Case Manager

UNC Health; Kinston (NC); On-site; USD 60,000 - 80,000; Full time

Job summary

UNC Health is hiring a Case Manager in Kinston, North Carolina. This position requires coordinating discharge planning and ensuring a successful transition for patients. The ideal candidate will have experience in healthcare settings, appropriate certifications, and strong communication skills. Responsibilities include working with patients and healthcare teams to create effective care plans. This full-time role offers an onsite work schedule and aims to improve patient care within a supportive healthcare environment.

Qualifications

• Two-Three years experience in hospital, nursing home, or community agency.
• Certification by American Board of QA/UR or InterQual, Certification in Social Work, Licensed in N.C. for RN.

Responsibilities

• Coordinate discharge planning and patient teaching for successful discharge.
• Advocate for patient needs and ensure quality, cost-effective care.

Skills

InterQual ISD-A criteria

Good interpersonal and communication skills

Understanding of patient care needs

Knowledge of State and Federal Regulations

Education

Graduate from an accredited school of nursing or Medical Social Worker

Baccalaureate Degree in Human Services accepted

Obtain Case Manager Certification within 5 years encouraged

Job description

Description

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

Summary

• The Case Manager Coordinates discharge planning, patient teaching and other associated activities for successful discharge community/home re-entry or to nursing facilities. In inpatient rehabilitation, medical case management involves coordinating a patient’s care, ensuring access to resources, and supporting their recovery journey. Completes, monitors and assures compliance with Federal, State and Third-Party Insurance guidelines. This includes working with the healthcare team to develop and implement a rehabilitation plan, monitoring the patient’s progress, and assisting with discharge planning. Case managers also advocate for the patient’s needs and ensure quality, cost‑effective care.

Responsibilities

• Patients/families, physicians, community agencies, business associates & staff. Conducts interpersonal relationships designed to project a positive image of the department and hospital. Always helpful, courteous and friendly.

Other Information

• Education
  • Graduate from an accredited school of nursing or Medical Social Worker. Baccalaureate Degree in Human Services area accepted. Obtain Case Manager Certification within 5 years encouraged.
• Experience
  • Two-Three years experience in hospital, nursing home, or community agency.
• Licensure / Registration / Certification
  • Certification by American Board of QA/UR or InterQual, Certification in Social Work, Licensed in N.C. for RN
• Other Skills and Qualifications
  • Possess knowledge skills of InterQual ISD-A criteria. Good interpersonal and communication skills. Demonstrates understanding of patient care needs according to developmental stages for various age groups. Knowledge of State and Federal Regulations regarding admission/reimbursement of Medicare/Medicaid/all other payor sources. Reading and mathematics. Must be able to work autonomously.
• Work Environment
  • Exposure to Airborne and Bloodborne Pathogens, Exposure to electrical hazards (equipment use)
• Physical Requirements
  • Standing, Walking, Sitting, Reaching, Talking, Seeing, Hearing, Tasting, Smelling, Carrying, Pushing, Pulling, Lifting, and Moving.

Job Details

• Legal Employer: Lenoir Health
• Entity: UNC Lenoir Health Care
• Organization Unit: Care Management
• Work Type: Full Time
• Standard Hours Per Week: 40.00
• Work Assignment Type: Onsite
• Work Schedule: Day Job
• Location of Job: LENOIR MEM
• Exempt From Overtime: Exempt: No
• Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.