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Physicians Regional Healthcare System

Care Manager Registered Nurse ER

Physicians Regional Healthcare System Naples, FL, US
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.

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 or social 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 ensures accurate documentation on patient records.
  • Collaborates with ED clinicians, hospitalists, case 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 required
  • BCLS - Basic Life Support preferred

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