Complex Case Manager

ECU Health; Greenville (NC); On-site; USD 66,000 - 96,000; Full time

Job summary

ECU Health Medical Center in North Carolina is seeking a Care Manager to coordinate the plan of care through collaboration with the provider, interdisciplinary team, patient and family.

The role emphasizes optimizing outcomes, improving patient satisfaction, and managing cost of care, with accountability for a designated caseload and efficient resource use. Requires nursing or social work education and 0–3 years in medical case management.

Qualifications

• Education: Associate Degree in Nursing or higher or BS in Social Work or higher is required.
• If a Registered Nurse, current licensure as a Registered Nurse by the NC Board of Nursing is required.
• Experience: 0-3 years of Medical Case Management.

Responsibilities

• Manage, coordinate, and facilitate patient care progression throughout the continuum.
• Completes psychosocial assessments using departmental procedures within required timeframes.
• Works collaboratively with providers, nursing and other health care team members to ensure timely patient management.
• Leads interdisciplinary team in plan of care development and implementation.
• Addresses delays or alterations in the plan of care and resolves problems impeding care delivery.
• Arranges support services to improve outcomes with safe, sustainable plans of care and follow up.
• Assesses health behaviors and cultural influences to identify barriers and adjust care plans.

Skills

Care coordination

Interdisciplinary collaboration

Patient communication

Education

Associate Degree in Nursing

Bachelor of Science in Social Work

RN licensure

Job description

Position Summary

The Care Manager is responsible for coordination of the plan of care through collaboration with the provider, the interdisciplinary team, the patient and family.

The Care Manager facilitates the plan of care with the underlying objective of enhancing the quality of patient care, optimizing clinical outcomes and patient satisfaction while managing the cost of care. In addition, the Care Manager helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements and patient satisfaction).

The Care Manager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of service, promote efficient utilization of resources and ensure a well-organized and safe plan of care is established for every patient.

• Manage, coordinate, and facilitate patient care progression throughout the continuum.
• Completes psychosocial assessments using departmental procedures and within the required timeframes.
• Works collaboratively and maintains active communication with providers, nursing and other members of the health care team to effect timely, appropriate patient management.
• Utilizes critical thinking, assessment findings and clinical skills to lead interdisciplinary team in plan of care development and implementation.
• Identifies delays or alterations in the plan of care and addresses/resolves system (internal and external) problems impeding diagnostic or treatment process to ensure delivery of care in the most appropriate setting.
• Makes the necessary arrangements to facilitate and coordinate support services to significantly improve outcomes, through safe, sustainable plans of care and appropriate follow up.
• Identifies and applies information about patient's health behaviors, cultural influences, and belief or value system. Identifies, addresses, and re-assesses based upon potential barriers to plan and works with healthcare team to address.
• Understands and implements the Care Management role in managing capacity and throughput and progression of care.

Minimum Requirements

Education: Associate Degree in Nursing or higher or Bachelors of Science in Social Work or higher is required.

If a Registered Nurse, current licensure as a Registered Nurse by the NC Board of Nursing is required.

Experience: 0-3 years of Medical Case Management

Pay Range

$65,520 - $95,501

About ECU Health Medical Center

ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides acute and intermediate care, rehabilitation and outpatient health services to a 29-county region that is home to more than 1.4 million people.

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.