Care Manager Registered Nurse ER

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 – ER facilitates transitions of care, supports discharge planning, and ensures regulatory and documentation requirements are met for patients entering hospice or post-acute services.

• Assess patients in the emergency department for medical necessity of admission and ensure correct placement into inpatient, observation, or outpatient status using MCG or approved criteria.
• Identify patients who may be appropriate for alternative care settings and work to avoid unnecessary or social admissions by coordinating with community resources.
• Provide timely guidance and education to patients and families regarding care transitions, including hospice services or post-acute facility placement, and secure patient choice documentation as required.
• Verify next of kin contact information and ensure accurate documentation on patient records.
• Collaborate with ED clinicians, hospitalists, case managers, and social services to support seamless transitions of care.
• Perform other duties as assigned.
• Maintain regular and reliable attendance.
• Comply with all policies and standards.

• 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 of admission criteria and care level determination tools such as MCG or Inter Qual.
• 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.

• RN – Registered Nurse – State Licensure and/or Compact State Licensure required.
• BCLS – Basic Life Support preferred.