Nurse Case Manager-RN
MUSC Health · Columbia, SC · 1 wk ago
On-siteHealthcareFull-time
About the role
Entity: Medical University Hospital Authority (MUHA). Worker Type: Employee (Regular). Cost Center: CC003747 COL - Case Management (DMC). Facilitates continuity of care by ensuring that the needs of the patients, including observation patients are recognized and addressed through coordination with other health care team members to bring about the best possible cost-effective quality and clinical outcome. Reviews patient admissions within one working day to determine appropriateness of hospitalization utilizing intensity of service and severity of illness criteria and continues daily reviews throughout stay assuring patient's need for acute level of care.
Responsibilities
- Reviews past history
- Conducting case screening within 24 hours of admission
- Interviews the patient and significant others identifying specific health and psychosocial needs
- Reviews current status and treatment plan
- Identifies barriers to wellness
- Determines patient resources
- Determines availability of financial means/insurance benefits
- Evaluates post acute care environment for accessibility and adaptive needs
- Assesses age-specific and special needs
- Assesses the teaching needs of the patient and family members based on patient goals and objectives
- Assimilates assessment data, identifies services, treatments and funding options for the patients
- Develops an individual care management plan with patient and family input to deliver care to the individual patient in a manner that is appropriate to the patient's age, physical ability, and intellectual development
- Screens identified options to meet the individual patient needs
- Identifies and analyzes problems as to cause and effect relationship, alternative solutions, and the best course of action
- Identifies targeted LOS for patient based on morbidities
Requirements
- Minimum of two years full-time direct care experience and/or hospital based case management experience
- Graduate from an accredited school of nursing; Bachelor degree in nursing preferred
- [South Carolina, United States] Registered Nurse, BLS licensure
Skills
- Proficient with Microsoft Word, Excel, PowerPoint and Access
- Excellent planning and organizational skills
- Excellent written and verbal communication skills
- Satisfactory work processing skills
- Ability to work independently, with little or no supervision required
Pay
- Pay Rate Type: Salary
- Pay Grade: Health-28
Schedule
- Scheduled Weekly Hours: 40