Overview Description and related role context are provided below. The position involves providing comprehensive and coordinated care to patients within UNC Health, using risk segmentation, patient assessments, patient-centered care plans, care transitions, delegated work, and payer communication in collaboration with healthcare providers, patients, and families to ensure high-quality care throughout the healthcare journey.
What You’ll Do Care Manager RN duties include comprehensive assessment, planning, implementation, and overall evaluation of individual needs.
Partner with multidisciplinary teams and community resources to ensure smooth transitions of care.
Serve as a key resource in case management, utilization review, and discharge planning.
Stay compliant with all regulatory and departmental guidelines and policies to deliver safe, high-quality, cost-effective care.
What We’re Looking For A highly organized RN who thrives in a fast-paced, evolving environment.
Strong attention to detail and excellent communication skills.
Preferred: At least 2 years of Care Management experience.
If you’re passionate about patient-centered care and want a role with balance, impact, and professional growth, 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.
Responsibilities Patient Assessments: Conduct comprehensive care manager assessments using standardized tools to evaluate functional abilities, cognitive status, and psychosocial support systems; identify barriers to care and develop interventions.
Patient-Centered Care Plans: Collaborate with providers, patients, families, and the healthcare team on individualized plans aligned with goals, preferences, and values; ensure plans are evidence-based, culturally sensitive, and promote engagement and self-management.
Risk Segmentation: Use standardized tools and clinical judgment to identify risk levels and develop strategies to manage and mitigate risks.
Tasks or Interventions: Coordinate and facilitate necessary tasks; collaborate with providers, community resources, and support services; advocate for patients; participate in quality improvement initiatives.
Care Transitions: Coordinate care across settings; communicate with providers and resources; facilitate multidisciplinary care team meetings.
Coordinated Work: Coordinate care management tasks with the healthcare team while maintaining accountability for overall care coordination per patient population.
Payer Communication: Collaborate with payers and utilization management teams to optimize reimbursement and obtain timely approvals.
Documentation and Billing: Accurately document and bill for services in compliance with insurance and regulatory requirements; collaborate with billing and coding professionals as applicable.
Longitudinal Care as part of the Medical Home: Act as a key contact and advocate; provide ongoing support and care coordination throughout the patient journey.
Education, Licensure & Experience Education: Graduation from a state-accredited school of professional nursing. Magnet hospitals: BSN required or enrolled in an accredited program with a plan to obtain a bachelor’s or master’s degree within specified timelines.
Licensure: Registered Nurse with a valid NC license.
Experience: Minimum of 2 years of RN experience.
Knowledge/Skills: Strong knowledge of risk segmentation, patient assessments, care planning, transitions, payer communication; excellent communication and teamwork; proficiency with EHR and related software.
Job Details Legal Employer: STATE
Entity: UNC Medical Center
Organization Unit: UNCH Care Mgmt-Medical Center
Work Type: Full Time
Standard Hours Per Week: 40
Salary Range: $35.52 - $51.05 per hour (Hiring Range); pay offers determined by experience and internal equity
Work Assignment Type: Onsite
Work Schedule: Day Job
Location: Chapel Hill, NC
Exempt From Overtime: Yes
This is a State position employed by UNC Health Care System with UNC Health benefits. Applicants are considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. UNC Health provides reasonable accommodations for applicants and employees with disabilities and for religious practices. To request accommodations, contact applicant.accommodations@unchealth.unc.edu.