Case Manager

3 days ago


Greenville, South Carolina, United States Prisma Health Full time

Transform Healthcare with Us

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

Key Responsibilities

  • Collaborate with interdisciplinary teams to develop and implement effective care plans, ensuring timely discharges and optimal patient outcomes.
  • Utilize clinical expertise to identify and address system problems, delays, and obstacles that impede diagnostic or treatment progress.
  • Assess patients' and families' psychosocial risk factors, advocating for patient empowerment and independence in making healthcare decisions.
  • Maintain expert knowledge of body systems, clinical outcomes, and regulatory requirements to provide high-quality case management services.
  • Ensure medical necessity, appropriate levels of care, and timely implementation of care plans, adhering to hospital Utilization Review Plans.
  • Promote efficient utilization of clinical resources, providing timely clinical reviews to third-party payors and responding to requests for additional information within 24 hours.
  • Ensure patient goals are set with patients/families, negotiating healthcare resources and educating them regarding options of care throughout the continuum.

Requirements

  • Bachelor's degree in nursing, preferred
  • Three (3) years acute care nursing experience; one (1) year acute case management experience preferred
  • South Carolina RN license

Join Our Team

At Prisma Health, we're dedicated to creating a work environment that fosters growth, innovation, and collaboration. If you're passionate about delivering exceptional patient care and transforming healthcare, we invite you to share your talent with us.



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