RN Case Manager

Healthcare Support Staffing; Columbia (SC); On-site; USD 60,000 - 75,000; Full time

Job summary

A national healthcare staffing firm is seeking an RN Case Manager in Columbia, SC. The role involves assessing and coordinating care for dual enrollment members, ensuring high-quality, cost-effective services. Candidates should have over a year of clinical nursing experience and case management expertise with adult and geriatric populations. If you're passionate about providing comprehensive healthcare solutions, we encourage you to apply. This position combines fieldwork and office assessments with a supportive team.

Qualifications

• 1+ years of clinical nursing experience in an acute care setting.
• 1+ years of case management experience with the adult and geriatric population.
• Knowledge of utilization management principles and healthcare managed care.

Responsibilities

• Assisting members with dual enrollment and low income/resources.
• Coordinate services between PCPs, specialists, and medical providers.
• Develop plan of care based on assessment skills and judgment.

Skills

Clinical nursing experience

Case management experience

Utilization management principles

Experience with medical decision support tools

Job description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

• This RN Case Manager will be assisting members that have dual enrollment which means age 65 and over and have low income and resources
• This RN Case Manager is a field case management position about 40% field the remainder of the time will be reporting to the North Charleston office if need be to perform assessments on members that have just signed up with the Medicare or Medicare plan
• This RN Case Manager will also be responsible for assessing, planning and coordinating all medical services especially MMT (Medicare Medical Transportation services) and supporting services across the continuum of care for select members to promote quality, cost effective car
• Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
• Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes
• Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socioeconomic needs of clients

Qualifications

• 1+ years of clinical nursing experience in an acute care setting
• 1+ years of case management experience with the adult and geriatric population in a managed care, home health, Hospital, or Hospice setting
• Knowledge of utilization management principles and healthcare managed care
• Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs

Additional Information

Interested in hearing more about this great opportunity? Please click Apply or call Laura Cornelius 407-478-0332 ext. 107