RN-Case Manager 5 days/week 8 hours plus call

4 weeks ago


Newberry, South Carolina, United States Newberry County Memorial Hospital Full time

At Newberry County Memorial Hospital, we are seeking a skilled RN-Case Manager to join our team. The ideal candidate will have experience in clinical management and case management/utilization review.

Key responsibilities include:

  • Assuming clinical management of patients by working with healthcare providers, patients, and families to develop cost-effective plans of care.
  • Assisting with comprehensive care planning, implementation of care plans, communication, and evaluation of progress toward goals.
  • Assessing patients and planning for discharge needs upon discharge, which may include skilled care, acute rehab, home health, durable medical equipment, etc.
  • Ensuring appropriate level of care on admission and using InterQual guidelines or providing clinical information to insurance companies.

Requirements:

  • Registered Nurse or Licensed Practical Nurse with valid license from SC State Board of Nursing.
  • Valid BLS certification.
  • 1-3 years Skilled Nursing/Acute Care experience.
  • 1-3 years experience case management/utilization review.
  • Preferred experience with the application of InterQual criteria.
  • Preferred experience with insurance authorizations and notifications.


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