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Employee Type:

Regular

Work Shift:

Day - 8 hour shift (United States of America)

Join Team Tidelands and help people live better lives through better health!

Case Manager (RN)

Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider, we are also one of our area's largest employers. More than 2,500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day.

A Brief Overview

The Case Manager is primarily responsible for the coordination of resources and services in response to individual patient needs and fiscal realities. As a member of the patient care team, the case manager is responsible for tracking clinical service utilization of specific patients from admitting or discharging. Tracking includes the concurrent collection of data, and analysis for appropriateness and timing of interventions. The Case Manager provides practical interpretation of the analysis for nurses, multi-disciplinary teams, medical staff and managers as the findings and recommendations relate to the individual patient's outcomes, the health plan coverage, and the overall costs for both the patient and the hospital. Guided by the current disease state practices, the case manager is responsible for impacting the timely delivery of services, the length of stay and the appropriateness of treatment while supporting the triple aim of improving the patient experience, improving patient outcomes, and effectively managing the cost of care.

What you will do

+ Complete Readmission reviews

+ Complete all Medicare Medicaid and Commercial Reviews

+ Communicate with patients and their families about a patient’s health condition

+ Promote quality, cost-effective care, and patient outcomes

+ Plan and coordinate care, resources, and services on a case-by-case basis with family members, medical professionals, and other health service providers

+ Advocate for individualized options that meet a patient’s specific health needs

Education Qualifications

+ Associate's Degree in Nursing (ADN) Required

+ Bachelor's Degree in Nursing (BSN) Preferred

Experience Qualifications

+ Minimum two years RN Case management experience in health care delivery acute care setting Preferred

Skills and Abilities

+ Able to work independently, adjust priorities often and establish rapport quickly required

+ Exception critical thinking and problem skills required.

+ Demonstrated experience in diplomacy and ability to contribute to team goal setting and program development required.

+ Proven communication skills, both verbal and written required.

+ Expertise in facilitation of dysfunctional family and patient placement outcomes required.

+ Basic computer knowledge and skills required to manage multiple databases required.

+ Knowledge in acute care level psychosocial intervention and practices required

+ Knowledge with Case Management and outcomes required.

Licenses and Certifications

+ Registered Nurse RN license in good standing SC with SCLLR. Required

PAT Rating

Light Physical Agility Test (PAT) Rating

The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a contract for employment nor a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform tasks other than those specifically presented in this description.

Tidelands Health is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.