RN-Hospital Case Manager

2 weeks ago


Columbia, South Carolina, United States Prisma Health Full time
Hospital Case Manager RN Job Description

At Prisma Health, we're committed to transforming healthcare for the benefit of our communities. As a Hospital Case Manager RN, you'll play a vital role in ensuring our patients receive the highest quality, cost-effective care.

Key Responsibilities:
  • Provide case management services for hospital patients, including utilization management to ensure efficient progression through the continuum of care.
  • Collaborate with physicians and multidisciplinary teams to deliver quality, cost-effective care.
  • Partner with attending providers to promote effective utilization of clinical resources.
  • Anticipate next steps and facilitate communication to maximize care efficiencies.
  • Identify social determinants of health that increase patient risk for negative outcomes.
  • Ensure clear documentation for the interdisciplinary care team and coordinate post-acute plans.
  • Proactively identify, resolve, and document delays and obstacles on behalf of patients.
  • Navigate value-based care with expertise and ensure longitudinal plans align with patient and caregiver goals.
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.

We're committed to empowering our patients and families to make autonomous healthcare decisions and access needed services within the healthcare system. If you're passionate about delivering exceptional care and making a meaningful impact, we encourage you to apply for this rewarding opportunity.



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