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RN-Hospital Case Manager
2 months ago
The 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 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.
- Navigate value-based care with expertise and ensure patient-focused plans align with patient and caregiver goals.
- Maintain expert knowledge of body systems and expected clinical outcomes.
- Ensure medical necessity, appropriate level of care, and timely implementation of plans.
- Navigate complex compliance, regulatory, and insurance 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) preferred.
At Prisma Health, we strive to transform healthcare for the benefit of our communities. We're seeking talented individuals to join our team and contribute to this vision.
