Care Manager
1 day ago
Summary:
The RN Care Manager addresses the needs of the population served by assessing, planning, implementing, coordinating, monitoring, and evaluating the options and services required and using communication and available resources to promote quality, cost-effective health outcomes. Ensures the coordination and continuity of health care for patients as they transition from one facility to another settings. Works within the Registered Nurse's scope of practice, and in concert with the Primary Care Provider, patient, caregivers, family members, other members of the Care Management Team, and the community to coordinate a full continuum of health care services considering the holistic needs of the member, inclusive of unique social and cultural dynamics. Supervises and manages care teams.
Minimum Qualifications (Degrees/Certificates)Associate degree or better from an accredited School of Nursing with an unrestricted license to practice nursing in NCCertified Case Manager (CCM) Preferred
Knowledge, Skills, and Abilities:
- Excellent and effective written and oral communication skills.
- Proficiency in Microsoft Office Outlook, Word, Excel, PowerPoint use, and e‐mail communication.
- Ability to communicate clearly and succinctly.
- Dependable, manages time well; efficient and organized.
- Ability to produce accurate work; ability to perform multiple tasks in a proficient and timely manner.
- Demonstrate good supervisory and management skills.
Supervisory Responsibilities: Oversight of Care Management Team.
Essential Functions:
- Oversight of Care Management services and activities based on care management standards of practice for enrolled populations.
- Develop, review, and Complete comprehensive assessments that are patient-centered and consider the total individual, inclusive of medical, biopsychosocial, behavioral, spiritual, and cultural needs of the enrolled population, throughout the continuum of care to improve their health outcomes.
- Work with patients/caregivers, to identify and address behavioral, social, cultural, and environmental strengths and barriers as it relates to his/her diagnosis, treatment, and access to care.
- Implement Care Management interventions, set goals, and develop the plan of care based on transitional care discharge plans/instructions, the comprehensive assessment, and patients’ goals.
- Implement patient-centered plans using therapeutic skills and techniques such as trauma-informed care, motivational interviewing, strengths-based, and solution-focused modalities.
- Facilitate and provide education to patients/families about clinical diagnosis, medications, available resources, prevention, and risk factors to achieve optimal self-management.
- Monitor the quality and effectiveness of interventions for the enrolled populations by setting patient-centered SMART goals in collaboration with the patients’ and families’ identified goals.
- Delegates tasks and referrals to members of the care management team appropriately, accurately, and timely according to established workflows.
- Serve as an advocate and liaison among the patient/family, community services, primary providers, specialists, and other care team members to coordinate services.
- Work collaboratively with multi-disciplinary team members to facilitate the achievement of desired health outcomes.
- Maintain appropriate and timely documentation in the Care Management documentation platform, in accordance with organizational policies and procedures.
- Engage and maintain collaborative relationships with community provider agencies that promote quality care and cost-effective health care utilization.
- Adhere to NCCHCA privacy and security policies to ensure that patient and network data are properly safeguarded
- Abide by department guidelines, company policies, and HIPAA regulations.
- Attend departmental and corporate meetings, local and regional trainings, or other events as required
- Willingly performs other duties as assigned.
- Will perform home visits as required by clinical judgment, patient needs, and policies and procedures.
- Support organizational goals and objectives in meeting performance improvement targets for various initiatives, programs, and standards of care.
- Review, data analysis that supports care management, standardized plans of care expectations, and team development, to ensure organizational and team goals are met.
- Manage and supervise team members to ensure work is done timely and accurately. All staff work at the top of their license/certification.
Physical Demands:
- The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
- While performing the duties of this job, the employee is regularly required to, stand, sit, talk, hear, and use hands and fingers to operate a computer and telephone keyboard, reach, stoop, and kneel.
- Specific vision abilities required by this job include close vision requirements due to computer work and distant vision requirements.
- Light to moderate lifting is required.
- Ability to uphold the stress of traveling.
- Regular, predictable attendance is required.
Work Environment:
- The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
- Moderate noise (i.e., business office with computers, phones, and printers, light traffic)
- Ability to work in a confined area.
- May work remotely as defined by the health center or NCCHCA policy.
- Ability to sit at a computer terminal for an extended period or drive distances.
- Must have an operational automobile and current active NC driver’s license and auto insurance.
-
Care Management Assistant
1 month ago
Raleigh, United States UNC Health Care Full timeDescription 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. Summary: The Care Management Assistant position supports care managers, utilization managers, and social workers by performing a variety of responsibilities related to patient care...
-
RN Care Manager
4 weeks ago
Raleigh, North Carolina, United States UNC Health Care Full timeJob SummaryThe RN Care Manager will provide ongoing support and expertise through comprehensive assessment, planning, implementation, and evaluation of individual patient needs. The overall goal of this position is to enhance the quality of patient management and satisfaction, promote continuity of care, and cost-effectiveness through the integrating...
-
Care Management Assistant
4 weeks ago
Raleigh, North Carolina, United States UNC Health Care Full timeCare Management Assistant Job SummaryThe Care Management Assistant plays a vital role in supporting care managers, utilization managers, and social workers in delivering high-quality patient care services. This position requires strong organizational skills, excellent communication, and the ability to prioritize tasks effectively.Key Responsibilities:...
-
RN Care Manager
4 months ago
Raleigh, United States UNC Health Care Full timeDescription UNC Health Alliance is UNC Health’s statewide clinically integrated network and population health services organization. The mission of this team is to transform healthcare delivery on behalf of more than 7,200 providers by offering patient-centered solutions to populations covered under alternative payment models. Joining this team means you...
-
Primary Care Physician
4 weeks ago
Raleigh, North Carolina, United States Avance Care Full timeOverview:At Avance Care, we're revolutionizing primary care by providing a practice environment where physicians can build strong relationships with their patients. Our mission is to deliver exceptional care with a strong emphasis on patient involvement in preventive care and treatment plans.Requirements:A Nurse Practitioner with a North Carolina State...
-
Care Manager
1 month ago
Raleigh, North Carolina, United States Hope Services, LLC Full timeHope Services, LLC is seeking a dedicated professional to join our Tailored Care Management Department as a Care Manager. The ideal candidate will be a qualified professional with experience in NC Tailored Care Management. The primary responsibilities of the Care Manager include promoting whole-person integrated care by planning, coordinating, and tracking...
-
Care Manager
3 months ago
Raleigh, United States Hope Services, LLC Full timeHope Services, LLC is seeking a Care Manager within our Tailored Care Management Department.Applicant must be a qualified professional (not licensed or provisionally licensed).The primary responsibilities of the Care Manager are:To promote whole-personIntegrated care by planningCoordinating, trackingClosing gaps in care monitoring care to individuals, and...
-
Care Manager
3 months ago
Raleigh, United States Hope Services, LLC Full timeHope Services, LLC is seeking a Care Manager within our Tailored Care Management Department.Applicant must be a qualified professional (not licensed or provisionally licensed).The primary responsibilities of the Care Manager are:To promote whole-personIntegrated care by planningCoordinating, trackingClosing gaps in care monitoring care to individuals, and...
-
Care Manager
4 weeks ago
Raleigh, North Carolina, United States RHA Health Services Full timeCare Manager Job DescriptionAt RHA Health Services, we are seeking a highly skilled Care Manager to join our team. As a Care Manager, you will be responsible for providing whole person, integrated care management in service sites, homes, and communities through face-to-face and other interactions. You will promote whole person care directed at better health...
-
Care Manager
1 month ago
Raleigh, North Carolina, United States ALLCARE HOMECARE LLC Full timeJob SummaryAllcare Homecare LLC is seeking a skilled Care Manager to oversee the care plans of our clients. As a key member of our team, you will be responsible for coordinating with healthcare providers, caregivers, and families to ensure our clients receive the highest quality of service.Key ResponsibilitiesDevelop and manage personalized care plans for...
-
RN Utilization Manager
2 weeks ago
Raleigh, United States UNC Health Care Full timeDescription Full time on-site staff Utilization Manager Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Works in collaboration with the patient/family, and interdisciplinary team (including physicians, other care providers, and...
-
RN Utilization Manager
3 months ago
Raleigh, United States UNC Health Care Full timeJob Description Description Full time exempt, 40 hours per week Utilization Manager - Medical necessity review for Surgical admissions Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Works in collaboration with the...
-
RN Utilization Manager
3 weeks ago
Raleigh, United States UNC Health Care Full timeJob Description Description Full time on-site staff Utilization Manager Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Works in collaboration with the patient/family, and interdisciplinary team (including physicians, other care...
-
Tailored Care Management- Care Manager
2 months ago
Raleigh, United States Hope Services Full timeWhy Hope Services? Hope Services, LLC is dedicated to providing and prioritizing only quality and effective behavioral health service delivery for children/adolescents and families experiencing mental health. In order to achieve this, our agency not only recruits and hires staff with experience and desire to work with our target consumer populations, but...
-
Primary Care Physician
3 weeks ago
Raleigh, United States Avance Care Full timeOverview Exceptional opportunity for a BC/BE Primary Care Physician in Raleigh, NC! Join our growing community of 37 practice locations in the Triangle Area (Raleigh-Durham-Chapel Hill), the Charlotte Region, and Wilmington, NC. Avance Care is seeking a Primary Care Physician to join a well-established and expanding Medical Group at Avance Care in Raleigh,...
-
Rehabilitation Manager
4 weeks ago
Raleigh, North Carolina, United States BAYADA Home Health Care Full timeJob DescriptionBAYADA Home Health Care is seeking a skilled Rehabilitation Manager to lead our team in providing exceptional client service and quality clinical care in our Raleigh, NC Home Health office.As a Rehabilitation Manager, you will be responsible for directing and coordinating the care provided by a multi-disciplinary care team, ensuring adherence...
-
Nurse Care Manager
4 weeks ago
Raleigh, North Carolina, United States WakeMed Full timeCare Management ServicesThe Ambulatory Care Nurse plays a vital role in providing care management services to assigned populations. In collaboration with the physician, the nurse identifies at-risk patient populations who require care management services.Key ResponsibilitiesDevelop and implement individualized care plans to maximize the ability to remain in...
-
Rehabilitation Manager
1 month ago
Raleigh, North Carolina, United States BAYADA Home Health Care Full timeJoin Our Team as a Rehabilitation ManagerBAYADA Home Health Care is seeking a highly skilled and experienced Rehabilitation Manager to lead our team in providing exceptional client service and quality clinical care. As a Rehabilitation Manager, you will be responsible for directing and coordinating the care provided by a multi-disciplinary care team,...
-
Rehabilitation Manager
1 month ago
Raleigh, North Carolina, United States BAYADA Home Health Care Full timeLead Our Rehabilitation Team as a Clinical ManagerBAYADA Home Health Care is seeking a dedicated and experienced Physical Therapist (PT) or Occupational Therapist (OT) to fill the position of Clinical Manager in our Raleigh, NC Home Health office.About the RoleAs a Clinical Manager, you will be responsible for leading our field staff in providing exceptional...
-
RN Care Manager
2 months ago
Raleigh, United States Advance Community Health Full timeJob DescriptionJob DescriptionPosition SummaryThe RN Care Manager addresses the needs of the Managed Medicaid Population at Advance Community Health by assessing, planning, implementing, coordinating, monitoring and evaluating the options and services required by using communication and available resources to promote quality, cost-effective outcomes. Working...
