RN Care Manager

UNC Health • Kinston, NC

2d • Onsite

About The Position

The RN Care Manager provides comprehensive, coordinated care to patients within UNC Health. The role supports patients through Annual Wellness Visits, chronic care management, and proactive preventive care, helping them pursue long-term health goals and navigate care beyond traditional office visits. The Care Manager uses risk segmentation, patient assessments, patient-centered care plans, interventions, care transitions, delegated work, and payer communication. The position collaborates with healthcare providers, patients, families, and community resources to promote high-quality care and support throughout patients’ healthcare journeys.

The role supports locations in the Lenoir County Market and Wayne County Market, including UNC Family Medicine Complete Care and UNC Complete Care La Grange in the Kinston area, UNC Internal Medicine Medical Office Place at Goldsboro, and UNC Family Medicine at Pikeville. The position is onsite in Kinston and is a full-time, 40-hour-per-week day job.

Requirements

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

Responsibilities

• Conduct comprehensive care manager assessments using standardized tools and nursing knowledge to evaluate patients’ 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 create 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 identify and 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 optimal health outcomes.
• Coordinate and facilitate tasks and interventions that support 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 of care.
• Communicate and collaborate with providers, specialists, and community resources to coordinate care delivery.
• Facilitate multidisciplinary care team meetings to discuss patients’ care plans and progress.
• Coordinate care management tasks with other healthcare team members while maintaining accountability for coordination and management of patients’ 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, as applicable, in compliance with insurance and regulatory requirements.
• Collaborate with billing and coding professionals, as applicable, to meet coding and documentation requirements.
• Act as a key patient contact and advocate within the care team.
• Provide ongoing support and care coordination throughout patients’ healthcare journeys to promote continuity and comprehensive care.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level