RN-Hospital Case Manager

4 weeks ago


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

The Hospital Case Manager plays a vital role in ensuring the efficient and cost-effective progression of patients through the healthcare continuum. This position requires collaboration with physicians and other healthcare professionals to deliver high-quality, patient-centered care.

Key Responsibilities
  • Partner with attending providers to promote effective utilization of clinical resources and ensure quality, cost-effective care.
  • Identify social determinants of health that increase patient risk for negative outcomes and coordinate post-acute plans with the ambulatory care management team as needed.
  • Address and resolve system problems impeding diagnostic or treatment progress, proactively identifying and documenting delays and obstacles on behalf of the patient.
  • Navigate value-based care with expertise and ensure longitudinal plans are patient-focused and aligned with patient and caregiver goals.
  • Maintain expert-level knowledge of body systems and expected clinical outcomes for patient disease processes, as well as current knowledge of state and federal regulatory requirements related to care management services in an acute care setting.
  • Ensure medical necessity, appropriate level of care, and timely implementation of plans of care in accordance with hospital Utilization Review Plans.
  • Navigate complex compliance, regulatory, and insurance requirements, coordinating with third-party payors as needed.
  • Serve as a resource for patients and families regarding their rights and responsibilities, including delivery of regulatory documents as provided by CMS.
  • 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
  • Licensed to practice as a Registered Nurse in South Carolina
  • Accredited Case Manager (ACM) or Certified Case Manager (CCM) certification preferred
  • Knowledge of Medical Necessity Criteria preferred


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

    Hospital Case Manager RN Job SummaryThe Hospital Case Manager RN provides case management services for hospital patients, ensuring efficient and cost-effective progression through the continuum of care and discharge to an appropriate level of care.Key Responsibilities:Collaborate with physicians and multidisciplinary teams to ensure quality, cost-effective...


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

    Hospital Case Manager RN Job SummaryThe Hospital Case Manager RN provides case management services for hospital patients, ensuring efficient and cost-effective progression through the continuum of care and discharge to an appropriate level of care.Key Responsibilities:Collaborate with physicians and multidisciplinary teams to ensure quality, cost-effective...


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

    Hospital Case Manager RN Job DescriptionAt 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...


  • Columbia, South Carolina, United States TotalMed Case Management Staffing Full time

    Job Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a skilled Travel Nurse RN Case Manager to join our team.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are looking for a dedicated Case Manager-Registered Nurse to work with our team in Charleston, South Carolina.TotalMed Case...


  • Columbia, South Carolina, United States TotalMed Case Management Staffing Full time

    Job Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a skilled Travel Nurse RN Case Manager to join our team.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are looking for a dedicated Case Manager-Registered Nurse to work with our team in Charleston, South Carolina.TotalMed Case...


  • Columbia, South Carolina, United States TotalMed Case Management Staffing Full time

    Job Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a skilled Travel Nurse RN Case Manager to join our team.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are looking for a dedicated Case Manager-Registered Nurse to work with us in Charleston, South Carolina.TotalMed Case...


  • West Columbia, South Carolina, United States Prisma Health Full time

    Job SummaryAs a Hospital Case Manager RN at Prisma Health, you will play a vital role in ensuring the efficient and cost-effective progression of patients through the continuum of care. Collaborating with physicians and a multidisciplinary team, you will lead the way in delivering quality, cost-effective care.Key ResponsibilitiesPartner with attending...


  • Columbia, South Carolina, United States TotalMed Case Management Staffing Full time

    Job Opportunity: Case Management Travel NurseTotalMed Case Management Staffing is seeking a skilled Case Manager-Registered Nurse for a travel nursing assignment in Charleston, South Carolina.Job Requirements:Specialty: Case ManagementDiscipline: RN40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are looking for a dedicated Case...

  • Hospital Case Manager

    1 month ago


    Columbia, South Carolina, United States Prisma Health Full time

    Transforming Healthcare, One Patient at a TimeJob SummaryThe Hospital Case Manager plays a vital role in ensuring the seamless transition of patients through the healthcare continuum. As a key member of the multidisciplinary team, this individual is responsible for coordinating care, managing resources, and advocating for patients and their families. With a...

  • RN, Case Manager

    2 days ago


    Columbia, South Carolina, United States Boone Health Full time

    Job Title: RN, Case ManagerBoone Health is seeking a skilled RN, Case Manager to join our team. As a key member of our healthcare team, you will play a vital role in coordinating patient care and ensuring the best possible outcomes.Job Summary:The RN, Case Manager will work collaboratively with physicians, interdisciplinary staff, and external partners to...

  • RN Case Manager PRN

    3 weeks ago


    Columbia, South Carolina, United States Colleton Medical Center Full time

    Job SummaryWe are seeking a skilled Registered Nurse (RN) Case Manager to join our team at Colleton Medical Center. As a PRN RN Case Manager, you will play a vital role in ensuring the delivery of high-quality patient care.ResponsibilitiesCoordinate patient care plans, manage length of stay, and ensure appropriate resource allocation.Facilitate patient...


  • Columbia, South Carolina, United States Magnet Medical Full time

    Job Title: Travel Nurse RN Case ManagementMagnet Medical is seeking a skilled travel nurse RN case manager to join their team in Charleston, South Carolina.Job Summary:As a travel nurse RN case manager, you will be responsible for providing high-quality patient care and case management services to patients in a hospital setting.Key Responsibilities:Develop...

  • RN Case Manager

    3 weeks ago


    Columbia, South Carolina, United States Johns Hopkins Medicine Full time

    Job SummaryWe are seeking a skilled RN Case Manager to join our team at Johns Hopkins Howard County Medical Center. As a key member of our healthcare team, you will be responsible for implementing and coordinating patient care plans, ensuring timely and efficient care delivery, and promoting positive patient outcomes.Key ResponsibilitiesDevelop and implement...


  • Columbia, South Carolina, United States Piedmont Medical Center Full time

    Job Title: Case Manager RN FT DaysPiedmont Medical Center is seeking a skilled Case Manager RN FT Days to join our team. As a Case Manager RN FT Days, you will be responsible for coordinating the daily activities of the case management team, while overseeing the clinical plan of care to conform with evidence-based practice and/or regulatory/payor...


  • Columbia, South Carolina, United States Planet Healthcare Full time

    Job Title: Travel Nurse RN Case ManagementPlanet Healthcare is seeking a skilled Travel Nurse RN Case Management professional to join our team in Charleston, South Carolina.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelAs a Travel Nurse RN Case Management...

  • RN Case Manager

    1 week ago


    Columbia, South Carolina, United States St Croix Hospice Full time

    Job Title: RN Case ManagerWe are seeking a skilled RN Case Manager to join our team at St Croix Hospice. As a RN Case Manager, you will play a vital role in providing high-quality patient care and ensuring the best possible outcomes for our patients and their families.Job Summary:The RN Case Manager will be responsible for assessing patient needs, developing...

  • RN Case Manager

    1 week ago


    Columbia, South Carolina, United States HealthCare Resolution Services, Inc. Full time

    Job Title: RN Case ManagerThe Pharmacogenomics Nurse Case Manager plays a vital role in ensuring the comprehensive care management and coordination needs of our payer-defined and/or payer-enrolled populations are met. This includes activities such as providing pre-authorization for testing, retrieving test results, and monitoring/tracking the continuation of...

  • RN Case Manager

    21 hours ago


    Columbia, South Carolina, United States Heartlinks Full time

    Job Title: RN Case ManagerHeartlinks is seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will play a vital role in providing high-quality care to our patients and their families.Job Summary:The RN Case Manager will be responsible for planning, organizing, and directing hospice care services. This includes conducting comprehensive...

  • Social Worker

    1 month ago


    Columbia, South Carolina, United States Prisma Health Full time

    Transforming Healthcare, One Patient at a TimeJob SummaryAs a Licensed Master Social Worker in our Emergency Department, you will play a critical role in providing emergency services to patients with acute behavioral health, medical, and psychosocial emergencies. Your expertise will be invaluable in assessing and intervening in crisis situations, ensuring...


  • Columbia, South Carolina, United States Cross Country Nurses Full time

    Job Title: Travel Nurse RN Case ManagementCross Country Nurses is seeking a skilled travel nurse RN case manager to provide high-quality patient care in Rutherfordton, North Carolina.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 12 weeks36 hours per weekShift: 12 hours, days, nights, flexibleEmployment Type: TravelAs a case...