Job Information
Roper St. Francis RN Case Manager or MSW Case Manager - Float in Charleston, South Carolina
Thank you for considering a career at Roper St. Francis Healthcare!
Scheduled Weekly Hours:
0.01
Work Shift:
Days (United States of America)
Location:
This position will float to the Roper Hospital, Bon Secours St. Francis Hospital, Mt Pleasant Hospital and Berkeley Hospital locations.
Shifts:
This As Needed (PRN) position may include week days or weekends.
Job Summary:
Under the general supervision of the Supervisor and/or Manager, and according to established policies and procedures, 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 Case Manager MSW 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 Case Manager MSW participates in quality improvement and evaluation processes related to management of patient care. Work is of a highly confidential nature.
Essential Job Functions
Performs day to day case management and discharge planning service delivery for patients with complex psychosocial, financial, and legal discharge planning needs aligned with organizational goals for clinical, financial and experience outcomes · Advocates and facilitates patient/family/caregiver centric plans of care based on patient’s needs, preferences and available resources. · Consistently collaborates with multi-disciplinary teams to execute responsibilities including post-acute referrals/discharge planning, crisis intervention, counseling, abuse/neglect, guardianship and psychosocial assessment. · Provides accurate, timely and appropriate documentation of all social work interventions in the medical record per regulatory policies and procedures. · Updates the discharge plan ensuring it is consistent and up to date based on the patients discharge needs, appropriate post-acute level of care, patient/family/caregiver preferences and covered services. · Provides supportive counseling to patients/families about placement options- both for post-acute placements and mental health patients, as appropriate, to include available resources, adoption and guardianship to support a centered realistic discharge plans and realistic expectations. · Ensures mandatory reporting and provision of discharging planning for the patient in cases of suspected abuse or neglect and refers patient cases to the Department of Social Services when applicable. · Collaborates with Financial Services to facilitate obtainment of funding for the acute and post-acute needs.
Routinely engages in social work and transfer planning systems that support patient transitions of care · Highly visible, on site resource and partner to the hospital and available to discuss and problem solve issues related to the transition plan including barriers to a safe and timely transfer. · Refers and facilitates transfer of patients to appropriate placement options and community resources. · Collaborates with Community resources, such as Access Health/Transition Clinic/CIN/Population Health Team to obtain insurance coverage and access to community resource to ensure proper continuum of care. · Maintains working knowledge of capacity and level of care criteria as it relates to transition of care options.
Ensures evidence based quality care delivery through communication with the care team, quality outcome reporting and collaboration in process improvement initiatives. · Collects data variances as outlined by department key performance indicators. · Participates in Process Improvement events and collects data related to process improvement initiatives when applicable. · Remains up to date with continuing education related to population served.
MSW Case Manager Minimum Qualifications :
Education : Master's Degree from an accredited school of Social Work.
Experience : One year of clinical experience in at least one of the following areas: Case Management, Social Work and/or Discharge planning preferred. Preference will be given to those with hospital experience.
Licensure/Certification : Currently licensed by the State Board of Social Work Examiners for S.C.(required). 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.aspx
RN 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 status.
Department:
Case Management - St Francis Hospital
It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all 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 recruitment@RSFH.com .