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Nurse Case Manager
3 months ago
Description:
The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not limited to daily review of medical records to determine appropriateness and medical necessity of admission, continued hospital stay and use of ancillary services
•Utilizing a collaborative approach, the Case Manager will assess, plan, implement, monitor and evaluate the options and services required to meet an individual's health needs
•Provides comprehensive on-going case management services to patients by coordinating and managing the care of patients to meet multiple service needs across the continuum of care
•Ensure optimal patient outcomes that address quality, service, customer satisfaction and cost-effectiveness
•The Case Manager will partner with the multidisciplinary team to establish care and allocate resources associated with the patient's risk assessment
•Assists the patient/patient's family in coping with illness by optimizing the patient's/family's self-care abilities and supporting their consumer rights
•Job Summary/Purpose: The Nurse Case Manager (NCM) I reports to the Manager of Case Management and Care Transitions
•Under guidance of the Nurse Case Manager Team Leader, the Nurse Case Manager I functions as a member of the clinical team
•This role coordinates a plan of care to achieve clinical outcomes and promotes a safe and timely discharge
•This position manages the plan of care throughout the care continuum to ensure the efficient movement of the patient through the hospital system
•The Nurse Case Manager I serves as a clinical expert related to discharge planning, resource utilization, and case management
Additional Skills & Qualifications:
•BSN degree required
•3+ years of clinical RN experience minimum
•Case Management experience not required but preferred
•Licensure as a registered nurse by the state of South Carolina or compact state required
•Current Basic Life Support (BLS) or ACLS required, either a certification from an American Heart Association (AHA) BLS for Healthcare Providers (or AHA recognized equivalent) or an American Red Cross CPR/AED for Professional Rescuer and Healthcare Provider
Experience Level:
Intermediate Level
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