RN Case Manager

Medical University of South CarolinaColumbia, SC
Onsite

About The Position

Facilitates continuity of care by ensuring that the needs of the patients, including observation patients are recognized and addressed through the coordination with other health care team members to bring about the best possible cost-effective quality and clinical outcome. Reviews patient admissions within one working day to determine appropriateness of hospitalization utilizing intensity of service and severity of illness criteria and continues daily reviews throughout stay assuring patient's need for acute level of care.

Requirements

  • Must possess a minimum of two years full-time direct care experience and/or hospital based case management experience
  • Must be proficient with Microsoft Word, Excel, PowerPoint and Access
  • Must have excellent planning and organizational skills
  • Must have excellent written and verbal communication skills
  • Must have satisfactory work processing skills
  • Must have the ability to work independently, with little or no supervision required
  • Licensure as a registered nurse by the state of South Carolina or compact state required
  • Current American Heart Association (AHA) Basic Life Support (BLS) certification or American Red Cross BLS for Healthcare Providers certification is required

Nice To Haves

  • Bachelor degree in nursing preferred
  • Prior leadership experience preferred
  • One year of case management and/or utilization review work experience preferred
  • Case Management certification preferred
  • Certification in Case Management preferred

Responsibilities

  • Reviews past history
  • Conducting case screening within 24 hours of admission
  • Interviews the patient and significant others identifying specific health and psychosocial needs
  • Reviews current status and treatment plan
  • Identifies barriers to wellness
  • Determines patient resources
  • Determines availability of financial means/insurance benefits
  • Evaluates post acute care environment for accessibility and adaptive needs
  • Assesses age-specific and special needs
  • Assesses the teaching needs of the patient and family members based on patient goals and objectives
  • Assimilates assessment data, identifies services, treatments and funding options for the patients
  • Develops an individual care management plan with patient and family input to deliver care to the individual patient in a manner that is appropriate to the patient's age, physical ability, and intellectual development
  • Screens identified options to meet the individual patient needs
  • Identifies and analyzes problems as to cause and effect relationship, alternative solutions, and the best course of action
  • Identifies targeted LOS for patient based on morbidities

Benefits

  • The Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees.
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