HCA, Hospital Corporation of America Case Manager RN in Walterboro, South Carolina
Position will support Emergency Department and ICU
The Case Manager provides leadership for the collaborative management of clinical care across an episode of illness for designated patient population(s). Serves as a resource to impact quality, efficiency, and cost effectiveness of the delivery of care management throughout the continuum of care. Enables processes which support and ensure desired patient outcomes. Knowledgeable about Medicare, Medicaid, TriCare and other third party payers. Knowledgeable about local, state, federal and community resources and the scope of services they provide. Direct experience with regulatory agencies and third party payers within the last two years. Experience in discharge planning and a working knowledge of alternative delivery systems including home health, durable medical equipment, rehabilitation, extended care facility and skilled nursing facilities, their scope of services and their criteria for care. Knowledge and experience in medical/legal aspects of care. Management and nursing expertise are used to provide a framework for decision-making. Performance Improvement initiatives/activities are fundamental to effective function in the position. The case manager will be expected to perform most job duties independently and in accordance with established departmental and hospital policies and procedures.
Education:Graduate of an accredited school of nursing.
Licensure/Certification:Current RN license in the state of South Carolina. BLS - AHA Healthcare provider.
Experience: Prefer minimum of three years current experience in acute care, two of which are in medical-surgical services preferred. Other clinical experience in acute care considered. Utilization Review, continuity of care, discharge planning, and performance improvement knowledge. Demonstrated high degree of professional motivation, initiative, and creativity. Ability to perform comprehensive assessment of physical and psychosocial needs of patients. Some knowledge of computer application and report interpretation.
Title: Case Manager RN
Location: South Carolina-Walterboro-Colleton Medical Center-Walterboro
Requisition ID: 00391-17586