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CASE MANAGER (RN/LIC)

Aiken Regional Medical Centers
Aiken

Job Description

One of the nations largest and most respected hospital companies, Universal Health Services, Inc. (UHS)* has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the Worlds Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of Americas Top 500 Public Companies.

Our operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.

Headquartered in King of Prussia, PA, UHS has more than 81,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.

Mission Statement: To provide superior quality healthcare services that: PATIENTS recommend to family and friends, PHYSICIANS prefer for their patients, PURCHASERS select for their clients, EMPLOYEES are proud of, and INVESTORS seek for long-term returns.

Aiken Regional Medical Centers

Aiken Regional Medical Centers, located in Aiken, South Carolina, is a 273-bed acute care facility providing quality healthcare to the residents of Aiken and surrounding communities. Aiken Regional Medical Centers has been ranked a top hospital in South Carolina by the Carolina Center for Medical Excellence for its treatment of heart attack, heart failure and pneumonia. Services provided at the hospital include emergency medical care, orthopedic surgeries, maternity, and behavioral health services.

Case Manager

The Case Manager (CM) is accountable for proactive coordination and timely transition of assigned patients to the most appropriate level of care along the health care continuum. This position is responsible for the assessment of patients and families for identification of discharge needs to arrangement of include community resources, durable medical equipment, or post-acute care services such as home health, hospice, or skilled nursing placement, to ensure the optimum use of available resources for the patients recovery and successful healthy living environment. The CM works collaboratively with physicians, nurses, members of the multidisciplinary team, and post-acute care providers in the community. Early intervention of the discharge planning process is essential to ensure the efficient utilization of resources, reduction of opportunity days and costs, while providing quality patient care. This position impacts key results, such as performance in length of stay, cost efficient resource utilization, and prevention of readmissions and unnecessary emergency room visits. Uses discretion, independent judgment, creative thinking and problem solving. Responsible for admission, concurrent and retrospective medical review of all patient populations for documentation of appropriateness of admission and continued stay. This includes the tracking and trending of days saved, avoidable days, and initiation of interventions to reduce and eliminate avoidable days; works in collaboration with interdisciplinary team members internal and external to the organization; participates in process improvement and evaluation process related to the management of patient care and resource utilization.

Qualifications

Diploma or associates degree from an accredited Registered Nursing program. BSN preferred

Minimum of 2 years experience in acute-care hospital or related setting; previous utilization review or case management experience.

Knowledge of private insurance, Medicare criteria for hospitalization, understanding of healthcare financial systems, benchmarking practices; Experience in facilitating change through interdisciplinary collaboration; computer skills.

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Employment Type

Part Time

Schedule

Day Shift

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