Establishes, coordinates, and maintains the process to increase patient through-put to the most appropriate level of care while facilitating interdisciplinary care across the continuum for the Emergency Department (ED). Collaborates with the patient/family, multidisciplinary team, physicians, community resources and payers to ensure the patient's progress and level of care is appropriately determined for the emergency episode of care and for the inpatient encounter to ensure that care is performed and facilitated in an efficient and cost-effective manner. Uses well developed knowledge and skills in patient status determination (InterQual Criteria), in the assessment and care management of patients and families within the ED, inpatient and outpatient settings. Practices patient/family assessment and management, resource management, identifying patients appropriate for inpatient admission, observation, or outpatient status, care facilitation, discharge planning with referral to all levels of care, and other related duties specific to the defined patient population. 

Qualifications

Education and Work Experience:

• Bachelor's Degree in Nursing (BSN): Preferred
• Master's Degree in nursing or health care related field: Preferred
• Experience in case management, utilization management, and/or transitional care: Preferred

Licenses/Certifications:

• Registered Nurse (RN) licensure in the state of practice: Required
• Accredited Case Manager, Certified Case Manager, or Board Certification in Case Management: Preferred

About the Hospital

Adventist Health operates 26 hospitals with more than 3,700 licensed beds, and provides outpatient care at more than 400 clinics. We provide care in both rural and urban areas throughout California, and beyond. Our compassionate and talented team of 37,000 includes nurses, physicians, allied health professionals and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness, and hope.