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

Roper St. Francis Healthcare•Charleston, SC

1d•Onsite

About The Position

Roper St. Francis Healthcare is hiring a PRN Case Manager for its Case Management - St Francis Hospital department. The role may be staffed as either an MSW Social Worker Care Manager or an RN Care Manager. The position works as needed, 8:00 a.m.–4:30 p.m., on day shifts, across Roper Hospital, Bon Secours St. Francis Hospital, Mount Pleasant Hospital, and Berkeley Hospital, and floats to various departments. Case Management experience is beneficial. The MSW Social Worker Care Manager provides patient and family interventions and discharge planning, helping patients transition through the continuum of care by connecting them with hospital, community, and governmental resources. The role also provides clinical supervision to peers, social workers, and students as appropriate. The RN Care Manager coordinates care to support safe, timely transitions, identifying and assessing patients who need active case management and arranging appropriate resources. Both care manager roles use a collaborative, holistic approach to assess patient needs, plan and coordinate care, document care plans and patient or caregiver involvement, support advance care planning and readmission prevention, and address barriers to timely care and appropriate utilization. They collaborate with the healthcare team, revenue cycle partners, and patient access, participate in interdisciplinary discharge rounds and improvement initiatives, and follow applicable CMS and Conditions of Participation requirements. The work serves patients across the lifespan, from neonates through geriatrics. The work environment includes a general office setting and may involve high stress, fluctuating workloads, noise, bright lights, interruptions, exposure to infectious materials or other hazards, and travel to off-site locations. Universal precautions and personal protective equipment are required. The role may involve physical demands such as patient maneuvering and working shifts. Roper St. Francis Healthcare describes its benefits as including competitive pay, incentives, referral bonuses, a 403(b) with employer contributions when eligible, medical, dental, vision and prescription coverage, HSA/FSA options, life insurance, mental health resources, discounts, paid time off, parental and FMLA leave, short- and long-term disability, tuition assistance, professional development, and continuing education support. Benefits may vary by market and employment status.

Requirements

BLS Basic Life Support certification from the American Heart Association.
At least 1 year of experience in a clinical setting.
For the MSW role: social work licensure in the state of practice.
For the RN role: an RN license in the state of work or coverage under a compact license.
For the RN role at RSFH: a Bachelor of Science in Nursing is required.
Ability to provide appropriate care for patients across the lifespan, from neonates through geriatrics.
Ability to prioritize simultaneous demands and tolerate frequent interruptions.
Relevant role skills include care management, discharge planning, patient advocacy, care planning and coordination, communication, critical thinking, problem solving, collaboration, teamwork, attention to detail, and relationship building.
MSW role: social work, ethics, end-of-life ethics, clinical supervision, Microsoft Office, active listening, conflict resolution, empathy, negotiation, and time management skills.
RN role: clinical knowledge, data analysis, reimbursement methodologies, staffing workflow and bed allocation, tracking, knowledge of local and state resources, and knowledge of government and non-government payer practices and regulations.

Nice To Haves

Case Management experience is beneficial.
MSW role: Accredited Case Manager (ACM) certification from the American Case Management Association or Certified Case Manager (CCM) certification from the Commission for Case Manager Certification.
MSW role: a master's degree in social work or a healthcare-related field.
RN role: ACM, CCM, or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification.
RN role: Bachelor of Science in Nursing is preferred for BSMH.
Three years of experience in an acute care clinical setting.
Ambulatory, post-acute, or care coordination experience.

Responsibilities

Identify and prioritize patients requiring social work or care management services using a holistic assessment of biopsychosocial, functional, cultural, spiritual, and financial factors.
Plan care with patients, caregivers, and healthcare team members to support quality, cost-effective outcomes; monitor and revise plans as patient conditions change.
Maintain clear, concise, timely patient-record documentation of needs, care plans, post-hospital resources, and patient or caregiver involvement and preferences.
Use handovers when care level, staff, or care transitions change (RN role).
Follow standardized practices for advance care planning, length-of-stay management, and readmission prevention.
Address barriers to care progression and participate in interdisciplinary discharge rounds to support denial prevention related to medical necessity.
Promote proactive care, timely testing and treatment, appropriate resource use, and alternatives to acute care when appropriate.
Collaborate with revenue cycle partners to help ensure patient classification is appropriate as guided by the physician.
Work with patient access to ensure regulatory letters are delivered to patients on time.
Participate in clinical outcome projects and process improvement initiatives within the care management department.
Communicate respectfully and clearly with peers and collaborate to meet facility and department goals.
Follow CMS and Conditions of Participation requirements related to discharge planning and utilization management, and raise potential concerns with leadership.
Stay informed about community resources and clinical developments relevant to patient transitions and the primary patient population.
Provide clinical supervision to peers, social workers, and students as appropriate (MSW role).
Use universal precautions and required personal protective equipment and follow infection-control policies.
Travel to off-site locations as required.