Care Manager - Case Management - Rockingham
Company: UNC Health Care Systems
Posted on: June 12, 2021
Become part of an inclusive organization with over 30,000
diverse employees, whose mission is to improve the health and
well-being of the unique communities we serve.
The purpose of this position is to provide ongoing support and
expertise through comprehensive assessment, planning,
implementation and overall evaluation of individual patient needs.
The overall goal of the position is to enhance the quality of
patient management and satisfaction, to promote continuity of care
and cost effectiveness through the integrating and functions of
case management, utilization review and discharge planning. The
Care Manager must be highly organized professional with great
attention to detail, adaptable to frequent change, and compliant
with regulatory and departmental guidelines and policies.
Identify Cases & Prioritize Day - Review work list to prioritize
patients and identify new admissions. Conduct and document
assessment and a plan of care in Epic per departmental guidelines.
Participate in Daily Care Management Touchpoint per established
protocols. Consult to SW per established criteria. If indicated,
communicate with Care Management Assistant (CMA) to share
CAPP Meeting - Attend and actively participate in CAPP meetings
for assigned units to provide and receive information on patients'
progression. Alert care team to concerns that could impact
anticipated discharge of the patient and any care that will assist
with discharge readiness. Modify discharge plan based on
information shared at the meeting. Assist with identification of
the expected discharge date (EDD). Complete follow-up from CAPP as
appropriate. As necessary meet with the Utilization Manager (UM)
and SW after the meeting to discuss updates and action items.
Complex Care Meeting - Attend weekly Complex Care Meeting (CCM).
Present on patients during CCM and collaborate to problem solve
issues with complex patients and identify trends. Formulate
potential solutions with Utilization Manager and Social Worker and
continuously monitor cases/follow up on all action items.
Proactively identify high risk cases that need to be escalated to
the list that are not scheduled for discussion that week. Complete
CCM follow-up after the meeting as assigned.
Active Consults - Discuss with appropriate members of the
multidisciplinary team when there are barriers to discharge and
psychosocial concerns impacting progression of care or readmission
risk. Coordinate family meetings, as necessary, to support the
progression of care. Provide education on community resources,
support/educational groups, and any other appropriate resources to
patient, family, and care team. Educate and/or coordinate referrals
to community resources and post-acute providers as necessary.
Care Progression and Transition Planning - Communicate medical
milestones for transition with the patient/family. Identify
patients with barriers to discharge based on experience,
Communication and Patient Planning (CAPP) Meetings and/or Complex
Care Meeting (CCM). Monitor all observation patients throughout the
day to ensure appropriate progression of care. Identify patient's
readiness to discharge based on discussions with the
patient/family/care team on an ongoing basis. Assess the discharge
plan to determine needs post-discharge and communicate to
patient/family/care team on an ongoing basis. Identify required
authorization for post-discharge services and refer to the
appropriate post-discharge service provider. Participate in
medication resource management for non-resourced patients, as
needed. Verify patient's understanding/agreement of discharge plan.
Refer administrative tasks (e.g., faxing, form processing) to Care
Management Assistant. Consult Social Worker and/or Utilization
Manager per established departmental protocol. Maintain knowledge
of patient needs and concerns through scheduled touch points and
review of documentation . Escalate urgent or complex cases to
appropriate Care Management leadership according to established
departmental escalation process.
Professionalism - Demonstrates flexibility and professionalism
in a dynamic environment with frequent re-ordering of priorities
and assignments. Uses critical thinking skills to evaluate and
prioritize rapidly changing demands, working collaboratively to
best accomplish the team's mission.
Documentation - Documents activities, events, and information
per standards in established software systems in a timely,
accurate, and complete manner. Identifies Avoidable Delays and
documents causes for delay consistent with department
Confidentiality - Uses established policies and processes to
handle, discuss, and transmit protected health information in
manner consistent with privacy and compliance expectations and
- Compliance and Performance Improvement - Uses departmental
guidelines and job aids to perform work in an accurate, compliant
manner consistent with known and written expectations and work
rules. Participates in process improvement initiatives, which may
include helping with the creation/revision of guidelines, training
tools, and job aids. Maintains current knowledge of institutional
and departmental expectations for job performance through
attendance at meetings, review of meeting minutes and guidance
documents, and independent review of institutional and departmental
policies and guidelines as needed. May assist with
training/pre-cepting as needed as assigned.
Graduation from a state-accredited school of professional
If hired after October 1, 2015 must be enrolled in an accredited
program within four 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 seven years of employment date.
Licensed to practice as a Registered Nurse in the state of North
Professional Experience Requirements:
Two (2) years of health care experience as a Registered
Knowledge/Skills/and Abilities Requirements:
Strong assessment and critical thinking skills
Legal Employer: NCHEALTH
Entity: UNC Rockingham Health Care
Organization Unit: RHC Case Management
Work Type: Per Diem
Standard Hours Per Week: 4.00
Work Schedule: Variable
Location of Job: US:NC:Eden
Exempt From Overtime: Exempt: Yes
Keywords: UNC Health Care Systems, Greensboro , Care Manager - Case Management - Rockingham, Other , Eden, North Carolina
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