RN-Case Management Specialist

1 month ago


Wilson, North Carolina, United States LifePoint Health Full time
Job Summary

Wilson Medical Center is seeking a skilled RN-Case Management professional to join our interdisciplinary healthcare team. As a Case Manager RN, you will play a vital role in facilitating the delivery of healthcare services, integrating utilization management, case management, and discharge planning to promote optimal clinical and financial outcomes.

Key Responsibilities
  • Conduct initial and ongoing discharge screens/evaluations to determine patient and family needs.
  • Collaborate with the healthcare team to develop and implement discharge plans.
  • Assess emotional status, quality of relationships, and social support systems to identify areas for improvement.
  • Prioritize immediate plans for barriers to discharge, including medication availability, shelter, and primary care physician coordination.
  • Communicate with patients/families from admission to discharge.
  • Perform clinical reviews based on the Utilization Review Plan, with follow-up actions identified for medical necessity and level of care.
  • Maintain clinical and financial documentation.
  • Participate in performance improvement processes and other duties as required.
Requirements
  • Associate's degree (required), Bachelor's degree (preferred).
  • Current/active North Carolina or compact RN license.
  • BLS (optional).
Why Choose Us

Wilson Medical Center offers a supportive work environment, competitive benefits, and opportunities for education and training through our partnership with Duke LifePoint Healthcare. Join our team and be part of a collaborative and patient-centered approach to healthcare.


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