Tenet South Carolina is seeking a Registered Nurse (RN) Case Manager, Clinical Support Specialist for a nursing job in Rock Hill, South Carolina.
Job Description & Requirements\n
The Case Manager is responsible for coordinating patient care activities to conform to evidence-based practice and/or regulatory/payor requirements. The individual’s responsibilities will include, but not be limited to the following activities: a) medical necessity screening b) care coordination c) discharge planning d) facilitating multi-disciplinary patient care conferences e) managing concurrent disputes f) making the appropriate referrals to other departments (e.g., nutrition, PT/OT/ST) g) referring complex social issues to Social Service h ) communicating with patients and their families about plan of care i) collaborating with physicians, office staff and ancillary departments (e.g., lab, pharmacy) j) participating in weekly Complex Case Review k) arranging for post –discharge patient education l) clear, complete and concise documentation in eCCM m) maintaining accuracy of patient demographic and insurance information n) identifying and documenting potentially avoidable days o) identifying and reporting over and under utilization.
Tenet South Carolina Job ID #2503036712. Posted job title: Registered Nurse (RN) Case Manager
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