Roper St Francis Healthcare Hiring for RN Care Manager at Saint Andrews, SC Full Time

Provided telephonic and direct contact care management/coordination services and focused disease education to the community at large or contracted high-risk populations. Contracted populations can include members of the following groups: Medicare Advantage Plans, Physician Provider Networks, an Employer Plans Goal is to promote quality coordinated cost-effective outcomes for an assigned caseload. Performs telephonic care coordination and on-going clinical and psychosocial assessments to identify needs and monitors client progress. Assessments, health education and chronic disease management may be telephonically, by direct contact within Clinically Integrated Network partner’s offices, on within the home setting of patients. Individualized plans of care are developed to facilitate self-monitoring and self-management skills of a health conditions and improve function and quality of life form members. Care Managers will be an advocate for appropriate resources available in the community, and across the continuum of care to best meet the needs of the client. This role will interact with all levels of personnel, medial staff, patients, community resources, providers and families

Minimum Qualifications

Education: Bachelor of Science in Nursing required. Master’s degree in nursing or relevant field such as an MBA or MHA preferred. Candidates with a national certification in case management field will be given preference.

Experience : Two or more years of nursing related care experience and/or home care experience combined. Experience may include case management/discharge planning in one of the following settings: Acute care, Home Care, Long-term care, Physician Office, or a Managed Care company.

Licensure/Certification: Must be 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. Must provide copy of national certifications if applicable. Must have a valid Driver’s License and good driving record. Must have a current American Heart Association BLS for Healthcare Provider Card.

Primary Source Verification (if applicable): RN (if applicable) Nursing- SC Labor, Licensing and Regulation (LLR): http://verify.llronline.com/LicLookup/LookupMain.aspx- or compact RN state licensing board.

Knowledge/Skills: Adheres to the CMSA Standards of Practice for Case Management. Knowledge of care management concept along the continuum. Knowledge of Medicare benefits. Ability to successfully articulate the process of attaining goals and outcomes of care management. Ability to apply clinical knowledge in a care management role. Understand and complies with regulations and recommendations of outside regulatory bodies with regard to providing case management services. Excellent verbal and written communications skills. Ability to engage and collaboration with the patients and significant others in the care management process. Knowledge of HIPAA and the ability to apply during the care management process. Demonstrates ability to prioritize activities on a daily basis and adapt effectively to changing priorities. Ability to care mange diverse populations without applying one’s own personal values. Ability to work with minimal supervision within nursing scope of practice. Ability to think critically and analytically and work with minimal supervision. Clinical knowledge and ability to educate clients of all ages about the following core disease management issues including but not limited to Diabetes, CAD, Asthma, COPD, and renal disease required.

C ontacts : Senior Leadership for Clinically Integrate Network leadership, RSF Physician Partners, external client partners, Service Line Directors, Physician Service line leaders and Staff, Medical Staff Leadership, Quality Nurse Specialists, Health Information Management, Compliance, Accrediting and Regulatory Agencies