RN Care Manager - Rex Garner Hematology Oncology
1 day ago Be among the first 25 applicants
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
Patient Assessments: Conduct comprehensive care manager assessments utilizing standardized assessment tools and nursing knowledge to evaluate patients' functional abilities, cognitive status, and psychosocial support systems. Identify any barriers to care and develop appropriate interventions.
Patient-Centered Care Plans: Collaborate with providers, patients, their families, and the healthcare team on individualized care plans that align with patients' goals, preferences, and values. Ensure that care plans are evidence-based, culturally sensitive, and promote patient engagement and self-management.
Risk Segmentation: Utilize standardized tools and clinical judgment to identify and assess the risk level of patients. Develop strategies to effectively manage and mitigate risks for patients, ensuring their overall well-being and optimal health outcomes.
Tasks or Interventions: Coordinate and facilitate necessary tasks or interventions to support patients' care plans. Advocate for patients' needs and rights, ensuring that they receive appropriate and timely interventions. Participate in quality improvement initiatives to meet or exceed organizational goals/outcomes.
Care Transitions: Coordinate and facilitate care across various healthcare settings, ensuring seamless transitions and continuity of care. Communicate and collaborate with healthcare providers, specialists, and community resources to ensure comprehensive and coordinated care delivery. Facilitate multidisciplinary care team meetings to discuss patients' care plans and progress.
Payer Communication: Collaborate with payers, insurance companies, and utilization management teams to optimize reimbursement and facilitate timely approvals for necessary care and services. Accurately document and bill for services rendered, ensuring compliance with insurance and regulatory requirements. Collaborate with billing and coding professionals to maintain coding and documentation compliance.
Longitudinal Care: Act as a key point of contact and advocate for patients within the care team. Provide ongoing support and care coordination throughout the patient's healthcare journey, ensuring continuity and comprehensiveness of care.
Other Information
Education Requirements: Graduation from a state accredited school of professional nursing. Magnet hospitals: BSN required or must be enrolled in an accredited program within 4 years of employment and obtain a bachelor’s degree with a major in nursing or a master’s degree with a major in nursing within 7 years of employment date.
Licensure/Certification Requirements: Registered Nurse with a valid license to practice in North Carolina.
Professional Experience Requirements: Minimum of 2 years of experience as a registered nurse.
Knowledge/Skills and Abilities Requirements: Strong knowledge of risk segmentation, patient assessments, patient-centered care planning, care transitions, and payer communication. Excellent communication, collaboration, and problem-solving skills. Ability to work independently and as part of a multidisciplinary team. Proficiency in electronic health records (EHR) and other relevant software applications.
Job Details
Legal Employer: NCHEALTH
Entity: UNC REX Healthcare
Organization Unit: Rex Garner Hematology Oncology
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $35.52 - $51.05 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: US:NC:Garner
Exempt From Overtime: Exempt: Yes
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.
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.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.