Case Manager

UNC Health Care; Old Farm (NC); On-site; USD 50,000 - 70,000; Part time

Job summary

A healthcare organization seeks a Case Manager in Old Farm, NC. The professional will coordinate discharge planning and advocate for patient needs, ensuring compliance with regulations. Candidates should have a degree in nursing or social work and certification within five years. The role requires 2-3 years of experience in relevant settings. This is a per diem position with a focus on patient recovery and quality care.

Qualifications

• Obtain Case Manager Certification within 5 years encouraged.
• Two to three years experience in hospital, nursing home, or community agency.
• Certification by American Board of QA/UR or InterQual is needed, Licensed in NC for RN.

Responsibilities

• Coordinate discharge planning and patient teaching.
• Advocate for the patient’s needs and ensure effective care.
• Ensure compliance with Federal, State, and Insurance guidelines.

Skills

Interpersonal skills

Communication skills

Knowledge of regulations

Autonomy

Education

Graduate from an accredited nursing school or Medical Social Worker

Baccalaureate Degree in Human Services

Job description

Overview

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 to 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 positive image of department and hospital. Always helpful, courteous and friendly.

Qualifications

• 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 NC 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.

Legal Employer: Lenoir Health

Entity: UNC Lenoir Health Care
Organization Unit: Care Management

Work Type: Per Diem

Standard Hours Per Week: 8.00

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.