Employment Type:

　　Part time

　　Shift:

　　Rotating Shift

　　Description:

　　The Case Manager supporting the Emergency Department coordinates actions within the emergency center admission process that provide for patient's receiving the right care at the right time, in the right place.

　　Contingent Opportunity

　　Saint Joseph Mercy Health System, one of the nation's top health care services providers, spanning five counties in Southeastern Michigan. SJMHS represents more than 2,700 physicians and 14,000 nurses and staff, and includes 6 Hospitals, 5 Outpatient Health Centers, 8 Urgent Care Facilities and over 25 Specialty Centers.

　　REQUIRED EDUCATION, EXPERIENCE AND CERTIFICATION/LICENSURE

　　Education: Bachelor's Degree in nursing required.

　　Licensure: Registered Nurse, State of Michigan

　　Certifications: Case Manager Certification desirable.

　　Individuals serving in this role shall obtain CMSA or ACMA certification within three years from their date of employment in the role or be in the process of obtaining certification as a case manager as soon as they become eligible to apply for certification.

　　Experience: 3-5 years current experience in the areas of case management, utilization review, or a related field desirable.

　　ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

　　This position is responsible for reviewing the clinical appropriateness of admission and for the communication of admission details to the Patient Access team.

　　Evaluates and discusses appropriate care settings with the emergency center and admitting physician using insurance criteria sets and hospital criteria.

　　Review all patients qualifying as a readmission to the hospital, documenting results of analysis and when appropriate, provide an alternate plan to readmission.

　　Attend EC Rounds to gather information about patient condition and treatment plan as well as provide guidance to the EC physician team about inclusion of medical necessity documentation.

　　Serve as an observation content expert for the EC team and the patient's assigned to an Observation status.

　　Case Managers work collaboratively with an interdisciplinary team to improve patient care through the effective utilization of the Health System's resources.

　　The Case Manager demonstrates effective Relationship Centered Care and Outcomes Based Care Delivery skills and is accountable for clinical practice and professional leadership.

　　Our Commitment to Diversity and Inclusion

　　Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

　　Our Commitment to Diversity and Inclusion

　　Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

　　Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

　　EOE including disability/veteran