Nurse Case Manager

Description:The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not limited to daily review of medical records to determine appropriateness and medical necessity of admission, continued hospital stay and use of ancillary services-facilitating discharge planning-communicating with pts and families -assessments: home situations, identify barriers to discharge early

I.e. Insurance issues

-send to different post-acute care facilities as well as their homes-follow up with pt about discharge plan, plan of care, and other factors that influence-documenting in patients charts-interdisciplinary team rounds: CM leads them, uses a script to review every pt on caseload with physicians-as pt is closer to discharge, setting up services: transport, ambulance/taxi, order DME, etc.-document full discharge planning notes summarizing the plan of care-medicare, insurance requirements-must follow a bunch of regulations: when referring pts to outside facilities must have all information-give them notice of discharge, CM helps facilitateSkills:Case management, Care management, Acute care, Managed care, Rn license, Discharge planning, Epic, Medical, Insurance verification, Prior authorization, Registered Nurse, Medical terminology, Patient care, Telephonic, Data entryTop Skills Details:Case management,Care management,Acute care,Managed care,Rn license,Discharge planning,Epic,Medical,Insurance verification,Prior authorization,Registered NurseAdditional Skills & Qualifications:BSN RequiredActive South Carolina License3+ years of hospital experienceAbout Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.Diversity, Equity & Inclusion At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

Hiring diverse talent

Maintaining an inclusive environment through persistent self-reflection

Building a culture of care, engagement, and recognition with clear outcomes

Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.