Thank you for considering a career at Roper St. Francis Healthcare!This position can be filled by either an RN Case Manager or an MSW Case Manager. See below for requirements for each position.Location :Roper HospitalShift/Hours:Monday - Friday, Day shiftJob Summary:Under the general supervision of the Supervisor and/or Manager, and according to established policies and procedures, the MSW or RN Case Manager coordinates, negotiates, and manages the care of patients to facilitate achievement of positive clinical and financial outcomes. Works collaboratively with interdisciplinary staff, internal and external to the organization, to facilitate appropriate delivery of healthcare services. The MSW or RN Case Manager integrates the roles of Case Management and Discharge Planning utilizing a prospective approach for planning the ways in which patient care will be provided, the steps in the care process, and the outcomes of care. This role's objective is to promote a collaborative interdisciplinary care delivery model to achieve optimal clinical, satisfaction, and financial outcomes. The MSW or RN Case Manager participates in quality improvement and evaluation processes related to management of patient care. Work is of a highly confidential nature.MSW Case Manager Minimum Qualifications :Education : Master's Degree from an accredited school of Social Work.Experience : At least 1 year of clinical experience in at least one of the following areas: Case Management, Social Work and/or Discharge planning. Hospital case management experience preferred.Licensure/Certification : Currently licensed by the State Board of Social Work Examiners for S.C. Preference will be given to those with Case Management Certification.Primary Source Verification (if applicable) : Social Worker- Labor, Licensing and Regulation (LLR): http://verify.llronline.com/LicLookup/LookupMain.aspxRN Case Manager Minimum Qualifications :Education: Effective April 9, 2023, Bachelor's degree in Nursing from an accredited college/university required. Teammates hired into this position prior to April 9, 2023, must have an ADN from an accredited school or college of nursing.Experience: At least 1 year of clinical acute care experience as an RN or Case Manager, preferably within the last 5 years. Utilization Review and Case Management experience preferred.Licensure/Certification: Currently licensed as a Registered Nurse in the state of South Carolina or holds a current compact/multi-state license as a Registered Nurse in a recognized NCSBN Compact State and is not a permanent resident of SC. Utilization Review and Case Management certification preferred.Primary Source Verification (if applicable): Nursing - SC Labor, Licensing and Regulation (LLR): http://verify.llronline.com/LicLookup/LookupMain.aspx- or compact RN state licensing board.Knowledge/Skills : Demonstrates knowledge of community resources, government and commercial payer programs benefits and eligibility, and post-acute service regulatory requirements. Demonstrates knowledge of reimbursement systems, the ability to educate patients and families regarding payer requirements / coverage for post-acute care services and the ability to effectively advocate on behalf of the patient to obtain authorizations for continued care as appropriate. Maintains working knowledge of post -transition of care options based on facilities capabilities and funding accepted. Maintains a working relationship with external providers, services, agencies to facilitate the transition of care. Requires high level negotiation skills and confidence in communicating with and engaging in crucial conversations with physicians and entire healthcare team.Other : Requires excellent oral and written communications skills. Ability to work in a fast pace team environment. Ability to prioritize and multi-task. Ability to make sound judgments and act professionally under pressure. Ability to maintain confidentiality of sensitive patient information. Must have ability to solve problems independently, prioritize work and design creative solutions when resources or options for discharge are limited.Roper St. Francis Healthcare is an equal opportunity employer.Many of our opportunities reward your hard work with:
Comprehensive, affordable medical, dental and vision plans
Prescription drug coverage
Flexible spending accounts
Life insurance w/AD&D
Employer contributions to retirement savings plan when eligible
Paid time off
Educational Assistance
And much more
Benefits offerings vary according to employment statusScheduled Weekly Hours:40Work Shift:Days (United States of America)Department:Case Management - Roper HospitalAll applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at [email protected] .