Neurology Services

UNC Health•Chapel Hill, NC

17d•Onsite

About The Position

The RN Care Manager provides comprehensive and coordinated care to patients within UNC Health. The role uses risk segmentation, patient assessments, patient-centered care plans, interventions, care transitions, coordinated work, and payer communication. The Care Manager collaborates with healthcare providers, patients, families, and community resources to support high-quality care throughout patients’ healthcare journeys. The position is onsite at UNC Medical Center in Chapel Hill, North Carolina, with a day schedule of 40 hours per week. Flexible schedule options are available; the role includes weekend and holiday rotations, but no nights or on-call duties.

Requirements

Minimum of 2 years of experience as a registered nurse.
Registered Nurse with a valid license to practice in North Carolina.
Graduation from a state-accredited school of professional nursing.
At Magnet hospitals, a BSN is required, or the employee must enroll 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.
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.

Nice To Haves

Adult acute care RN experience is preferred.
Interest in driving the discharge process.
Enjoys advocating for patient needs and care progression.
Thrives in a team environment.
Interest in learning to become a Care Manager or continuing a Care Manager career.

Responsibilities

Conduct comprehensive care manager assessments using standardized tools and nursing knowledge to evaluate functional abilities, cognitive status, and psychosocial support systems.
Identify barriers to care and develop appropriate interventions.
Collaborate with providers, patients, families, and the healthcare team to develop individualized care plans aligned with patients’ goals, preferences, and values.
Ensure care plans are evidence-based, culturally sensitive, and promote patient engagement and self-management.
Use standardized tools and clinical judgment to assess patient risk based on medical conditions, social determinants of health, and behavioral health needs.
Develop strategies to manage and mitigate patient risks and support well-being and health outcomes.
Coordinate and facilitate tasks and interventions supporting patients’ care plans.
Collaborate with healthcare providers, community resources, and support services to coordinate care.
Advocate for patients’ needs and rights and ensure appropriate, timely interventions.
Participate in quality improvement initiatives to meet or exceed patient, departmental, and organizational goals and outcomes.
Coordinate care across healthcare settings to support seamless transitions and continuity.
Communicate and collaborate with healthcare providers, specialists, and community resources to coordinate care delivery.
Facilitate multidisciplinary care team meetings to discuss patient care plans and progress.
Coordinate care management tasks with other healthcare team members while remaining accountable for overall coordination and management of care as applicable to the patient population.
Collaborate with payers, insurance companies, and utilization management teams to optimize reimbursement and facilitate timely approvals for necessary care and services.
Accurately document and bill for services rendered, as applicable, in compliance with insurance and regulatory requirements.
Collaborate with billing and coding professionals, as applicable, to comply with coding and documentation requirements.
Serve as a key point of contact and advocate for patients within the care team, as applicable to the patient population and care setting.
Provide ongoing support and care coordination throughout patients’ healthcare journeys to ensure continuity and comprehensiveness of care.