RN Care Manager - Cary Hematology Oncology

UNC Health; Cary (NC); Hybrid; USD 49,000 - 71,000; Full time

Job summary

UNC Health Cary Hematology Oncology Clinic is seeking a flexible and caring experienced RN with oncology experience to join as a Care Manager. You will work with clinic providers to navigate care for complex patients, coordinate tasks, and ensure high-quality, patient-centered care within the UNC Health Cancer Care group.

The role emphasizes risk segmentation, patient assessments, individualized care plans, and coordination across care settings with a focus on payer communication and

Qualifications

• Graduation from a state accredited school of professional nursing.
• BSN required or enrolled in accredited program within 4 years and degree within 7 years for Magnet hospital alignment.

Responsibilities

• Conduct comprehensive care manager assessments using standardized tools to evaluate patients' functional status and psychosocial support.
• Collaborate with providers and families to develop individualized, evidence-based care plans.
• Identify barriers to care and develop interventions to address them.
• Coordinate and facilitate necessary tasks and interventions to support care plans.
• Collaborate with providers, community resources, and payers to ensure seamless coordination of care and timely approvals.
• Advocate for patients and participate in quality improvement initiatives.
• Coordinate care transitions across settings to ensure continuity of care.
• Communicate with healthcare teams and payers to optimize reimbursement and services.
• Accurately document and bill for services per regulatory requirements.

Skills

Risk segmentation

Patient assessments

Care plans

Care transitions

Payer communication

Communication

Collaboration

Problem-solving

EHR proficiency

Education

BSN

State-accredited nursing program

Tools

EHR systems

Job description

Description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

The UNC HealthCary Hematology Oncology Clinic is looking for a flexible and caring experienced RN with recent oncology experience to join our team as a Care Manager. This role will work alongside clinic providers to navigate care for complex patients.

The Cary office is part of the UNC Health Cancer Care group, which is a destination for compassionate, patient-centered oncology care using the latest research and medical technology. It is one of five comprehensive cancer care locations conveniently located across Wake County offering comprehensive oncology services. They offer on-site chemotherapy education, social work, lab, and an infusion suite. The clinic is open Monday - Friday from 8:00am - 5:00pm and is closed on all major holidays and weekends.

Summary: The Care Manager RN plays a crucial role in providing comprehensive and coordinated care to patients within UNC Health. This position involves utilizing a variety of skills, including risk segmentation, patient assessments, patient-centered care plans, tasks or interventions, care transitions, delegated work, and payer communication. The Care Manager works collaboratively with healthcare providers, patients, and their families to ensure that patients receive the highest quality of care and support throughout their healthcare journey.

Responsibilities

• 1. Patient Assessments:
• a. Conduct comprehensive care manager assessments utilizing standardized assessment tools and nursing knowledge to evaluate patients' functional abilities, cognitive status, and psychosocial support systems.
• b. Identify any barriers to care and develop appropriate interventions to address them.
• 2. Patient-Centered Care Plans:
• a. Collaborate with providers, patients, their families, and the healthcare team on individualized care plans that align with patients' goals, preferences, and values.
• b. Ensure that care plans are evidence-based, culturally sensitive, and promote patient engagement and self-management.
• 3. Risk Segmentation:
• a. Utilize standardized tools and clinical judgment to identify and assess the risk level of patients based on various factors such as medical conditions, social determinants of health, and behavioral health needs.
• b. Develop strategies to effectively manage and mitigate risks for patients, ensuring their overall well-being and optimal health outcomes.
• 4. Tasks or Interventions: a. Coordinate and facilitate necessary tasks or interventions to support patients' care plans.
• b. Collaborate with healthcare providers, community resources, and support services to ensure seamless coordination of care.
• c. Advocate for patients' needs and rights, ensuring that they receive appropriate and timely interventions. d. Participates in quality improvement initiatives to ensure patient, departmental, and organizational goals/outcomes are met or exceeded.
• 5. Care Transitions: a. Coordinate and facilitate care across various healthcare settings, ensuring seamless transitions and continuity of care.
• b. Communicate and collaborate with healthcare providers, specialists, and community resources to ensure comprehensive and coordinated care delivery.
• c. Facilitate multidisciplinary care team meetings to discuss patients' care plans and progress.
• 6. Coordinated Work:
  a. Coordinate care management tasks with other members of the healthcare team while maintaining accountability for the overall coordination and management of patients' care as applicable per patient population.
• 7. Payer Communication:
  a. Collaborate with payers, insurance companies, and utilization management teams to optimize reimbursement and facilitate timely approvals for necessary care and services.
• 8. Accurately document and bill for services rendered, as applicable, in compliance with insurance and regulatory requirements.
  a. Collaborate with billing and coding professionals, as applicable, to ensure compliance with coding and documentation requirements.
• 9. Longitudinal Care as part of the Medical Home (varies per patient population and care setting):
  a. Act as a key point of contact and advocate for patients within the care team.
• b. Provide ongoing support and care coordination throughout the patient's healthcare journey, ensuring continuity and comprehensiveness of care.

Other Information

Education Requirements

• * Graduation from a state accredited school of professional nursing
• * Magnet hospitals: BSN required or must be enrolled in an accredited program within 4 years of employment and obtain a bachelor's degree with a major in nursing or a master's degree with a major in nursing within 7 years of employment date.

Licensure/Certification Requirements

• * Registered Nurse with a valid license to practice in North Carolina.

Professional Experience Requirements

• * Minimum of 2 years of experience as a registered nurse.

Knowledge/Skills/and Abilities Requirements

• * Strong knowledge of risk segmentation, patient assessments, patient-centered care planning, care transitions, and payer communication.
• * Excellent communication, collaboration, and problem-solving skills.
• * Ability to work independently and as part of a multidisciplinary team.
• * Proficiency in electronic health records (EHR) and other relevant software applications.

Job Details

Legal Employer: NCHEALTH

Entity: UNC REX Healthcare

Organization Unit: Hematology Oncology Clinic Cary

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range:$35.87 - $51.57 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Hybrid

Work Schedule: Day Job

Location of Job: US:NC:Cary

Exempt From Overtime: Exempt: Yes

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.

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.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities.