Nurse Case Manager

Medical University of South Carolina•Lancaster, CA

About The Position

Nursing Case Managers strives to promote a seamless transitions between different healthcare settings, such as hospitals, rehabilitation facilities, and home care services. By coordinating communication and information sharing among providers, they help prevent gaps in care and reduce the risk of medical errors. The Case Manager’s primary function is to help patients navigate their healthcare journey by coordinating their care, advocating for them, and ensuring they receive the best care possible. Responsible for functions such as Utilization Review, Discharge Planning, Social Services, and Resource Management.

Requirements

Graduate from an accredited school of nursing and a minimum of one year of work experience as a Registered Nurse required.
Licensed as a Registered Nurse by the South Carolina Board of Nursing or a compact state.
Basic Life Support (BLS) with the American Heart Association (AHA) is required.

Nice To Haves

1 year of case management and/or utilization review work experience preferred.
Bachelor of Nursing degree preferred.
Case Management certification is preferred.

Responsibilities

Review of patient’s medical record, health history, and needs to create a care plan that helps them achieve their goals.
Develop, document, and implement plans, which provide appropriate resources to address the social, physical, mental, emotional, spiritual, and supportive needs of the patient.
Review criteria to assess and document the appropriateness of admission, continued stay, and level of care
Assists patients, their families, and physicians with post-acute placement
Advocate for patients ensuring they are receiving the best care in a cost-effective way.
Refers cases that do not meet admission and/or continued stay criteria to the designated Physician
Educate patients and families about treatment options and health status
Performs additional assignments and tasks as assigned by Case Management Department Head.
Will be required to be ON CALL at times.
Must be able to follow directions and perform work under limited supervision according to department standards when no direction is given.
Must be emotionally mature and able to function effectively under stress.