ED Case Manager / Utilization Review Nurse

MedStar Southern Maryland Hospital Center
Washington, DC
Jan 20, 2022
Jan 22, 2022
Full Time
General Summary of Position: The Emergency Department Case Manager / Utilization Review Nurse collaborates with all members of the Emergency Department/Clinical Resource Management (CRM) team to review and coordinate the admission of Emergency Department patients; and is available on a rotating basis on weekends, evenings, and holidays with other staff to provide onsite services for Utilization Review or Case Management. Initiates appropriate clinical pathways based upon diagnosis and serves as a resource person for utilization management purposes as well as partnering with the Social Worker Team to promote smooth transitions for discharge planning.Education: Bachelor's degree along with current District of Columbia RN license is required.Experience: Two years minimum experience working in Case Management or/and Emergency Department Case Management experience. Knowledge of Medicare, Medicaid, and Third Party payor programs.Certification/Registration/Licensure Current RN District of Columbia license, CPR, and BLS are required. Certified Case Manager is preferred.About MedStar Health MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, DC, region, while advancing the practice of medicine through education, innovation and research. Our 30,000 associates and 5,400 affiliated physicians work in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest visiting nurse association in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar is dedicated not only to teaching the next generation of doctors, but also to the continuing education and professional development of our whole team. MedStar Health offers diverse opportunities for career advancement and personal fulfillment.

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