RN Case Manager

MUSC Health; Columbia (SC); On-site; USD 65,000 - 90,000; Full time

Job summary

MUSC Health in Columbia, SC is seeking a Nurse Case Manager with 2+ years of direct care or hospital-based case management experience. A Bachelor’s degree in nursing is preferred, with RN licensure in South Carolina required or pursued.

You’ll coordinate patient care and review admissions to assure appropriate levels of care. Collaborate with the health care team to assess needs, barriers, and resources; develop individualized care plans, and ensure timely screenings within 24 hours of

Qualifications

• Must have a nursing degree and be eligible for RN licensure in South Carolina.
• Minimum two years of full-time direct care experience and/or hospital-based case management experience.
• Proficiency with MS Word, Excel, PowerPoint and Access; strong planning and organizational skills.

Responsibilities

• Reviews patient admissions within one working day to determine appropriateness of hospitalization using intensity of service and severity of illness criteria.
• Conducts case screening within 24 hours of admission.
• Interviews patient and family to identify health and psychosocial needs; reviews treatment plan and resources.
• Determines availability of financial means/insurance benefits; evaluates post-acute care environment for accessibility.
• Develops an individual care management plan with patient and family input.
• Screens options to meet patient needs and identifies services and funding options.

Skills

Microsoft Word

Excel

PowerPoint

Access

Planning & Organizing

Written & Verbal Communication

Independent Work

Case Management

Education

Bachelor's degree in nursing

Tools

Microsoft Word

Access

Job description

Job Description Summary

Facilitates continuity of care by ensuring that the needs of the patients, including observation patients are recognized and address through the 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.

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type

Regular

Cost Center

CC003734 COL - Administration (DMC)

Pay Rate Type

Hourly, Salary

Pay Grade

Health-28

Scheduled Weekly Hours

40

Job Description

Minimum Work Experience: Must possess a minimum of two years full-time direct care experience and/or hospital based case management experience. Minimum Education A graduate from an accredited school of nursing Bachelor degree in nursing preferred

Required Skills: Must be proficient with Microsoft Word, Excel, PowerPoint and Access; Must have excellent planning and organizational skills; Must have excellent written and verbal communication skills; Must have satisfactory work processing skills; Must have the ability to work independently, with little or no supervision required Required Licenses [South Carolina, United States] Case Manager BLS

ESSENTIAL FUNCTIO

• 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.

Physical and Mental Requirements:

• Ability to perform job functions while standing. (Continuous)
• Ability to perform job functions while sitting. (Continuous)
• Ability to perform job functions while walking. (Continuous)
• Ability to climb stairs. (Infrequent)
• Ability to work indoors. (Continuous)
• Ability to work outside in temperature extremes. (Infrequent)
• Ability to work from elevated areas. (Frequent)
• Ability to work in confined/cramped spaces. (Frequent)
• Ability to perform job functions from kneeling positions. (Infrequent)
• Ability to bend at the waist. (Continuous)
• Ability to twist at the waist. (Frequent)
• Ability to squat and perform job functions. (Frequent)
• Ability to perform "pinching" operations. (Frequent)
• Ability to perform gross motor activities with fingers and hands. (Continuous)
• Ability to perform firm grasping with fingers and hands. (Continuous)
• Ability to perform fine manipulation with fingers and hands. (Continuous)
• Ability to reach overhead. (Frequent)
• Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Continuous)
• Ability to fully use both legs. (Continuous)
• Ability to use lower extremities for balance and coordination. (Frequent)
• Ability to reach in all directions. Ability to maintain 20/40 vision, corrected, in one eye or with both eyes. (Continuous)
• Ability to see and recognize objects close at hand or at a distance. (Continuous)
• Ability to match or discriminate between colors. (Continuous)
• Ability to determine distance/relationship between objects; depth perception. (Continuous)
• Good peripheral vision capabilities. (Continuous)
• Ability to maintain hearing acuity, with correction. (Continuous)
• Ability to perform gross motor functions with frequent fine motor movements. (Continuous)
• Ability to deal effectively with stressful situations. (Continuous)
• Ability to work rotating shifts. (Frequent)
• Ability to work overtime as required. (Frequent)
• Ability to work in a latex safe environment. (Continuous)
• Ability to maintain tactile sensory functions. (Continuous)
• Ability to maintain good olfactory sensory function. (Continuous) (Selected Positions)
• Ability to be qualified physically for respirator use, initially and as required. (Continuous) (Selected Positions)

Additional Job Description

Bachelor of Nursing degree preferred with minimum of one year of experience. RN staff hired on or after July 1, 2013 with an Associate or Diploma degree in nursing are required to be enrolled in an accredited BSN program within two years and successfully obtain a BSN degree within four years of the RN hire or reclassification date. Refer to policy A141 for more details. Prior leadership experience preferred. One year of case management and/or utilization review work experience preferred. Case Management certification preferred. Licensure as a registered nurse by the state of South Carolina or compact state required. Certification in Case Management preferred. Current American Heart Association (AHA) Basic Life Support (BLS) certification or American Red Cross BLS for Healthcare Providers certification 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