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RN-Case Management

1 month ago

Wilson, United States Wilson Medical Center Full time

Who We Are:

People are our passion and purpose. Work where you are appreciated for who you are not just what you can do. At Wilson Medical Center, a 294-bed facility, we bring new and innovative programs to those who matter the most - our community. With great pride, we offer Growing Tree Child Care Center on-site daycare where children are offered a nurturing, safe environment centered around the needs of each child.

Where We Are:

Wilson residents enjoy a community rich in educational, cultural, and social opportunities. We are home to numerous athletic and water sports, festivals, and arts and entertainment venues. From the beach to the mountains, in Wilson, you are within easy driving distance of all that North Carolina has to offer.

Why Choose Us:

Health (Medical, Dental, Vision) and 401K Benefits for Full time employees

Competitive Paid Time Off/Extended Illness Bank package for Full time employees

Employee Assistance Program - mental, physical, and financial wellness assistance

Tuition Reimbursement/Assistance for qualified applicants

Opportunities for education and training through a partnership with Duke LifePoint Healthcare

Growing Tree On-Site Childcare Facility

And much more

Position Summary:

An active member of the interdisciplinary healthcare team the Case Manager facilitates internal and external delivery of healthcare services. The Case Manager integrates the roles of Utilization Management, Case Management, and Discharge Planning. The Case Manager is responsible for care coordination and development of the discharge plan through collaboration with the healthcare team and internal/external resources. The job objective is to promote a collaborative interdisciplinary care delivery model to achieve optimal clinical and financial outcomes with adherence to regulations and compliance.

Essential Functions
1. Case Manager independently performs initial and ongoing discharge screens/evaluations to determine general health behaviors, practices and resources that will influence the patient and family's abilities to manage chronic conditions optimally.
2. Collaborate with the health care team to determine the extent of functional deficits and areas for potential improvement.
3. Assess emotional status and quality of relationships and adequacy of social support systems, identifying new sources of support.
4. Prioritizes immediate plan for barriers to discharge including medication availability for use, shelter and appropriate food, and primary care physician coordinating care resources accordingly
5. Assures patient/family/caregiver understands and has access to all prescribed post-discharge therapies.
6. Communicate with patients/families admission to discharge
7. The Case Manager independently performs clinical reviews based on the Utilization Review Plan with follow-up actions identified for medical necessity and level of care
8. Maintains clinical and financial documentation
9. Participates in performance improvement processes as well as other duties as required by the job

EEOC Statement:

Wilson Medical Center is committed to providing Equal Employment Opportunities for all applicants, and employees while complying with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.

Qualifications - External
Minimum Education

Associate's degree x Required
Bachelor's degree x Preferred

Required Skills
- Ability to understand, communicate, and react effectively to patient and family needs
- Critical thinking
- Work well independently while keeping calm and maintaining customer focus
- Must be able to work collaboratively with internal and external resources for optimal discharge planning

Required Licenses
Registered Nurse
- Current/active North Carolina or compact RN license
- BLS optional

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Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran