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.