What are the responsibilities and job description for the MSW or RN Case Manager Weekends - Mt Pleasant Hospital position at Roper St. Francis Healthcare?
Thank you for considering a career at Roper St. Francis Healthcare!
Scheduled Weekly Hours:
36
Work Shift:
Days (United States of America)
This position can be filled by either an RN Case Manager or an MSW Case Manager. See below for requirements for each position.
Location:
Mt Pleasant Hospital
Hours:
Sat/Sun/Mon, 7:00 am - 7:30 pm
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
- Identifies and prioritizes patients in need of social services, using a holistic approach inclusive of biopsychosocial, functional, cultural, spiritual, and financial factors. Plans with the patient, caregivers and members of the healthcare team to maximize health care responses, quality and cost-effective outcomes. Monitors and revises the plan as indicated when patient condition changes.
- Completes all necessary documentation. Maintains, clear, concise, and timely documentation in the patient record to reflect the needs of the patients.
- Documentation will reflect plan of care to address post hospital care needs and resources and evidence of patient, family, or caregiver involvement in planning. Ensuring patient’s and caregiver’s treatment goals and preferences are incorporated into the transition of care planning and communicated to the multidisciplinary team.
- Follow standardized practices and process related to Advance Care Planning, Length of Stay management and readmission prevention.
- Supports denial prevention related to medical necessity through addressing / removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds.
- Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment. Ensures resources are utilized appropriately and offering alternatives to acute care to the care team.
- Works in collaboration with revenue cycle partners to help remove barriers to ensure patients are in the appropriate classification as guided by the physician.
- Works in conjunction with patient access to ensure all regulatory letters are delivered to the patient in a timely manner.
- Participates in department clinical outcome projects as well as process improvement initiatives within the care management department.
- Works collaboratively with peers to achieve facility and department goals and daily work as evidenced by appropriate and timely communication which is respectful and clear.
- Shares responsibilities, promoting team-based approach to accomplish work.
- Strong collaborative partnerships with other members of the care team.
- Supports and follows compliance rules and regulation as mandated by CMS and Conditions of Participation for discharge planning and utilization management. Addresses opportunities or potential concerns with leadership.
- Stays abreast of community resources available to facilitate sate patient transitions of care and remains current on clinical advancements related to primary patient population.
- Provides supervision for other social workers and students as appropriate.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
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.
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.
RN Case Manager Minimum Qualifications:
Education: Bachelor's of Science in Nursing required.
Work Experience:
1 year of experience in clinical setting (required)
3 years of experience in an acute care clinical setting (preferred)
Ambulatory or post-acute, care coordination 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.
BLS Basic Life Support – American Heart Association (required)
Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred).
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 - Mt Pleasant 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
.
