Registered Nurse (RN) Case Manager Job Type: Full-time | 5x8 Hour Shifts | Days $10,000- $20,000 Commitment-Incentive Bonus Your experience matters Frye Regional Medical Center is part of Lifepoint Health , a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Registered Nurse (RN) joining our team, you are embracing a vital mission dedicated to making communities healthier .
Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. More about our team The Case Manager (CM) is responsible for providing care coordination including needs assessment and identification of care options, communication with patients and families in an interdisciplinary environment consistent with the position's qualifications, professional practices and ethical standards.
Supportive Leadership Team–Oriented Culture Diverse Patient Population How you’ll contribute A Registered Nurse (RN) who excels in this role: Coordinates management of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs.
Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management and discharge planning. Provides ongoing support and expertise through comprehensive assessment, care coordination, plan implementation and overall evaluation of individual patient needs while ensuring patient preferences.
Serves as a patient advocate through resource utilization, discharge planning and addressing the holistic needs of the patient. Completes departmental orientation, initial and annual competencies. As appropriate, consults other departmental staff to collaborate in patient care delivery, identify barriers to care and or discharge and develop solutions/resolution.
Completes documentation per workflow timeline and content requirements including completion of the Individual Plan of Care (IPoC) per CMS guidelines. Schedules family conferences and/or communicates with caregiver following each team conference and more often as needed to keep patient and designated caregiver informed of progress and provides appropriate information related to goal achievement, course of rehabilitation stay, and plans for discharge.
Reviews the patient’s assigned CMG and helps the team identify any potential missed comorbid conditions that are actively being treated during the patient’s stay. Communicates any findings to the HIM team. Assists with concurrent and retrospective utilization review activities including denials and appeals.
Works with physicians to conduct peer review with payer medical director when indicated. Ensures clinical updates are provided to all insurance payers when due and all payer communications are documented in Meditech. Identifies trends that impact the quality, cost effectiveness, patient experience and delivery of care services and brings to departmental leadership meetings for discussion and action.
Performs intake assessment on patient within 24 to 72 hours of admission, preferably within 48 hours. Performs follow-up assessments per Case Management Plan and/or hospital policy. Demonstrates an ability to be flexible, organized and function under stressful situations.
What we’re looking for Applicants should have a current state RN license. Bachelor’s degree preferred but not required. Additional requirements include: Current Registered Nurse or Social Work licensure or Healthcare professional licensure as Respiratory Therapist, Physical Therapist, Speech Language Pathologist or Occupational Therapist.
Active North Carolina RN license (single-state) or compact required. If relocating, licensure must be updated to the new Primary State of Residence (PSOR) before employment begins. Certification in Case Management or Rehabilitation Nursing preferred; for example, Commission for Case Manager Certification (CCM); Association of Rehabilitation Nurses (ARN) certification, American Case Management Association (ACM) or Board Certification in CM by the ANCC e.g.: RN-BC Minimum of 2 years social work or case management experience in an inpatient setting highly preferred; acute/rehabilitation hospital experience preferred.
Effective oral and written communication skills in English, additional languages preferred. Must have good organizational skills, time management skills and analytical ability in order to interpret information and carry out duties independently Must be cooperative and have the desire to be a team player. Must recognize and observe confidentiality principles.
us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: Comprehensive
Multiple levels of medical, dental and vision coverage for full-time and part-time employees. Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). Professional Development: Ongoing learning and career advancement opportunities. More about Frye Regional Medical Center Frye Regional Medical Center is a 355-bed hospital offering acute care hospital, home to the Frye Regional Brain Center, Heart Center, Cancer Center, Emergency Services, General and Vascular Surgery, Orthopedics, Surgical Weight Loss, Women's Birthing Center and Inpatient Rehabilitation that has been offering exceptional care to the Hickory NC community since 1911.
We are proud to be recognized by U. S. News & World Report as a High Performing Hospital.
EEOC Statement Frye Regional Medical Center is an Equal Opportunity Employer. Frye Regional Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment. Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
Full time · Day shift · 40 hours per week