RN Case Manager: Discharge & Utilization Leader

Aiken-Regional-Medical-Centers-3; Westcliff (SC); Presencial; USD 70 000 - 90 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Sign-on bonuses

Tuition/certification reimbursement

Competitive benefits package

Resumo da oferta

Aiken Regional Medical Centers in Aiken, South Carolina, seeks an experienced Case Manager (RN) to oversee admission review, care progression, and discharge planning across patient populations. Collaboration with payers aims to reduce denials by ensuring appropriate utilization and timely transitions of care.

Responsibilities include chart reviews, coordination with Social Work and interdisciplinary teams, and ongoing education of staff on resource use and discharge planning.

Qualificações

• Diploma or associate degree from an accredited RN program; BSN preferred.
• Minimum 3 years experience in acute-care hospital or related setting.
• SC RN license or compact state license.
• Knowledge of private insurance and Medicare criteria for hospitalization.

Responsabilidades

• Perform admission, concurrent and retrospective chart reviews to certify appropriateness of admission and continued stay.
• Collaborate with payers to reduce denials through ongoing case management from admission to discharge.
• Manage patient progression for clinical readiness and discharge planning to minimize LOS.
• Coordinate with Social Work/Discharge Planning on safe transitions of care.
• Identify and refer to other departments (Infection Control, Wound Care, Nutrition) as needed.
• Educate staff on utilization of hospital days and resources.

Conhecimentos

Case Management

RN

Communication

Formação académica

Diploma/Associate RN program

SC RN license or compact state license

Descrição da oferta de emprego

Aiken Regional Medical Centers in Aiken, South Carolina, seeks an experienced Case Manager (RN) to oversee admission review, care progression, and discharge planning across patient populations. Collaboration with payers aims to reduce denials by ensuring appropriate utilization and timely transitions of care.

Responsibilities include chart reviews, coordination with Social Work and interdisciplinary teams, and ongoing education of staff on resource use and discharge planning.