Know ATS Score
CV/Résumé Score
  • Expertini Resume Scoring: Our Semantic Matching Algorithm evaluates your CV/Résumé before you apply for this job role: RN ED Case Manager – Case Management Social Services.
United States Jobs Expertini

Urgent! RN-ED Case Manager – Case Management Social Services Job Opening In Rancho Mirage – Now Hiring Eisenhower Health

RN ED Case Manager – Case Management Social Services



Job description

  • Job Objective
  • Reports to
  • Supervises
  • Ages of Patients
  • Blood Borne Pathogens
  • Qualifications
  • Essential Responsibilities
  • Job Objective expand_more Job Objective: A brief overview of the position.

    The position is responsible for facilitating the patient’s hospitalization from preadmission through discharge from the Emergency Department to the community or to an alternative level of care.

    The case manager interfaces with physicians, nurses, social workers, and other healthcare team members to expedite medically appropriate cost-effective care.

    Reports to
    Manager, Case Management Supervises
    N/A Ages of Patients
    Neonate/ Infant Pediatric Adolescent Adult Geriatric Blood Borne Pathogens
    Minimal/No Potential
  • Reports to expand_more Reports to Manager, Case Management
  • Supervises expand_more Supervises N/A
  • Ages of Patients expand_more Ages of Patients Neonate/ Infant Pediatric Adolescent Adult Geriatric
  • Blood Borne Pathogens expand_more Blood Borne Pathogens Minimal/No Potential
  • Qualifications expand_more Qualifications Education Required: BSN or MSN or enrollment in an RN-BSN or RN-MSN program within 1 year of hire and completion within 5 years of hire if hired after July 1, 2012 Licensure/Certification Required: California Registered Nurse Preferred: Certification in Case Management Experience Required: Minimum one year recent acute care hospital Case Management
  • Essential Responsibilities expand_more Essential Responsibilities Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.

    Performs pre-admission review of patients admitted from ED; performs inpatient admission review within 24 hours or first working day after admission and concurrent utilization review as necessary to assure payment authorization.

    Acts as a resource to ED staff and physicians regarding appropriateness of admission, levels of care (including related documentation requirements and observation vs.

    inpatient requirements), quality of care concerns and criteria/guidelines/protocols utilized in care planning and resource utilization.

    Gathers sufficient information from and communicates with all relevant sources to facilitate appropriate discharge from ED to appropriate level of care to assure it is done in an accurate, safe, timely and cost effective manner to prevent readmission and/or frequent visits to ED.

    Assists in triaging calls from other acute care facilities requesting patient transfers to EMC; determines transfer appropriateness by reviewing requested documentation and Interqual level of care criteria and discussions as necessary with admitting physician, supervisors and/or EMC administrators and/or other EMC personnel.

    Escalates to physician advisor when unable to resolve issues with the attending physician, according to policy and timeframes established.

    Uses ED tracking system, medical record, and demographic information to identify patients needing CM intervention; identify patients with frequent ED visits; identify patient returning in 48 hours to ED Coordinates patient transfer to the appropriate level of care.

    Identifies and facilitates resolution of clinical and operational roadblocks to achieve optimal outcomes by identifying alternatives as needed.

    Communicates resulting decisions to patient/family, physicians and members of healthcare team.

    Works with ED nurse to ensure evidence based order sets are initiated, when available.

    Collaborates with other members of the interdisciplinary team to ensure ED relevant evidence based standards of care are met.

    Facilitates communication regarding the plan of care, promotes collaboration among all members of the healthcare team.

    Identifies opportunities to improve care/service.

    Assists in development and implementation of care performance improvement plans based upon analysis of patterns and trends identified from data collection.

    Organizes, integrates and evaluates the effectiveness of the plan of care and progress toward achievement of desired outcomes.

    Modifies plan of care as patient/family needs change to accomplish goals established in the plan of care.

    Communicates plan of care, including changes and issues related to plan of care to patient/family, physicians and other members of the healthcare team.

    Facilitates communication and translation of above stated information to inpatient Care Coordinators for patients who will be admitted to inpatient or observation.

    Facilitates the initiation of diagnostic services, treatment planning, and therapeutic treatment while patient is present in the emergency department of admitted patients.

    Reviews all available assessment and treatment planning data provided by other members of the interdisciplinary team.

    Documents all care management assessments and interventions.

    Inserts most current discharge planning documentation into medical record.

    Demonstrates understanding of payer prior approval requirements and the various health care delivery systems and payer plan contracts.

    Communicates with third party payers and/or review organization as necessary and provides information to federal, state, and privates payers and/or review organizations so that determinations regarding benefits and coverage may be made.

    Complies with regulations, standards and legislation (local, state and federal) related to the continuum of care and patient transition Maintains internal and external resources available to meet patient’s needs.

    Shares this information with peers and other members of the healthcare team.

    Assess ED patients and identify options other than a cute hospital admission when appropriate: screen and refer to acute rehabilitation, long-term acute care hospitals, and nursing homes for admission directly from the ED; screen and refer patients to clinics after initial exam; screen and refer patients for whom treatments could be safely rendered at home with services (e.g., IV antibiotics, low molecular weight heparin injections, wound care, etc.) Coordinates clinical and financial discharge planning needs as necessary so that a smooth transition from the acute outpatient care setting to the community setting is ensured and inappropriate readmission is averted Refers to Social Work for complex psychosocial and discharge planning issues and ensure appropriate follow-up.

    Consults with other members of the interdisciplinary team (physical therapy, pharmacy, etc.) to provide safe discharge as appropriate.

    Identifies potential opportunities for cost savings.

    Evaluate services provided, timeliness and costs; assists in action plan development and implementation as requested/appropriate.

    Performs other duties as assigned.
  • Apply Now
  • Share Job:
  • Email
  • Facebook
  • Linkedin

  • Required Skill Profession

    Healthcare Diagnosing Or Treating Practitioners



    Your Complete Job Search Toolkit

    ✨ Smart • Intelligent • Private • Secure

    Start Using Our Tools

    Join thousands of professionals who've advanced their careers with our platform

    Rate or Report This Job
    If you feel this job is inaccurate or spam kindly report to us using below form.
    Please Note: This is NOT a job application form.


      Unlock Your RN ED Potential: Insight & Career Growth Guide


    • Real-time RN ED Jobs Trends in Rancho Mirage, United States (Graphical Representation)

      Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for RN ED in Rancho Mirage, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 132077 jobs in United States and 98 jobs in Rancho Mirage. This comprehensive analysis highlights market share and opportunities for professionals in RN ED roles. These dynamic trends provide a better understanding of the job market landscape in these regions.

    • Are You Looking for RN ED Case Manager – Case Management Social Services Job?

      Great news! is currently hiring and seeking a RN ED Case Manager – Case Management Social Services to join their team. Feel free to download the job details.

      Wait no longer! Are you also interested in exploring similar jobs? Search now: .

    • The Work Culture

      An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at Eisenhower Health adheres to the cultural norms as outlined by Expertini.

      The fundamental ethical values are:
      • 1. Independence
      • 2. Loyalty
      • 3. Impartiality
      • 4. Integrity
      • 5. Accountability
      • 6. Respect for human rights
      • 7. Obeying United States laws and regulations
    • What Is the Average Salary Range for RN ED Case Manager – Case Management Social Services Positions?

      The average salary range for a varies, but the pay scale is rated "Standard" in Rancho Mirage. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.

    • What Are the Key Qualifications for RN ED Case Manager – Case Management Social Services?

      Key qualifications for RN ED Case Manager – Case Management Social Services typically include Healthcare Diagnosing Or Treating Practitioners and a list of qualifications and expertise as mentioned in the job specification. Be sure to check the specific job listing for detailed requirements and qualifications.

    • How Can I Improve My Chances of Getting Hired for RN ED Case Manager – Case Management Social Services?

      To improve your chances of getting hired for RN ED Case Manager – Case Management Social Services, consider enhancing your skills. Check your CV/Résumé Score with our free Tool. We have an in-built Resume Scoring tool that gives you the matching score for each job based on your CV/Résumé once it is uploaded. This can help you align your CV/Résumé according to the job requirements and enhance your skills if needed.

    • Interview Tips for RN ED Case Manager – Case Management Social Services Job Success
      Eisenhower Health interview tips for RN ED Case Manager – Case Management Social Services

      Here are some tips to help you prepare for and ace your job interview:

      Before the Interview:
      • Research: Learn about the Eisenhower Health's mission, values, products, and the specific job requirements and get further information about
      • Other Openings
      • Practice: Prepare answers to common interview questions and rehearse using the STAR method (Situation, Task, Action, Result) to showcase your skills and experiences.
      • Dress Professionally: Choose attire appropriate for the company culture.
      • Prepare Questions: Show your interest by having thoughtful questions for the interviewer.
      • Plan Your Commute: Allow ample time to arrive on time and avoid feeling rushed.
      During the Interview:
      • Be Punctual: Arrive on time to demonstrate professionalism and respect.
      • Make a Great First Impression: Greet the interviewer with a handshake, smile, and eye contact.
      • Confidence and Enthusiasm: Project a positive attitude and show your genuine interest in the opportunity.
      • Answer Thoughtfully: Listen carefully, take a moment to formulate clear and concise responses. Highlight relevant skills and experiences using the STAR method.
      • Ask Prepared Questions: Demonstrate curiosity and engagement with the role and company.
      • Follow Up: Send a thank-you email to the interviewer within 24 hours.
      Additional Tips:
      • Be Yourself: Let your personality shine through while maintaining professionalism.
      • Be Honest: Don't exaggerate your skills or experience.
      • Be Positive: Focus on your strengths and accomplishments.
      • Body Language: Maintain good posture, avoid fidgeting, and make eye contact.
      • Turn Off Phone: Avoid distractions during the interview.
      Final Thought:

      To prepare for your RN ED Case Manager – Case Management Social Services interview at Eisenhower Health, research the company, understand the job requirements, and practice common interview questions.

      Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the Eisenhower Health's products or services and be prepared to discuss how you can contribute to their success.

      By following these tips, you can increase your chances of making a positive impression and landing the job!

    • How to Set Up Job Alerts for RN ED Case Manager – Case Management Social Services Positions

      Setting up job alerts for RN ED Case Manager – Case Management Social Services is easy with United States Jobs Expertini. Simply visit our job alerts page here, enter your preferred job title and location, and choose how often you want to receive notifications. You'll get the latest job openings sent directly to your email for FREE!