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Roper St. Francis Healthcare

Not-for-profit health system with hospitals

Registered Nurse

Case Management & AdvocacyConfirmed live in the last 24 hours
Part-timeCharleston, SC, USANo salary listed

About the Job

Requirements

  • A Bachelor of Social Work is required for the social-worker care-manager role.
  • A master’s degree in social work or a healthcare-related field is preferred for the social-worker care-manager role.
  • A Bachelor of Science in Nursing is required for the RN Care Manager role at Roper St. Francis Healthcare and preferred for the stated BSMH designation.
  • A valid social-work license in the state of practice is required for the social-worker care-manager role.
  • An RN license in the state of work or coverage by a compact license is required for the RN Care Manager role.
  • Basic Life Support certification from the American Heart Association is required.
  • At least 1 year of clinical-setting experience is required.
  • Accredited Case Manager certification, Certified Case Manager certification, or American Nurses Credentialing Center nursing case-management board certification is preferred as applicable to the role.
  • At least 3 years of acute-care clinical-setting experience is preferred.
  • Ambulatory or post-acute care-coordination experience is preferred.
  • Ability to prioritize simultaneous demands and tolerate frequent interruptions.
  • Attention to detail and critical thinking.
  • Communication with family members, conflict resolution, active listening, relationship building, problem solving, and teamwork.
  • Knowledge of social work, care management, ethics, end-of-life ethics, patient advocacy, clinical supervision, and Microsoft Office for the social-worker care-manager role.
  • Knowledge of care management, discharge planning, patient advocacy, care planning, care coordination, data analysis, reimbursement methodologies, staffing workflow and bed allocation, clinical practice, tracking, local and state resources, and government and non-government payer practices, regulations, standards, and reimbursement for the RN Care Manager role.
  • Ability to use collaboration, facilitation, and knowledge sharing in care-management work.

Responsibilities

  • Identify and prioritize patients needing social services or care-management services using biopsychosocial, functional, cultural, spiritual, and financial factors; plan with patients, caregivers, and the healthcare team to maximize health-care responses, quality, and cost-effective outcomes; monitor and revise plans when patient conditions change.
  • Complete necessary documentation and maintain clear, concise, and timely patient records reflecting patient needs.
  • Document post-hospital care plans, resources, and patient, family, or caregiver involvement; incorporate treatment goals and preferences into transition planning and communicate them to the multidisciplinary team.
  • Use handovers at changes in level of care, staff changes, and care transitions for the RN Care Manager role.
  • Follow standardized practices for advance-care planning, length-of-stay management, and readmission prevention.
  • Prevent denials related to medical necessity by addressing barriers to progression of care and participating in interdisciplinary discharge rounds.
  • Promote proactive patient care by removing barriers to timely testing and treatment, ensuring appropriate resource use, and offering alternatives to acute care to the care team.
  • Collaborate with revenue-cycle partners to remove barriers and ensure patients receive the appropriate classification as guided by the physician.
  • Work with patient access to ensure regulatory letters are delivered to patients on time.
  • Participate in departmental clinical-outcome projects and care-management process-improvement initiatives.
  • Collaborate with peers and other care-team members to achieve facility and department goals and complete daily work through respectful, clear, and timely communication.
  • Share responsibilities and use a team-based approach to accomplish work.
  • Follow CMS and Conditions of Participation requirements for discharge planning and utilization management, and raise opportunities or concerns with leadership.
  • Stay current on community resources that facilitate safe patient transitions and on clinical advancements relevant to the primary patient population.
  • Provide clinical supervision to peers, social workers, and students as appropriate in the social-worker care-manager role.
  • Provide care appropriate to the ages of patients served, from neonates through geriatrics, and assess patient status and needs in accordance with departmental policies and procedures.
  • Travel by car to off-site locations as required, occasionally in adverse weather conditions.

Desired Qualifications

  • Case-management experience is beneficial.
  • A master’s degree in social work or a healthcare-related field is preferred for the social-worker care-manager role.
  • Accredited Case Manager certification or Certified Case Manager certification is preferred for the social-worker care-manager role.
  • Accredited Case Manager certification, Certified Case Manager certification, or American Nurses Credentialing Center nursing case-management board certification is preferred for the RN Care Manager role.
  • At least 3 years of acute-care clinical-setting experience is preferred.
  • Ambulatory or post-acute care-coordination experience is preferred.
  • A Bachelor of Science in Nursing is preferred for the stated BSMH designation.

About the Company

Roper St. Francis Healthcare

Not-for-profit health system with hospitals

Roper St. Francis Healthcare is a not-for-profit health system in the Charleston Lowcountry with hospitals, facilities, and a physician network that delivers medical care across the region. Patients access care through its hospitals and more than 200 physicians, with services coordinated across inpatient and outpatient settings. The system is distinguished by its not-for-profit status, size as Charleston’s largest private employer, and a record of national accreditations and high patient and physician satisfaction. Its goal is to provide high-quality, accessible health care to the Lowcountry and to improve community health outcomes.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Charleston, SC
Founded
1829

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