidable ED utilization
• Discharge disposition outcomes
• Patient satisfaction

Requirements/Qualifications

• Associates degree from an accredited RN program
• Current license to practice as registered nurse in the State of Ohio
• Minimum of 3-5 years recent clinical experience in an acute care setting.

Our professional nurses are truly the heart and soul of Mount Carmel. Their resilience, compassion, humility, and determination drive exceptional patient outcomes every day. In return, Mount Carmel is committed to supporting our colleagues through opportunities for personal well-being, professional advancement, and clinical growth.

Our culture of shared governance, teamwork, and collaboration fosters an environment where nurses have a voice and can focus on what matters most: providing outstanding care to our patients and the communities we serve.

Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.