Nurse Case Manager

Medical University of South Carolina; Lancaster, Northern (SC, KY); Hybrid; USD 70,000 - 100,000; Full time

Benefits offered by this job

State health insurance

State retirement

Competitive pay

Parental leave

Advancement opportunities

Certification recognition

Job summary

The Case Manager at Medical University Hospital Authority (MUHA) coordinates patient care across hospitals, rehab facilities, and home care to ensure seamless transitions and minimize gaps in care. Responsibilities include utilization review, discharge planning, social services, and resource management.

Requirements include RN licensure in SC or a compact state, BLS, and a minimum of one year of RN experience; BSN preferred. On-call duties may apply with supervision per department standards.

Qualifications

• Graduate from an accredited school of nursing.
• Minimum one year of work experience as a Registered Nurse required.
• Bachelor of Nursing degree preferred.
• Case Management certification preferred.

Responsibilities

• Review patient’s medical records, health history, and needs to create a care plan.
• Develop and implement plans addressing social, physical, mental, emotional, spiritual, and supportive needs.
• Review admission criteria to assess appropriateness of admission and level of care.
• Assist patients, families, and physicians with post-acute placement.
• Advocate for patients to ensure cost-effective, high-quality care.
• Refer cases not meeting admission criteria to designated Physician.
• Educate patients and families about treatment options and health status.
• Perform additional assignments as needed by Case Management Department Head.

Skills

Case management

Utilization review

Discharge planning

Advocacy

Communication

Education

RN license (SC or compact)

BN/BSN in Nursing

Case Management Certification preferred

Job description

Job Description Summary

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.

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type

Regular

Cost Center

CC001460 LAN - Case Management (LMC)

Pay Rate Type

Salary

Pay Grade

Health-28

Scheduled Weekly Hours

40

Work Shift

Benefits:

• South Carolina State Health Insurance
• South Carolina State Retirement
• Competitive pay
• Paid Parental Leave
• Advancement Opportunities
• Certification Recognition

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.

Duties include but are not limited to:

• 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.

Experience: 1 year of case management and/or utilization review work experience preferred.

Education:

Graduate from an accredited school of nursing and a minimum of one year of work experience as a Registered Nurse required. Bachelor of Nursing degree preferred.

License:

Licensed as a Registered Nurse by the South Carolina Board of Nursing or a compact state. Case Management certification is preferred. Basic Life Support (BLS) with the American Heart Association (AHA) is required.

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees