The Case Manager I/II Emergency Department has an understanding of emergency care, disease processes, utilization management and payer requirements. This position is responsible for taking steps to 1) ensure appropriate ED utilization; 2) place patients in the appropriate status; and 3) meet patient’s care coordination needs and mitigate barriers to care. All nursing practice is based on the legal scope of practice, ***** and specialty standards, ***** ***** Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires registered professional nurses to be responsible and accountable for their own practice. ***** ***** supports the development of RN relationships within the community; specifically those relationships associated with the health and well being of the community at large.
The Ambulatory Nurse Case Manager for the Emergency Medicine and Trauma Center comprehensively and actively maintains the care management and coordination needs of payer defined and/or payer enrolled populations of patients who meet designated inclusion criteria. This includes activities such as assessments, formal Case Management care plan development, establishing goals and intervention and monitoring/tracking. Through these activities, the Ambulatory Nurse Case Manager will partner with physician practices and the care management team related to the clinical and care coordination needs of the patient, as well as work with payers and community resources to develop and facilitate effective, efficient care delivery options for the patient across the continuum of care.
The Emergency Medicine and Trauma Center at Children’s ***** is the only Level I Pediatric Trauma Center in the Washington, D.C., metropolitan area, as verified by the American College of Surgeons. As the only freestanding children’s hospital in the area, Children’s ***** serves as the regional referral center for pediatric emergencies.
In addition, our Emergency Medicine and Trauma Center is recognized as Maryland’s out-of-state regional pediatric burn center by the Maryland Institute for Emergency Medical Services Systems (MIEMSS). Under this designation, our team of experts is recognized as being best equipped to share the volume of Maryland burn patients with Maryland’s in-state pediatric trauma center.
As a Level I Pediatric Trauma Center, we are uniquely qualified to provide emergency care for children, from the design of the department to our highly skilled professionals who understand the special needs of younger, smaller patients.
Our center provides a full range of emergency diagnostic and treatment services for acutely ill and injured patients. Our team includes leading fellowship trained experts in pediatric emergency care, and ensuring all of our pediatric subspecialists are available for consultations. Division units add another level of service for children and families,
