Registered Nurse (RN) - Master Social Worker (MSW) Case Manager - Bon Secours St. Francis Hospital

Roper St. Francis Healthcare•Charleston, SC

About The Position

Roper St. Francis Healthcare is hiring for a Case Manager role in the Case Management department at St. Francis Hospital. The posting describes responsibilities and qualifications for both a Master Social Worker (MSW) Care Manager and a Registered Nurse (RN) Care Manager. The role supports safe, timely transitions across the continuum of care by identifying patients who need care management, coordinating appropriate services, and connecting patients and families with hospital, community, and governmental resources. The MSW Care Manager provides social services interventions and discharge planning, facilitates transitions of care, and may provide clinical supervision to social workers and students. The RN Care Manager coordinates care through a collaborative process that includes identifying, assessing, planning, implementing, and evaluating services for patients’ health and related needs. Both roles use a holistic approach, incorporate patient and caregiver preferences into care planning, and work with patients, families, caregivers, and multidisciplinary teams. The position follows standardized practices for advance care planning, length-of-stay management, readmission prevention, medical necessity, discharge planning, and utilization management. It requires clear and timely documentation, collaboration with revenue cycle and patient access partners, participation in discharge rounds and process-improvement work, and awareness of community resources and clinical developments. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m., on day shift, for 40 scheduled hours per week. The role serves patients across the lifespan, from neonates through older adults. Working conditions may include a general office environment, periods of high stress and frequent interruptions, exposure to infectious materials or other listed hazards, and occasional travel to off-site locations. Employees are expected to follow universal precautions and infection-control policies. The employer states that benefits may vary by market and employment status and that reasonable accommodations are available during selection.

Requirements

BLS Basic Life Support certification from the American Heart Association.
For the MSW Care Manager: social worker license in the state of practice.
For the RN Care Manager: RN license in the state of practice or coverage by a compact license.
At least 1 year of experience in a clinical setting.
For the MSW Care Manager at RSFH, a Bachelor of Social Work is required.
For the RN Care Manager at RSFH, a Bachelor of Science in Nursing is required.
Ability to provide appropriate care-management services to patients across the lifespan, from neonates to geriatrics.
Skills identified in the posting include care management, discharge planning, patient advocacy, care coordination, critical thinking, communication, conflict resolution, active listening, relationship building, problem solving, teamwork, and attention to detail.
Ability to prioritize simultaneous demands and tolerate frequent interruptions is listed for the MSW Care Manager.
The RN Care Manager skills list includes analyzing data, reimbursement methodologies, staffing workflow and bed allocation, clinical knowledge, tracking, and working knowledge of local and state resources and payer practices, regulations, standards, and reimbursement.

Nice To Haves

For the MSW Care Manager: a master’s degree in social work or a healthcare-related field.
For the MSW Care Manager: Accredited Case Manager (ACM) certification or Certified Case Manager (CCM) certification.
For the RN Care Manager: Accredited Case Manager (ACM), Certified Case Manager (CCM), or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification.
Three years of experience in an acute care clinical setting.
Ambulatory or post-acute care coordination experience.
For the MSW Care Manager, social worker licensure in Virginia is identified as preferred.

Responsibilities

Identify and prioritize patients needing social services or care management using biopsychosocial, functional, cultural, spiritual, and financial factors.
Plan with patients, caregivers, and healthcare team members to support quality, effective, and cost-conscious outcomes.
Monitor patient plans and revise them when patient conditions change.
Maintain clear, concise, and timely documentation of patient needs, care plans, post-hospital needs, resources, and patient or caregiver involvement.
Incorporate patient and caregiver treatment goals and preferences into transition planning and communicate them to the multidisciplinary team.
Follow standardized practices for advance care planning, length-of-stay management, and readmission prevention.
Help prevent denials related to medical necessity by addressing barriers to progression of care and participating in Interdisciplinary Discharge Rounds.
Promote proactive care and help remove barriers to timely testing and treatment.
Support appropriate resource use and identify alternatives to acute care for the care team.
Collaborate with revenue cycle partners to address barriers and support appropriate patient classification as guided by the physician.
Work with patient access to ensure regulatory letters are delivered to patients in a timely manner.
Participate in clinical outcome projects and process-improvement initiatives within the care management department.
Work collaboratively and communicate respectfully and clearly with peers and other care team members to achieve facility and department goals.
Follow compliance rules and regulations, including CMS requirements and Conditions of Participation for discharge planning and utilization management.
Raise opportunities or potential concerns with leadership and stay current on community resources and clinical advancements relevant to the patient population.
Provide clinical supervision to peers, social workers, and students as appropriate for the MSW Care Manager role.
Use handovers at changes in level of care, staff changes, and care transitions as described for the RN Care Manager role.