Case Manager

4 weeks ago

Georgetown, United States Tidelands Health Full time

Employee Type:RegularWork Shift:Day - 8 hour shift (United States of America)Join Team Tidelands and help people live better lives through better healthPosition Summary: The Case Manager is primarily responsible for the coordi nation of resources and services in response to individual patient needs and fiscal realities. As a member of the patient care team, the case manager is responsible for tracking clinical service utilization of specific patients from admitting or discharging. Tracking includes the concurrent collection of data, and analysis for appropriateness and timing of interventions. The Case Manager provides practical interpretation of the analysis for nurses, multi-disciplinary teams, medical staff and managers as the findings and recommendations relate to the individual patient's outcomes, the health plan coverage, and the overall costs for both the patient and the hospital. Guided by the current disease state practices, the case manager is responsible for impacting the timely delivery of services, the length of stay and the appropriateness of treatment while supporting the triple aim of improving the patient experience, improving patient outcomes, and effectively managing the cost of care.Essential Functions:Complete Readmission reviewsComplete all Medicare Medicaid and Commercial ReviewsCommunicate with patients and their families about a patient's health conditionPromote quality, cost-effective care, and patient outcomesPlan and coordinate care, resources, and services on a case-by-case basis with family members, medical professionals, and other health service providersAdvocate for individualized options that meet a patient's specific health needsQualificationsEducation:Associate Degree in Nursing (ADN), requiredBachelor of Science Degree in Nursing (BSN), preferredExperience: Minimum two years RN Case management experience in health care delivery acute care setting preferred.License/Certification:RN license in good standing SC with SCLLR.Special Skills:Able to work independently, adjust priorities often and establish rapport quickly requiredExceptional critical thinking and problem skills required.Demonstrated experience in diplomacy and ability to contribute to team goal setting and program development required.Proven communication skills, both verbal and written required.Expertise in facilitation of dysfunctional family and patient placement outcomes required.Basic computer knowledge and skills required to manage multiple databases required.Knowledge in acute care level psychosocial intervention and practices required.Knowledge with Case Management and outcomes required.Physical Requirements: Light Physical Agility Test (PAT) RatingWhile performing the duties of this job, the employee is frequently (activity or condition exists from 1/3 to 2/3 of the time) required to stand, sit, and walk; frequently to use hands, fingers; and frequently to talk or hear. The employee must exert up to 15 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or up to 5 pounds of force frequently, and/or a negligible amount of force constantly to move objects.The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.

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