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

Roper St. Francis Healthcare•Charleston, SC

3d•Onsite

About The Position

Roper St. Francis Healthcare is hiring a PRN case manager who may work in either the Registered Nurse Care Manager or Master Social Worker Care Manager capacity. The role is based in the Case Management department and floats among Roper Hospital, Bon Secours St. Francis Hospital, Mount Pleasant Hospital, Berkeley Hospital, and various departments. The schedule is as needed, 8:00 a.m. to 4:30 p.m., on the day shift; scheduled weekly hours are listed as 0.01. The Social Worker Care Manager provides interventions and discharge planning for patients and families, facilitating safe transitions across the continuum of care through hospital, community, and government resources. This role may also provide clinical supervision to peers, social workers, and students. The RN Care Manager coordinates care to support safe, seamless, and timely transitions. Using collaborative assessment and planning, the RN Care Manager identifies patients who need active case management and helps connect them with appropriate resources and services, including those addressing social determinants of health. Both care manager roles work with patients, caregivers, and healthcare team members to plan, monitor, and revise care; document needs and plans; include patient and caregiver goals and preferences in transition planning; and support advance care planning, length-of-stay management, and readmission prevention. They help address barriers to timely care and medical necessity, participate in interdisciplinary discharge rounds and process improvement, support appropriate resource use and patient classification, and collaborate with patient access, revenue cycle partners, and the wider care team. The roles follow CMS requirements and Conditions of Participation for discharge planning and utilization management, stay current on relevant clinical developments and community resources, and communicate and collaborate to support department and facility goals. The position serves patients across the lifespan, from neonates through older adults. The work takes place in a general office environment and may involve high stress, interruptions, exposure to noise, bright lights, verbal abuse, physical altercations, hazardous substances or body fluids, infectious materials, latex, and adverse weather. Travel by car to off-site locations is required. Universal precautions and personal protective equipment are required. Physical demands include manual dexterity, patient maneuvering, and shift work; the posting also lists sitting, walking, and standing among work positions. This is a PRN role. Benefits may vary by market and employment status. Roper St. Francis Healthcare describes competitive pay and incentives, referral bonuses, a 403(b) with employer contributions when eligible, health and insurance coverage, paid time off and leave, disability coverage, tuition assistance, and professional development and continuing education support.

Requirements

BLS Basic Life Support certification from the American Heart Association is required.
For the social worker role, a social work license in the state of practice is required.
For the RN role, an RN license in the state of practice or a compact-covered license is required.
At least one year of experience in a clinical setting is required.
Bachelor of Social Work is required for the social worker role.
For the RN role at RSFH, a Bachelor of Science in Nursing is required; it is preferred for BSMH.
Ability to provide care appropriate to patients across the lifespan, including neonates, infants, children, adolescents, adults, and older adults.
Ability to use universal precautions and personal protective equipment and follow infection-control policies.
Car travel to off-site locations is required.
Skills listed include social work and care management, ethics, end-of-life ethics, patient advocacy, clinical supervision, Microsoft Office, prioritization, attention to detail, critical thinking, communication, conflict resolution, active listening, relationship building, problem solving, teamwork, collaboration, empathy, negotiation, and time management.
RN role skills listed include care management, discharge planning, patient advocacy, flexible care planning, care coordination, data analysis, reimbursement methodologies, staffing workflow and bed allocation, clinical knowledge, tracking, knowledge of local and state resources and payer practices, attention to detail, critical thinking, communication, conflict resolution, problem solving, teamwork, and facilitation.

Nice To Haves

For the social worker role, a master's degree in social work or a healthcare-related field is preferred.
Three years of experience in an acute care clinical setting is preferred.
Ambulatory or post-acute care coordination experience is preferred.
Accredited Case Manager (ACM), Certified Case Manager (CCM), or, for the RN role, American Nurses Credentialing Center (ANCC) Nursing Case Management board certification is preferred.
Case management experience is described as beneficial.

Responsibilities

Identify and prioritize patients who need social services or care management using a holistic assessment of biopsychosocial, functional, cultural, spiritual, and financial factors.
Plan with patients, caregivers, and healthcare team members to support quality, cost-effective outcomes and appropriate care transitions.
Monitor patient plans and revise them when patient conditions change.
Complete clear, concise, timely documentation of patient needs, post-hospital care plans, resources, and patient or caregiver participation.
Incorporate patient and caregiver goals and preferences into transition-of-care 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.
Support timely testing and treatment by proactively helping remove barriers.
Promote appropriate resource use and offer alternatives to acute care to the care team.
Collaborate with revenue cycle partners to help ensure patients are classified appropriately as guided by the physician.
Work with patient access to ensure required regulatory letters are delivered on time.
Participate in clinical outcome projects and care management process-improvement initiatives.
Collaborate respectfully and clearly with peers and other care team members to meet facility and department goals.
Follow CMS requirements and Conditions of Participation related to discharge planning and utilization management.
Address opportunities and potential concerns with leadership and stay current on community resources and clinical developments relevant to the patient population.
Provide clinical supervision to peers, social workers, and students as appropriate for the social worker role.
For the RN Care Manager, use a collaborative process to identify, assess, plan, implement, and evaluate health and health-related services needed by individuals.
For the RN Care Manager, use handovers at changes in level of care, staff changes, and care transitions.