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RN CASE MANAGER IN-PATIENT - UTILIZATION REVIEW

Conway Medical Center
Conway

Job Description

The RN-Case Manger (RN-CM) will participate in the coordination of care and service of a patient population across a continuum of care. Perform and coordinate the initial assessments and ongoing reassessments of the patient's status, document patient case information within a database system, and perform chart review/audits monthly or as needed. The RN-CM will participate in monthly case conferences by providing information pertinent to patients needs/goals as well as partner with the Program Director in development and review of the patient's individualized coordination of care plan. The RN-CM will ensure that the patient's medical needs are addressed; consult with the patient's physicians as needed, coordinating plans of treatment, and advocating for the patient when necessary. Identify and assist patient in accessing entitlements, resources, information, and referrals for psychosocial needs. Empower patients in decision making for care planning. Maintain accurate and timely patient information, which readily accessible for review and meet all requirements; assist in data collection for reporting/funding sources. The RN-CM may work in other areas of Case Management as needed and must be willing to report back to work during any emergency situation, this includes if needed during inclement weather, mass casualty, internal disaster, etc. The RN-CM will complete other duties as assigned.

Education:
Associates degree (AS) in Nursing required.
Bachelors degree (BS) in Nursing preferred.
Experience:
Minimum of two years current experience in nursing practice required.
Previous experience with reimbursement and pre-certification practice preferred.
Previous specific experience as a RN case manager in an acute care setting preferred.
Licensure/Certification/Registration:
Current licensure as a Registered Nurse in the State of South Carolina in good standing (SCLLR)
BLS Certification Required.
Special Skills:
Ability to work effectively and collaboratively with nursing colleagues, physicians, department heads, and members of executive leadership
Exemplary core customer service skills strongly required.
Strong organizational skills.
Strong PC skills required.
Strong verbal and written communication skills required.
Ability to remain calm and professional in high stress all situations required.
Ability to consistently exercise independent judgement required.
Working Conditions:
Occasional exposure to irrational patients.
Potential exposure to blood borne and airborne pathogens.
Stress level high due to multiple demands frequently occurring simultaneously.
Physical surroundings general pleasant and comfortable.
Most work performed while sitting, however, a moderate amount of walking and moving around within a confined area occurs.
Physical Requirements:

Light-Medium - While performing the duties of this job, the employee is frequently (activity or condition exists from 1/3 to 2/3 of the time) required to stand, sit, and walk; frequently to use hands, fingers; and frequently to talk or hear. The employee must exert 15 to 20 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or 5 to 10 pounds of force frequently, and/or greater than negligible up to 5 pounds of force constantly to move objects. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Ability to hear to process instructions and safety code and alarms required. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job and will be assessed by post offer Employee Health fit-for-duty review.

Employment Type

Full Time

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