The HCM leads the team for each patient individually with the goal to maximize autonomy where possible.Essential Functions.
In lieu of the BSN requirement above, a nursing diploma or an Associate degree in Nursing may be considered if the applicant signs a BSN Memorandum of Understanding (MOU) agreeing to enroll in an accredited BSN or MSN program within one year and obtain a BSN or MSN degree within (4) four years of hire date.
In lieu of the BSN requirement above, a nursing diploma or an Associate degree in Nursing may be considered if the applicant signs a BSN Memorandum of Understanding (MOU) agreeing to enroll in an accredited BSN or MSN program within one year and obtain a BSN or MSN degree within (4) four years of hire date. Integral care team partner that focuses on patient engagement and activation, has primary accountability for patients'' care transition out of the acute care setting and positively impacts longitudinal care plan alignment.
li>Based on assessment and in conjunction with patient/family, Provider and other healthcare team members, participates in the development of an initial Plan of Care and Self-Management Plan that highlight actual and potential opportunities for improving clinical outcomes and/or utilization patterns and decreasing gaps in care.
As of July 1, 2018, incumbents without a BSN or MSN will have a grace period of one (1) year to enroll in an accredited BSN or MSN program and four (4) years to obtain a BSN or MSN from an accredited program.
Charleston, SC30+ days ago
This role utilizes a collaborative process; the RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individuals health and health related needs, including social- determinants that affect ones overall wellbeing. 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).
Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Communicates information to the Utilization Management or Case Management team to aid in appropriate level of care determination and reimbursement by third party payors as well as working closely with Physician Advisory team on concurrent denials to ensure most appropriate level of care prior to billing. Case Manager examines records for medical treatments and interventions to avoid payment denial resulting in optimization in reimbursement by assessing appropriateness of treatments, effectiveness, timing, and setting.
p>Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. This role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual's health and health related needs, including social- determinants that affect ones' overall wellbeing.
Charleston, South Carolina9 days ago
p>Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. This role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual’s health and health related needs, including social- determinants that affect ones’ overall wellbeing.
Florence, South Carolina11 days ago
p>Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Here at Monogram, we strive to change that narrative by putting our patients and their quality of life at the forefront of what we do.â¯Monogram Health is a leading multispecialty provider of in-home, evidence-based care and benefit management services for the most complex of patients who have multiple chronic conditions.
Columbia, South Carolina30+ days ago
li>Develops partnerships with post-acute care facilities and other providers participating with inVio Health Network and other post-acute facilities as needed, Community Resources, and Prisma Health Hospital and Physician Leadership with a focus on alignment of clinical, operational, and business activities related to these partnerships through in-depth understanding of level-of-care environments.
Develops and utilizes systems to continuously audit, evaluate, and report post-acute composition, performance, and quality improvement to the inVio Health Network Leadership and Committees, Department of Medicine, Mobile Integrated Health, Hospital Care Management, Geriatrics Department, and other appropriate stakeholders utilizing written and verbal articulation of objectives, roles, and initiative outcomes utilizing appropriate data sources.
Laurens, South Carolina30+ days ago
Activities include but are not limited to staff allocation and scheduling; patient assignments; rounds; investigation/resolution of patient care issues; coordination of admissions, discharges, and transfers; ensuring appropriate transitions of care between shifts; and interdepartmental coordination.
Florence, South Carolina4 days ago
Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. Working with a dedicated team of physicians and clinicians, you'll manage care plans that support recovery and help patients get back to the life they love.
As a Home Health Registered Nurse, you will:
- Provide skilled nursing care to patients, working onsite in their homes, including administering medications, performing wound care, and conducting patient assessments.
p>We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. The Nurse Case Manager will be required to travel to patients’ homes, long-term care facilities, etc. to evaluate patients and initiate telemedicine visits.
Greenville, South Carolina4 days ago
div>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) . This role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services to meet an individual’s health and health related needs, including social- determinants that affect ones’ overall wellbeing.
Columbia, South Carolina5 days ago
p style="margin:0px">Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers’ Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning.
PruittHealth - Conway LLC'',''2379 Cypress Circle'','''',''Conway'',''29526'','''','''',''false'',''731803'',''731803'',''true'',''731803'',''false'',''Submission for the position: Register Nurse - Unit Manager - (Job Number: 2605677)'',''false'',''731803'',''false'',''true''. At PruittHealth, we are searching for nurses who are committed to serving our residents with care and compassion, and in return, we are committed to supporting your nursing career through annual merit increases, career growth programs, preceptorship, and more.
li>Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client's appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate. Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care.
Rock Hill, SC30+ days ago
Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient's healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram health takes a comprehensive and personalized approach to a person's health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.
p>Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient's healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram health takes a comprehensive and personalized approach to a person's health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.
Bennettsville, South Carolina13 days ago
li>Nurturing Direct Care: As an RN Case Manager, you're not just coordinating care – you're a source of comfort and support for patients, ensuring their comfort and quality of life remain paramount. At Crescent Hospice, we look for dedicated professionals who share our belief that true hospice care extends beyond medical needs—it’s about bringing dignity, peace, and human connection to every life we touch.
North Charleston, South Carolina30+ days ago
li>Primarily responsible for the coordination of care among IDG members and other healthcare providers external to the IDG, to ensure the continuous assessment of the patient/family needs, as well as the implementation of the IDG plan of care to guide the delivery of services and achieve the goals of hospice care. Completes an initial/comprehensive assessment of the patient/family to determine hospice needs which includes a history of current and previous illness(es), as well as a physical assessment of the patient, with emphasis on the management of pain and other symptoms.
North Charleston, SC30+ days ago
li>Primarily responsible for the coordination of care among IDG members and other healthcare providers external to the IDG, to ensure the continuous assessment of the patient/family needs, as well as the implementation of the IDG plan of care to guide the delivery of services and achieve the goals of hospice care. Completes an initial/comprehensive assessment of the patient/family to determine hospice needs which includes a history of current and previous illness(es), as well as a physical assessment of the patient, with emphasis on the management of pain and other symptoms.
Greenville, SC30+ days ago
p>In Lieu Of In lieu of the BSN requirement above, a nursing diploma or an Associates Degree in Nursing may be considered if the applicant signs a Memorandum of Understanding agreeing to enroll in an accredited BSN or MSN program within one year and obtain a BSN or MSN degree within four years. Activities include but are not limited to staff allocation and scheduling; patient assignments; rounds; investigation/resolution of patient care issues; coordination of admissions, discharges, and transfers; ensuring appropriate transitions of care between shifts; and interdepartmental coordination.
In this role as an RN Concierge Care Manager, you will provide care management services to more than 2 million members in South Carolina and nationally, administer complex, high-touch concierge case management for members identified into specialized programs such as high-risk maternity, NICU, ESRD, Cancer, Palliative Care or Behavioral Health, identify risks and provides outreach services to facilitate the coordination of healthcare services and gap closure, and provide individualized care plans to ensure cost-effectiveness, overall care satisfaction, and improved quality of life. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.
Greenville, SC18 days ago
Activities include but are not limited to staff allocation and scheduling; patient assignments; rounds; investigation/resolution of patient care issues; coordination of admissions, discharges, and transfers; ensuring appropriate transitions of care between shifts; and interdepartmental coordination. - In lieu of the BSN requirement above, a nursing diploma or an Associate's Degree in Nursing may be considered if the applicant signs a Memorandum of Understanding agreeing to enroll in an accredited BSN or MSN program within one year and obtain a BSN or MSN degree within four years.
p>The Afterhours Care Manager RN is responsible for assessing and coordinating patient and family needs during after-hours shifts and maintaining primary clinical oversight for assigned patients. Provide direct in-person patient care during on-call, weekend, and after-hours shifts, including assessments, admissions, routine visits, death visits, and live discharges.
Hartsville, South Carolina3 days ago
li>Nurturing Direct Care: As an RN Case Manager, you're not just coordinating care – you're a source of comfort and support for patients, ensuring their comfort and quality of life remain paramount. At Crescent Hospice, we look for dedicated professionals who share our belief that true hospice care extends beyond medical needs—it’s about bringing dignity, peace, and human connection to every life we touch.
Sumter, South Carolina23 days ago
li>Nurturing Direct Care: As an RN Case Manager, you're not just coordinating care – you're a source of comfort and support for patients, ensuring their comfort and quality of life remain paramount. At Crescent Hospice, we look for dedicated professionals who share our belief that true hospice care extends beyond medical needs—it’s about bringing dignity, peace, and human connection to every life we touch.
Work At Home, SC24 days ago
Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client's appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate. Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care.
Greenville, South Carolina30+ days ago
The Hospital Case Manager (HCM) provides case management service for hospital patients, including, but not limited to, utilization management to ensure efficient, cost-effective patient progression through the continuum of care and discharge to an appropriate level of care. In lieu of the BSN requirement above, a nursing diploma or an Associate degree in Nursing may be considered if the applicant signs a BSN Memorandum of Understanding (MOU) agreeing to enroll in an accredited BSN or MSN program within one year and obtain a BSN or MSN degree within (4) four years of hire date.
Aiken, South Carolina10 days ago
During the visits, the RN-Case Managers do physical assessments including vitals, ensure home safety with medical equipment and supplies, fill weekly medication planners and oversee skilled and non-skilled caregivers providing care in the client's home. The senior case manager, or similarly qualified alternate, shall be available at all times during operating hours and participate in all activities relevant to the professional services furnished, including the development of qualifications and the assignment of personnel.
PruittHealth @ Home - Aiken'',''30 Physician Drive'','''',''Aiken'',''29801'','''','''',''false'',''731640'',''731640'',''true'',''731640'',''false'',''Submission for the position: Registered Nurse RN Clinical Manager Home Health - (Job Number: 2605623)'',''false'',''731640'',''false'',''true''. ''731640'',''true'',''731640'',''false'',''Submission for the position: Registered Nurse RN Clinical Manager Home Health - (Job Number: 2605623)'',''false'',''731640'',''false'',''true'',''Registered Nurse RN Clinical Manager Home Health'',''2605623'',''!*!
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.