Care Manager

Join our team of happy and inspired Registered Nurse (RN) Care Managers at Physicians Regional Medical Center – Pine Ridge campus. Experience a culture supported by helpful and supportive direct managers and strong organizational support that helps you balance work and personal life. This position is hired as a Care Manager RN - Emergency Room NIGHTS. Unit: Care Management - Emergency Room Shift: 3 days per week (8 hour shifts) 3-11:30pm Student Loan Contribution Excellent compensation and benefits such as: Medical, Vision, Dental, 401k match & more available for Full and Part-Time roles Job Summary 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. Essential Functions 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. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications Bachelor's Degree in Nursing (BSN) preferred 1-3 years of experience in an acute care or hospital setting required 1-2 years of experience in care management or utilization review preferred Knowledge, Skills and Abilities Knowledge of admission criteria and care level determination tools such as MCG or InterQual. Strong clinical assessment and decision-making skills. Ability to effectively coordinate community-based services and discharge planning. Excellent communication and interpersonal skills for patient and interdisciplinary team interactions. Strong organizational skills with attention to detail and compliance documentation. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure licensed in state of employment or compact state licensure required BLS - Basic Life Support preferred INDNUR #J-18808-Ljbffr