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.