14 case mgmt specialist jobs found

Req #: 188322 Summary Summary Continuously evaluates the quality, care, treatment and outcomes of complex patient populations. Collaborates with the patient/family and caregivers to facilitate necessary resources and options for post-discharge services to support a safe discharge. Provides consultation with physicians and other members of the interdisciplinary healthcare team to facilitate patient progression to discharge. Ensures clinical documentation supports medical necessity criteria and meets regulatory requirements. Communicates the clinical status of patients related to medical necessity criteria to the physician advisor (internal or external) and/or the Inpatient Care Transitions leadership team as needed. Monitors length of stay and documents avoidable days for delay of discharge. Reviews payer source for potential negative financial liabilities to the patient. Education Bachelor of Science...

Req #: 188323 Summary Summary Continuously evaluates the quality, care, treatment and outcomes of complex patient populations. Collaborates with the patient/family and caregivers to facilitate necessary resources and options for post-discharge services to support a safe discharge. Provides consultation with physicians and other members of the interdisciplinary healthcare team to facilitate patient progression to discharge. Ensures clinical documentation supports medical necessity criteria and meets regulatory requirements. Communicates the clinical status of patients related to medical necessity criteria to the physician advisor (internal or external) and/or the Inpatient Care Transitions leadership team as needed. Monitors length of stay and documents avoidable days for delay of discharge. Reviews payer source for potential negative financial liabilities to the patient. Education Bachelor of Science...

Req #: 188324 Summary Summary Continuously evaluates the quality, care, treatment and outcomes of complex patient populations. Collaborates with the patient/family and caregivers to facilitate necessary resources and options for post-discharge services to support a safe discharge. Provides consultation with physicians and other members of the interdisciplinary healthcare team to facilitate patient progression to discharge. Ensures clinical documentation supports medical necessity criteria and meets regulatory requirements. Communicates the clinical status of patients related to medical necessity criteria to the physician advisor (internal or external) and/or the Inpatient Care Transitions leadership team as needed. Monitors length of stay and documents avoidable days for delay of discharge. Reviews payer source for potential negative financial liabilities to the patient. Education Bachelor of Science...

Req #: 188325 Summary Summary Continuously evaluates the quality, care, treatment and outcomes of complex patient populations. Collaborates with the patient/family and caregivers to facilitate necessary resources and options for post-discharge services to support a safe discharge. Provides consultation with physicians and other members of the interdisciplinary healthcare team to facilitate patient progression to discharge. Ensures clinical documentation supports medical necessity criteria and meets regulatory requirements. Communicates the clinical status of patients related to medical necessity criteria to the physician advisor (internal or external) and/or the Inpatient Care Transitions leadership team as needed. Monitors length of stay and documents avoidable days for delay of discharge. Reviews payer source for potential negative financial liabilities to the patient. Education Bachelor of Science...

Req #: 186846 Summary Summary Continuously evaluates the quality, care, treatment and outcomes of complex patient populations. Collaborates with the patient/family and caregivers to facilitate necessary resources and options for post-discharge services to support a safe discharge. Provides consultation with physicians and other members of the interdisciplinary healthcare team to facilitate patient progression to discharge. Ensures clinical documentation supports medical necessity criteria and meets regulatory requirements. Communicates the clinical status of patients related to medical necessity criteria to the physician advisor (internal or external) and/or the Inpatient Care Transitions leadership team as needed. Monitors length of stay and documents avoidable days for delay of discharge. Reviews payer source for potential negative financial liabilities to the patient. Education Bachelor of Science in...

Req #: 186849 Summary Summary Continuously evaluates the quality, care, treatment and outcomes of complex patient populations. Collaborates with the patient/family and caregivers to facilitate necessary resources and options for post-discharge services to support a safe discharge. Provides consultation with physicians and other members of the interdisciplinary healthcare team to facilitate patient progression to discharge. Ensures clinical documentation supports medical necessity criteria and meets regulatory requirements. Communicates the clinical status of patients related to medical necessity criteria to the physician advisor (internal or external) and/or the Inpatient Care Transitions leadership team as needed. Monitors length of stay and documents avoidable days for delay of discharge. Reviews payer source for potential negative financial liabilities to the patient. Education Bachelor of Science in...

Req #: 185769 Summary Summary Continuously evaluates the quality, care, treatment and outcomes of complex patient populations. Collaborates with the patient/family and caregivers to facilitate necessary resources and options for post-discharge services to support a safe discharge. Provides consultation with physicians and other members of the interdisciplinary healthcare team to facilitate patient progression to discharge. Ensures clinical documentation supports medical necessity criteria and meets regulatory requirements. Communicates the clinical status of patients related to medical necessity criteria to the physician advisor (internal or external) and/or the Inpatient Care Transitions leadership team as needed. Monitors length of stay and documents avoidable days for delay of discharge. Reviews payer source for potential negative financial liabilities to the patient. Education Bachelor of...

Req #: 185772 Summary Summary Continuously evaluates the quality, care, treatment and outcomes of complex patient populations. Collaborates with the patient/family and caregivers to facilitate necessary resources and options for post-discharge services to support a safe discharge. Provides consultation with physicians and other members of the interdisciplinary healthcare team to facilitate patient progression to discharge. Ensures clinical documentation supports medical necessity criteria and meets regulatory requirements. Communicates the clinical status of patients related to medical necessity criteria to the physician advisor (internal or external) and/or the Inpatient Care Transitions leadership team as needed. Monitors length of stay and documents avoidable days for delay of discharge. Reviews payer source for potential negative financial liabilities to the patient. Education Bachelor of...

Job Description Description Bring your clinical expertise to Care Management—without nights or on-call. UNC Medical Center is seeking an experienced RN to help coordinate safe, timely discharges for patients with complex nutrition needs, including enteral feeding and TPN. What is the schedule? Monday–Friday No weekends Who are we looking for? An experienced RN who: Has at least two years of RN experience Has GI or surgical nursing experience and knowledge of enteral feeding and TPN—preferred Is committed to coordinating safe, effective discharge plans Enjoys advocating for patients and removing barriers to care progression Communicates effectively with patients, families, and interdisciplinary teams Thrives in a collaborative team environment Is interested in beginning or continuing a Care Management career at UNC Medical Center If this sounds like the right next step for you, apply today!...

Job Description Description Have you ever considered a role in Care Management? UNC Health in Hillsborough is the place for you! What is the schedule? 40 hrs/week (Five 8-hour shifts) Weekend rotation Holiday rotation No on-call Free Parking! Who are we looking for? Experienced RNs and RN Care Managers who: Have at Least 2 years of RN inpatient in an Acute Care setting (Preference given to candidates with Care Manager experience) Have the interest and drive to direct safe discharge process. Enjoy advocating for and leading patient care progression Want to become part of a supportive team in a positive environment. Want to expand your knowledge and experience in a Care Manager career at UNC Health in Hillsborough If this opportunity interests you…apply now! Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of...

Job Description Description Have you ever considered a role in Care Management? UNC Medical Center is the place for you! What is the schedule? 40 hrs/week Weekend rotation Holiday rotation No Nights No on-call Who are we looking for? Experienced RNs who: Have at least 2 years of RN experience (preferably in Cardiac, Surgery, and Trauma/Burns) Have an interest in driving a safe discharge process Enjoy advocating for patient needs and care progression Thrive in a team environment Would like to learn how to be a Care Manager or would like to continue their Care Manager career at UNC Medical Center If this sounds like you…apply now! Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: The Care Manager RN plays a crucial role in providing comprehensive and...

Job Description Description Have you ever considered a role in Care Management? UNC Medical Center in Chapel Hill is the place for you! What is the schedule? 40 hrs/week (Five 8hr shifts) Weekend rotation Holiday rotation No Nights No on-call Who are we looking for? Experienced RNs and RN Care Managers who: Have at Least 2 years of RN inpatient in an Acute Care setting (Preference given to candidates with Care Manager experience) Have the interest and drive to direct safe discharge process. Enjoy advocating for and leading patient care progression Want to become part of a supportive team in a positive environment. Want to expand your knowledge and experience in a Care Manager career at UNC Medical Center (Chapel Hill) If this opportunity interests you…apply now! Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and...

Job Description Description Have you ever considered a role in Care Management? UNC Medical Center is the place for you! What is the schedule? 40 hrs/week with flexible schedule options available Weekend rotation Holiday rotation No Nights No on-call Who are we looking for? Experienced RNs who: Have at least 2 years of RN experience (preferably in Adult Acute Care) Have an interest in driving the discharge process Enjoy advocating for patient needs and care progression Thrive in a team environment Would like to learn how to be a Care Manager or would like to continue their Care Manager career at UNC Medical Center If this sounds like you…apply now! Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: The Care Manager RN plays a crucial role in...

Job Description Description UNC Health Southeastern in Lumberton, NC seeks a Vascular/Thoracic Surgery PA to join our community-based practice of Cardiologist, Interventional Cardiologist, Cardiology Fellows, a Vascular Surgeon, a Thoracic Surgeon, and APPs. RECOGNIZED FOR HIGH QUALITY UNC 2025: American College of Cardiology NCDR Chest Pain ̶ MI Registry Platinum Performance Achievement Award 2024-2025 US News & World Report's Best Hospitals Report: Best Regional Hospitals for Equitable Access List; Best Hospitals in North Carolina for the Coastal Plain Region List; and High Performing in Seven Adult Procedures and Conditions including Heart Attack, Heart Failure, Diabetes, Kidney Failure, Stroke, COPD, and Pneumonia OPPORTUNITY HIGHLIGHTS Schedule is split with days in the clinic and in the hospital conducting rounds, admissions, discharges, consults, and OR...