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RN Case Manager for Utilization Mgmt (PRN) – McLeod Florence

Florence, SC
TRACKING CODE

20214454

JOB DESCRIPTION
  1. Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values.
  2. Coordinates/facilitates patient care progression throughout the continuum of care.
  3. Assures the plan of care and services provided are patient focused, high quality, efficient and cost effective.
  4. Meets directly with patient/family to assess needs and develop an individualized continuing care plan in collaboration with the physician.
  5. Monitors length of stay and ancillary resource use on an ongoing basis and takes actions to achieve continuous improvement in both areas.
  6. Communicates information to the Utilization Management team to aid in appropriate level of care determination and reimbursement by third party payors.
  7. Communicates identified issues affecting quality of care, risk management, patient satisfaction and or physician opportunities to the quality team using the Improve the Process form.
  8. Ensures that all elements critical to the plan of care have been communicated to the patient/family as well as members of the healthcare team.
  9. Ability to cover various populations across the organization, including the Emergency Department.
  10. Performs all other duties as requested by Case Manager Supervisor and/or Director.
REQUIRED SKILLS

Qualifications/Training

  • 1-2 years of recent acute care hospital experience required
  • Data entry/computer experience required
  • Utilization management experience is highly recommended

 

Licenses/Certifications/Registrations/Education

  • Registered Nurse from an NLN accredited school of nursing required
  • Licensed RN to practice within the applicable region of employment and coverage area of responsibility is required
WORK SCHEDULE

PRN

JOB LOCATION

Florence, SC, United States

POSITION TYPE

PRN

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