Job Information
UNC Health Care Case Manager in Kinston, North Carolina
Description
Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.
Summary:
The Case Manager coordinates the hospital’s utilization review activities. Completes CQI Monitors for RM Committee and assures compliance with Federal, State and Third Party Insurance guidelines. Coordinates discharge planning, patient teaching and other associated activities for discharge to nursing facilities or successful community re-entry.
Responsibilities:
Patients/Families, physicians, community agencies, business associates & staff. Conducts interpersonal relationships designed to project positive image of department and hospital. Always helpful, courteous and friendly.
Other information:
Qualifications
EDUCATION REQUIREMENTS
- Graduate from an accredited school of nursing or Medical Social Worker. Bachelor's degree in human services area accepted. Obtain Case Manager Certification within 5 years.
PROFESSIONAL EXPERIENCE REQUIREMENT
- Three to four years' experience in hospital, nursing home or community agency.
LICENSURE/REGISTRATION/CERTIFICATION
- Certification by American Board of QA/UR or InterQual, certification in social work, Licensed in N.C for RN or LPN.
KNOWLEDGE, SKILL AND ABILITIES REQUIREMENTS
- Possess knowledge skills of InterQual ISD-A criteria. Good interpersonal and communication skills. Demonstrates understanding of patient care needs according to developmental stages for various age groups. Knowledge of State and Federal Regulations regarding admission/reimbursement of Medicare/Medicaid/all other payor sources. Reading and mathematics. Must be able to work autonomously
WORK ENVIRONMENT
- Exposure to Airborne and Bloodborne Pathogens, Exposure to electrical hazards (equipment use)
Job Details
Legal Employer: Lenoir Health
Entity: UNC Lenoir Health Care
Organization Unit: Care Management
Work Type: Part Time
Standard Hours Per Week: 24.00
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: LENOIR MEM
Exempt From Overtime: Exempt: No
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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