RN Case Manager: Utilization & Discharge Lead

Universal Health Services; South Carolina; On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Sign On Bonuses

Unlimited Employee Referral Bonus

Generous Paid Time Off

Medical, Dental, Vision Plans

Tuition/Certification Reimbursement

401(K) with company match

Job summary

Universal Health Services is seeking a Case Manager (RN) at Aiken Regional Medical Centers in South Carolina. The role focuses on admission and discharge planning, coordinating with a multidisciplinary team, and ensuring appropriate utilization of hospital days.

Required is a RN license (SC or Compact) with a minimum of 3 years in an acute-care setting; BSN is preferred. Strong communication with payers and proficiency in health care finance are essential.

Qualifications

• Diploma or an associate degree from an accredited RN program.
• BSN preferred by the employer.

Responsibilities

• Performs admission, concurrent and retrospective reviews to determine appropriateness of admission and continued stay.
• Collaborates with payers to reduce denial risks and manage cases from admission to discharge.
• Manages LOS and resource utilization with the floor team and case management partners.
• Conducts discharge planning to ensure timely transitions of care and appropriate post-discharge needs.
• Educates medical staff on utilization of hospital days and avoids unnecessary delays.

Education

Diploma or Associate degree in Registered Nursing

BSN preferred

Job description

Universal Health Services is seeking a Case Manager (RN) at Aiken Regional Medical Centers in South Carolina. The role focuses on admission and discharge planning, coordinating with a multidisciplinary team, and ensuring appropriate utilization of hospital days.

Required is a RN license (SC or Compact) with a minimum of 3 years in an acute-care setting; BSN is preferred. Strong communication with payers and proficiency in health care finance are essential.