Utilization Management Case Manager Rn Jobs in Hemingway, SC

Do you have the career opportunities as a Registered Nurse (RN) Case Manager you want with your current employer? We have an exciting opportunity for you to join Grand Strand Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare, and located in sunny Myrtle Beach, South Carolina!

The Registered Nurse (RN) Case Manager collaborates with physicians, nurses, patients, families, and interdisciplinary teams to coordinate care, facilitate discharge planning, and promote efficient utilization of healthcare resources. This role serves as a patient advocate, helping to ensure quality outcomes, seamless transitions of care, and compliance with regulatory requirements.

• You will be responsible for coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management, while developing a safe appropriate discharge plan.
• You will facilitate the progression and transition of care and identify patients who are at risk for adverse outcomes during the transition from one level of care/setting to another.
• You will perform a comprehensive assessment of psychosocial, medical and discharge needs of patients/family, along with an assessment of resources appropriate and available to them. You will reassess the patient's clinical condition as indicated.
• You will be responsible for ensuring the post-acute medical needs and level of care are appropriate, in partnership with Social Services.
• You will evaluate progression of care using evidence-based tools and approved criteria (InterQual) throughout the episode of care; escalating progression and transition of care issues.
• You will make appropriate referrals to third-party payer, disease and case management programs for recurring patients and patients with chronic disease states.
• You will act as a liaison through effective and professional communications between and with physicians, patient / family, hospital staff, and outside agencies. You will serve as an advocate for patient's rights, needs and values.

• Must be a graduate from an accredited school of Nursing: Associate's Degree in Nursing or higher is required. BSN is highly preferred.
• Must be licensed as a Registered Nurse in the state which you practice and/or hold an active Compact/Multi-State RN license.
• 1-3 years of clinical, hospital nursing experience is required.
• 2 years of experience in Case Management is highly preferred.
• Certification in Case Management or Utilization Review is preferred.
• InterQual experience is preferred.

Grand Strand Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Note: Eligibility for benefits may vary by location.

Grand Strand Medical Center has provided quality healthcare services since 1978, giving patient's access to highly-trained physicians and advanced technology. With more than 40 years of pioneering healthcare, our 300+ bed hospital is one of the region's leading acute care facilities. We offer a range of services for our patients - including the only cardiac surgery program, neurosurgery program, pediatric intensive care unit, Level I trauma center with two free-standing emergency departments, advanced wound care center, breast cancer center and Carolina Forest Imaging Center. We are recognized, for the chest pain, knee and hip replacement, sepsis and stroke by the Joint Commission.

At Grand Strand Health, you'll find that caring extends to our patients, our people and our South Carolina community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.