Case Management, Certified Case Manager (CCM), Communication Skills, Discharge Plans, Electrical Components, Federal Laws and Regulations, Healthcare, Hospital, Interpersonal Skills, Maintain Compliance, Mathematics, Medicaid, Medicare Reimbursement, Nursing, Nursing Credentials, Nursing Home, Pathogens, Patient Care, Physical Demands, Quality Assurance, Registered Nurse (RN), Rehabilitation Medicine, Social Work, State Laws and Regulations, Team Player, Third-Party Payer, Training/Teaching
Job Description
Description
Become part of an inclusive organization with over 40,000 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 patients 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 patients progress, and assisting with discharge planning. Case managers also advocate for the patients needs and ensure quality, cost-effective care
Responsibilities:
- Patients/Families, physicians, community agencies, business associates & staff. Conducts interpersonal relationships designed to project positive image of 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.
Job Details
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 MEM
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.