Case Manager I

UNC Health Care Systems • Rocky Mount, NC

81d

About The Position

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. UNC Health Nash, an affiliated member of the UNC Health system, invites passionate healthcare professionals to join our esteemed team. Governed locally, we proudly serve a diverse patient base, spanning Nash, Edgecombe, Halifax, Wilson Counties, and beyond. With a steadfast commitment to elevating community health through exceptional care, we prioritize excellence, compassion, and innovation, ensuring every individual receives the highest standard of support. Joining our team means becoming an integral part of our dedication to wellness, where we constantly strive to redefine excellence in healthcare through state-of-the-art facilities and pioneering programs. Join us in this transformative journey, where your contributions will make a lasting impact on our community's health and wellbeing.

Requirements

• Graduation from an accredited college with an Associate's Degree in nursing
• Current license to practice as a RN in North Carolina

Nice To Haves

• Bachelor of Nursing Degree is preferred.
• 0 to 2 years of Hospital Case Management experience

Responsibilities

• Accesses cases to determine most effective and cost-efficient model for care.
• Performs concurrent and retrospective admission and continued stay reviews for private insurance companies, Medicare and Medicaid, in accordance with utilization review guidelines.
• Determines frequency of patient reassessments according to identified needs and input from RN and MD.
• Identifies and reports problematic DRGs, extended stay patients, frequent readmissions or high-risk patients.
• Effectively serves as a patient/family resource and advocate in ensuring that their questions, concerns, and needs are addressed appropriately.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: Associate degree