Strategic Care Manager for Acute Care

5 days ago

Rutherfordton, North Carolina, United States NASC GLOBAL Full time
Job Overview

NASC GLOBAL, a leading HR Consulting and Management firm, is partnering with a valued client to find an experienced professional for this exciting opportunity.

Compensation Package

The selected candidate can expect a competitive compensation package ranging from $120,000 to $160,000, commensurate with their experience, education, certifications, and skill set. This reflects the company's strong commitment to attracting top-tier talent.

Key Responsibilities

The successful candidate will be responsible for:

  • Leadership & Management
    • Direct and oversee Case Management unit operations, including staffing, performance improvement, and departmental goal-setting aligned with the hospital's strategic plan.
    • Foster a supportive, growth-oriented environment and develop professional growth opportunities for staff.
    • Guide and coordinate care management activities in compliance with client policies and regulatory requirements (e.g., CMS, Joint Commission).
  • Clinical Oversight & Patient Care Coordination
    • Work closely with physicians, nurses, and other healthcare providers to facilitate multidisciplinary decision-making in patient care.
    • Monitor and assess patient care quality and collaborate with staff to ensure optimal patient outcomes.
    • Implement evidence-based practices and clinical protocols in care management operations.
  • Compliance & Reporting
    • Educate staff on case management standards, regulatory requirements, and best practices.
    • Ensure compliance with all relevant federal and state regulations, such as Conditions of Participation, OSHA, and HCFA.
    • Maintain thorough knowledge of payer issues and strategies for revenue capture and cost reduction throughout the patient stay.
  • Operational Excellence
    • Analyze patient data and trends to identify opportunities for service improvement and operational efficiencies.
    • Collaborate with post-acute service providers to streamline patient transitions and improve community care post-discharge.
    • Participate in strategic planning and performance improvement initiatives within the organization and corporate teams.
Qualifications

The ideal candidate will possess:

  • Education & Licensing
    • Associate's Degree in Nursing required; Bachelor's or Master's Degree in Nursing or a related field preferred.
    • Current RN license to practice in NC (or multi-state compact license).
  • Certifications
    • BLS required; ACMA Certification preferred.
    • CCM Certification within the first year of employment or transfer to the role.
  • Skills & Experience
    • Minimum 3 years of RN experience in acute care and/or care coordination.
    • Minimum 3 years of management experience preferred.
    • Critical thinking, decisive judgment, and the ability to work with minimal supervision.
    • Strong understanding of care management, discharge planning, and government payer requirements.
    • Proficiency with Interqual criteria, financial/budgetary processes, and government billing regulations.
    • Exceptional communication, customer service, analytical, and problem-solving skills.
    • Ability to manage multiple tasks effectively and work independently with high attention to detail.
Benefits

The selected candidate can look forward to a comprehensive benefits package, including:

  • Choose from a range of Medical, Dental, and Vision plans.
  • HSA and 401(K) retirement plan contributions.
  • Generous Paid Time Off.
  • Accident & Critical Illness Insurance.
  • Prescription Assistance through OptumRx.
  • Family income protection programs, including life insurance, short/long-term disability, and identity theft protection.
  • No-cost Employee Assistance Program for emotional, legal, financial, and daily life support available 24/7.
  • Free travel and entertainment discount program.

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