Case Manager

Case Manager

Become part of an inclusive organization with over 40000 teammates whose mission is to improve the health and well-being of the unique communities we serve.

Summary: The Case Manager coordinates discharge planning, patient teaching, and other associated activities for successful discharge, community/home re-entry, or to nursing facilities. In inpatient rehabilitation, medical case management involves coordinating a patient's care, ensuring access to resources, and supporting their recovery journey. Completes, monitors, and assures compliance with Federal, State, and Third-Party Insurance guidelines. This includes working with the healthcare team to develop and implement a rehabilitation plan, monitoring the patient's progress, and assisting with discharge planning. Case managers also advocate for the patient's needs and ensure quality, cost-effective care.

Responsibilities:

• Patients/Families, physicians, community agencies, business associates & staff.
• Conducts interpersonal relationships designed to project a positive image of the department and hospital.
• Always helpful, courteous, and friendly.

Other information:

EDUCATION: Graduate from an accredited school of nursing or Medical Social Worker. Baccalaureate Degree in Human Services area accepted. Obtain Case Manager Certification within 5 years encouraged.

EXPERIENCE: Two-Three years experience in hospital, nursing home, or community agency.

LICENSURE/REGISTRATION/CERTIFICATION: Certification by American Board of QA/UR or InterQual Certification in Social Work. Licensed in N.C. for RN.

OTHER SKILLS AND QUALIFICATIONS: Possess knowledge, skills of InterQual ISD-A criteria. Good interpersonal and communication skills. Demonstrates understanding of patient care needs according to developmental stages for various age groups. Knowledge of State and Federal Regulations regarding admission/reimbursement of Medicare/Medicaid/all other payor sources. Reading and mathematics. Must be able to work autonomously.

WORK ENVIRONMENT: Exposure to Airborne and Bloodborne Pathogens. Exposure to electrical hazards (equipment use).

PHYSICAL REQUIREMENTS: Standing, Walking, Sitting, Reaching, Talking, Seeing, Hearing, Tasting, Smelling, Carrying, Pushing, Pulling, Lifting, and Moving.

Legal Employer: Lenoir Health. Entity: UNC Lenoir Health Care. Organization Unit: Care Management. Work Type: Full Time. Standard Hours Per Week: 40.00. Work Assignment Type: Onsite. Work Schedule: Day Job. Location of Job: LENOIR MEMEx. Exempt From Overtime: Exempt: No. Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability status, as a protected veteran, or political affiliation.