Healthcare Professional

6 days ago


Sumter, South Carolina, United States Prisma Health Full time
Job Title: RN-Hospital Care Manager

As a vital member of the care team, you will focus on patient engagement and activation, playing a key role in patients' care transition out of the acute care setting. Your expertise positively impacts longitudinal care plan alignment.

In collaboration with physicians, you will lead the multidisciplinary team to ensure efficient delivery of quality, cost-effective care. This includes working with clinical staff and payors to maximize care efficiencies for the patient and family.

Key Responsibilities:
  • Promote effective utilization of clinical resources, ensuring quality, cost-effective care
  • Facilitate communication to maximize care efficiencies
  • Identify social determinants of health that increase the patient's risk for negative outcomes
  • Ensure clear documentation for the interdisciplinary care team

This role requires a strong understanding of value-based care and the ability to navigate complex compliance, regulatory, and insurance requirements. You will serve as a resource for patients and families, advocating for patient empowerment and independence in making healthcare decisions.

We are seeking a dedicated and compassionate individual with a Bachelors degree in nursing and at least three years of acute care nursing experience. Knowledge of Medical Necessity Criteria is preferred.

Requirements:
  • Bachelors degree in nursing
  • Three (3) years acute care nursing experience
  • Knowledge of Medical Necessity Criteria is preferred

We offer a competitive salary range of $85,000 - $110,000 annually, depending on experience. Our vision is simple: to transform healthcare for the benefits of the communities we serve. We believe that talented individuals in every role here at Prisma Health are crucial to achieving this vision.

Our comprehensive benefits package includes health, dental, and vision insurance, 401(k) matching, paid time off, and continuing education opportunities.



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