About the role

Community Care Case Manager providing comprehensive health needs assessment and care management for members on-site. Utilizing collaborative processes to enhance health outcomes through effective communication.

Responsibilities

Acts as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate
Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care
Interacts with members/clients telephonically and in person
Required to meet with members/clients, worksites, acute/post-acute inpatient facilities to provide ongoing case management services
Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client’s appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate
Prepares all required documentation of case work activities as appropriate
Interacts and consults with internal multidisciplinary team as indicated to help member/client maximize best health outcomes
Facilitates appropriate condition management, optimize overall wellness and medical outcomes, appropriate and timely return to baseline, and optimal function or return to work
Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes, as well as opportunities to enhance a member’s/client’s overall wellness through integration
Monitors member/client progress toward desired outcomes through assessment and evaluation

Candidate must reside within a 50-mile radius from WakeMed Cary Campus Hospital
Candidate must have the ability to travel up to 25-50% within a designated geographic area for in-person case management activities as directed by leadership
3+ years clinical practical experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members
1+ year(s) in case management, discharge planning, hospice, and/or home health care coordination experience or experience working or have worked at WakeMed Cary Campus Hospital
Candidate must have an active and unrestricted North Carolina Registered Nurse (RN) License

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility