14 case mgmt specialist jobs found

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...

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 #: 186847 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 #: 182814 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 #: 185753 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 #: 185754 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 We are looking for an Experienced Care Manager who is interested in a per diem position What is the schedule? One 8 hr shift/2 week pay period One holiday/year No Nights No on-call Who are we looking for? Have at least 2 years of RN Care Manager experience Have an interest in driving a safe discharge process Enjoy advocating for patient needs and care progression Thrive in a team environment Able to work at both UNC Medical Center and UNC Hillsborough If this sounds like you…apply now! 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 Care Manager RN plays a crucial role in providing comprehensive and coordinated care to patients within UNC Health. This position involves utilizing a variety of skills,...

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! 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 Care Manager RN plays a crucial role in providing...

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...

Job Description Description We are looking for an Experienced Care Manager who is interested in a per diem position What is the schedule? One 8 hr shift/week One holiday/year No Nights No on-call Who are we looking for? Have at least 2 years of RN Care Manager experience Have an interest in driving a safe discharge process Enjoy advocating for patient needs and care progression Thrive in a team environment Able to work at both UNC Medical Center and UNC Hillsborough If this sounds like you…apply now! 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 Care Manager RN plays a crucial role in providing comprehensive and coordinated care to patients within UNC Health. This position involves utilizing a variety of skills, including risk...

Job Description Description We are looking for an Experienced Care Manager who is interested in a per diem position What is the schedule? One 8 hr shift/week One holiday/year No Nights No on-call Who are we looking for? Have at least 2 years of RN Care Manager experience Have an interest in driving a safe discharge process Enjoy advocating for patient needs and care progression Thrive in a team environment Able to work at both UNC Medical Center and UNC Hillsborough If this sounds like you…apply now! 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 Care Manager RN plays a crucial role in providing comprehensive and coordinated care to patients within UNC Health. This position involves utilizing a variety of skills, including risk...

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 Care Manager RN plays a crucial role in providing comprehensive and coordinated care to patients within UNC Health. This position involves utilizing a variety of skills, including risk segmentation, patient assessments, patient-centered care plans, tasks or interventions, care transitions, delegated work, and payer communication. The Care Manager works collaboratively with healthcare providers, patients, and their families to ensure that patients receive the highest quality of care and support throughout their healthcare journey. Responsibilities: 1. Patient Assessments: a. Conduct comprehensive care manager assessments utilizing standardized assessment tools and nursing knowledge to evaluate patients' functional abilities,...