Inpatient Case Manager (Part Time)

North Country Healthcare•Colebrook, NH

58d•Onsite

About The Position

North Country Healthcare (NCH) is a non-profit affiliation of four medical facilities located in the White Mountains Region of New Hampshire. This leading comprehensive healthcare network delivers integrated patient care through community hospitals, specialty clinics, and home health and hospice services. NCH remains committed to the health and well-being of the communities it serves. As a valued team member, this role emphasizes advancing High-Reliability Organization (HRO) principles, embedding a culture of safety, accountability, and consistent high performance. POSITION SUMMARY: Adhering to System Values, Service Excellence, and Standards of Behavior, the Inpatient Case Manager leads comprehensive patient care coordination during hospitalization, ensuring safe, timely, and effective discharge while addressing medical, psychosocial, and financial barriers. This role requires clinical judgment, decision-making, and collaboration with interdisciplinary teams to optimize patient outcomes and continuity of care, especially in resource-limited rural settings.

Requirements

An Associate's degree in Nursing, Social Work, Healthcare Management, or a related field is required, or in lieu of formal education, an additional 4 years of experience in the field is acceptable.
Nurse or Social Worker preferred. Will consider LNA/MA with appropriate experience.
Education requirements are dependent upon credentials held
All employees and contracted staff will have either successful completion of an American Heart Association accredited course in Basic Life Support (BLS), or ACLS and PALS combined. (for clinical staff), Heartsaver CPR AED (for nonclinical staff), and renewal on a regular basis.
Strong critical thinking and problem-solving abilities.
Excellent communication and interpersonal skills.
Ability to navigate rural healthcare resources and address complex discharge challenges.

Nice To Haves

Certification in Case Management (CCM) or equivalent is preferred.

Responsibilities

Perform in-depth assessments of patients’ medical, psychosocial, and financial needs upon admission.
Identify potential barriers to discharge (transportation, home support, insurance, medication access).
Develop individualized care and discharge plans in collaboration with the interdisciplinary team.
Determine appropriate level of care for patients (inpatient, observation, rehabilitation, home health, skilled nursing).
Coordinate with physicians, nurses, therapists, and external providers to ensure cohesive care delivery.
Make recommendations to facilitate safe transitions and prevent readmissions.
Connect patients and families with community resources, financial assistance programs, and post-acute care services.
Advocate for patient needs to ensure access to appropriate services, including rural or hard-to-access facilities.
Participate in utilization review and ensure care aligns with payer and regulatory requirements.
Document all case management activities accurately for compliance and quality reporting.
Educate patients and caregivers on treatment plans, medications, post-discharge instructions, and follow-up care.
Provide coaching to support adherence and self-management of health conditions.
Performs additional duties as assigned.