Care Manager

3 weeks ago


Greenville, South Carolina, United States Prisma Health Full time
Job Summary

At Prisma Health, we are seeking a highly skilled and compassionate Care Manager to join our team. As a Care Manager, you will play a vital role in ensuring the seamless transition of patients from acute care to post-acute settings, while promoting patient engagement and activation.

Key Responsibilities
  • Partner with attending providers to promote effective and efficient utilization of clinical resources, ensuring quality and cost-effective care.
  • Identify social determinants of health that increase the patient's risk for negative outcomes and ensure clear documentation for the interdisciplinary care team.
  • Navigate value-based care with expertise and ensure longitudinal plans are patient-focused and align with patient and caregiver goals.
  • Assess patients' and family's psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, reaction to illness, and ability to cope.
  • Ensure medical necessity, appropriate level of care, and timely implementation of plan of care in accordance with hospital(s) Utilization Review Plan.
  • Navigate the team through complex compliance, regulatory, and insurance requirements.
  • Serve as a resource for patients and families with regard to their rights and responsibilities, when payment of care is denied or when care is no longer medically necessary.
  • Advocate for patient and family empowerment and independence to make autonomous healthcare decisions and access needed services within the healthcare system.
Requirements
  • Bachelor's degree in nursing.
  • Three years of acute care nursing experience, with one year of acute care/case management experience preferred.
  • Knowledge of Medical Necessity Criteria is preferred.

  • Care Manager

    4 weeks ago


    Greenville, South Carolina, United States Prisma Health Full time

    Job SummaryThe Hospital Care Manager plays a vital role in ensuring seamless patient care transitions from the acute care setting. This position requires strong collaboration with physicians and multidisciplinary teams to deliver high-quality, cost-effective care.Key ResponsibilitiesPartner with attending providers to optimize resource utilization and ensure...

  • Care Manager

    4 weeks ago


    Greenville, South Carolina, United States Crossroads Full time

    About CrossroadsCrossroads is a leading addiction treatment provider of outpatient medication-assisted treatment (MAT). We treat patients with opioid use disorder (OUD) using medications such as methadone and suboxone/buprenorphine. Our mission is to support our patients' medical and personal recoveries from substance use disorder.Job SummaryWe are seeking a...


  • Greenville, South Carolina, United States Prisma Health Full time

    Pediatric Care Manager Job SummaryThe Pediatric Care Manager is a professional nurse who has clinical experience with medically complex children and families. This role is responsible for managing targeted pediatric populations to achieve efficient and effective care delivery through adherence to Case Management standards as outlined by the Case Management...


  • Greenville, South Carolina, United States Prisma Health Full time

    Pediatric Care Manager Job SummaryWe are seeking a skilled Pediatric Care Manager to join our team at Prisma Health. As a key member of our care team, you will be responsible for coordinating the care of pediatric patients across the healthcare continuum.Key Responsibilities:Utilize the nursing process to coordinate care and develop plans to meet the needs...


  • Greenville, South Carolina, United States Prisma Health Full time

    Pediatric Care Manager Job SummaryWe are seeking a skilled Pediatric Care Manager to join our team at Prisma Health. As a key member of our care team, you will be responsible for coordinating the care of pediatric patients across the healthcare continuum.Key Responsibilities:Utilize the nursing process to coordinate care and develop plans to meet the needs...


  • Greenville, South Carolina, United States Prisma Health Full time

    Pediatric Care Manager Job SummaryWe are seeking a skilled Pediatric Care Manager to join our team at Prisma Health. As a Pediatric Care Manager, you will play a critical role in coordinating care for pediatric patients and their families, ensuring seamless transitions across the healthcare continuum.Key Responsibilities:Coordinate care for pediatric...


  • Greenville, South Carolina, United States Prisma Health Full time

    Pediatric Care Manager Job SummaryWe are seeking a skilled Pediatric Care Manager to join our team at Prisma Health. As a Pediatric Care Manager, you will play a critical role in coordinating care for pediatric patients and their families, ensuring seamless transitions across the healthcare continuum.Key Responsibilities:Coordinate care for pediatric...


  • Greenville, South Carolina, United States Prisma Health Full time

    Pediatric Care Manager Job SummaryWe are seeking a skilled Pediatric Care Manager to join our team at Prisma Health. As a key member of our care management team, you will be responsible for coordinating the care of pediatric patients across the healthcare continuum.Key Responsibilities:Utilize the nursing process to coordinate care and develop plans to meet...

  • Nurse Care Manager

    2 weeks ago


    Greenville, South Carolina, United States Prisma Health Full time

    Job SummaryThe Hospital Care Manager plays a vital role in ensuring seamless patient care transitions from the acute care setting to post-acute care. This position requires strong communication and collaboration skills to lead a multidisciplinary team in delivering quality, cost-effective care.Key ResponsibilitiesPartner with attending physicians to promote...

  • Care Manager

    4 days ago


    Greenville, South Carolina, United States Crossroads Full time

    Join Our Team as a Care ManagerCrossroads Treatment Centers is an equal opportunity employer that celebrates diversity and is committed to creating an inclusive environment for all employees. We are a leading addiction treatment provider of outpatient medication-assisted treatment (MAT) and are dedicated to supporting our patients' medical and personal...

  • Nurse Care Manager

    4 weeks ago


    Greenville, South Carolina, United States Prisma Health Full time

    Job SummaryThe Hospital Care Manager plays a vital role in ensuring seamless patient care transitions from acute care settings. This position requires strong collaboration with physicians and multidisciplinary teams to deliver high-quality, cost-effective care.Key ResponsibilitiesPartner with attending providers to promote efficient utilization of clinical...

  • Nurse Care Manager

    3 weeks ago


    Greenville, South Carolina, United States Prisma Health Full time

    About the RoleThe Hospital Care Manager (HCM) plays a vital role in ensuring seamless patient care transitions from the acute care setting. This position is responsible for engaging patients and their families, leading the multidisciplinary team, and collaborating with physicians to deliver quality, cost-effective care.Key ResponsibilitiesPartner with...


  • Greenville, South Carolina, United States Prisma Health Full time

    Transforming Pediatric CareWe are seeking a skilled RN Continuum of Care Manager to join our team at Prisma Health. As a key member of our care transformation team, you will play a vital role in coordinating care for pediatric patients across the healthcare continuum.Key Responsibilities1. Coordinate care for pediatric patients, ensuring seamless transitions...


  • Greenville, South Carolina, United States CenterWell Primary Care Full time

    About the RoleWe are seeking a highly skilled and compassionate Primary Care Physician to join our team at CenterWell Senior Primary Care. As a key member of our care team, you will play a vital role in delivering high-quality, patient-centered care to our seniors.Key ResponsibilitiesEvaluate and treat patients in accordance with standards of care, following...

  • Clinical Manager

    2 days ago


    Greenville, South Carolina, United States BAYADA Home Health Care Full time

    Job OverviewBAYADA Home Health Care is seeking a Clinical Manager (RN required) to lead our Greenville, NC Assistive Care State Programs home care office. This role is responsible for providing best-in-class care to clients of all ages.As a Clinical Manager, you will have the opportunity to use your leadership and mentoring skills to make a difference in...

  • Clinical Manager

    4 days ago


    Greenville, South Carolina, United States BAYADA Home Health Care Full time

    Job OpportunityBAYADA Home Health Care is seeking a skilled Clinical Manager to lead our Greenville, NC Assistive Care State Programs home care office. This role is ideal for a registered nurse with leadership experience who wants to make a difference in people's lives.As a Clinical Manager, you will be responsible for:Leading and motivating a team of...

  • Patient Care Manager

    1 month ago


    Greenville, South Carolina, United States Prisma Health Full time

    Job SummaryThis role has the responsibility of attending all quality and core curriculum classes, actively participating in professional development workshops and peer support groups, and successfully completing all clinical competencies and validation requirements of the Nurse Residency Program.Works under the direct and indirect supervision of the Nursing...

  • Clinical Manager

    3 weeks ago


    Greenville, South Carolina, United States BAYADA Home Health Care Full time

    Job OpportunityBAYADA Home Health Care is seeking a skilled Clinical Manager to lead our Greenville, NC Assistive Care State Programs home care office. This role is ideal for a registered nurse with leadership experience who wants to make a difference in people's lives.As a Clinical Manager, you will be responsible for:Leading and motivating a team of...

  • Clinical Manager

    2 weeks ago


    Greenville, South Carolina, United States BAYADA Home Health Care Full time

    Job OpportunityBAYADA Home Health Care is seeking a full-time Clinical Nurse Manager to join our team in Greenville, SC. As a Clinical Nurse Manager, you will be responsible for leading and inspiring our nursing staff to provide exceptional care to our clients.Key Responsibilities:Lead and motivate nursing staff to deliver high-quality care.Conduct...

  • Clinical Manager

    2 weeks ago


    Greenville, South Carolina, United States BAYADA Home Health Care Full time

    Job OpportunityBAYADA Home Health Care is seeking a full-time Clinical Nurse Manager to join our team in Greenville, SC. As a Clinical Nurse Manager, you will play a vital role in providing exceptional care to our clients and their families.Responsibilities:Lead and inspire a team of nurses to deliver high-quality care.Conduct assessments and develop care...