Healthcare Quality Manager
4 weeks ago
Southern Regional Medical Center, a non-profit, 331-bed full-service hospital, is seeking a dedicated professional to join its team of healthcare experts. As a member of the Prime Healthcare Foundation, the hospital is committed to its core values of quality, compassion, and community.
The hospital offers a wide range of services, including Senior Care and Senior Behavioral Health Services, Emergency Services, Heart and Vascular, Advanced Imaging, Laboratory, Neuroscience Services, Rehabilitation, Sleep Diagnostic Center, Surgery/Robotic Surgery, Wound Care, and Women's Health Services, including a Level III NICU.
The hospital is certified as a Chest Pain Center and Primary Stroke Center, demonstrating its commitment to providing high-quality care to its patients.
We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics.
If you need special accommodation for the application process, please contact Human Resources.
Responsibilities:
As a Registered Nurse Case Manager, you will be responsible for the quality and resource management of all patients admitted to the facility from the point of their admission and across the continuum of healthcare management.
You will work on behalf of the advocate, promoting cost containment and demonstrating leadership to integrate healthcare providers to achieve a seamless delivery of care.
The methodology is designed to facilitate and ensure the achievement of quality, clinical, and cost-effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for medical necessity, intensity of service, and severity of illness.
Qualifications:
Education and Work Experience
Starting April, you will need a minimum of 5 years of work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
Grandfathered prior to April 1, 2015, you will need a minimum of 5 years post-graduation of an accredited school of Social Work for Licensed Clinical Social Worker. However, RN Case Manager is preferred.
Five years of acute care nursing experience are preferred. At least one year of experience in case management, discharge planning, or nursing management is preferred.
Current BCLS (AHA) certificate upon hire and maintain current; knowledge of Milliman Criteria and InterQual Criteria is preferred.
Experience and knowledge in basic to intermediate computer skills are required.
Behavioral Violence Prevention Training within 3 months of hire and maintain current.
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