Responsible for providing patient case management services to assigned populations. They use a collaborative interdisciplinary approach to anticipate, integrate, and coordinate the patient's care plan, discharge plan, and reentry into the community. The primary goal is to meet patients' needs to optimize clinical and resource outcomes while monitoring the plan's effectiveness. In collaboration with the clinical team, they identify patients who would benefit from case management services. They perform assessments to identify patient needs and barriers, assisting in the development of the care plan. Acting as a patient and family advocate, they serve as a communication link between the physician, patient, family, healthcare team, community resources, and payers to reduce redundancy and fragmentation of care. They anticipate potential delays in the healthcare process and proactively work to avoid these delays. They ensure that patients are provided with the most appropriate level of care at discharge while coordinating a smooth transition based on patient choice and availability.
Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org.
EOE
Registered Nurse Required
Bachelor's Degree in Nursing Required
No Experience Required