Registered Nurse (RN) - Case Management
Carolina Family Health Centers, Inc
Wilson, NC

Case Manager II, Registered Nurse (RN) - Population Health - Wilson Community Health Center

Come join our "Family" and be part of providing healthcare In the Community…For the Community. Carolina Family Health Centers, Inc. provides accessible and affordable health care with excellence...where patients come first. Regardless of an individual's ability to pay or their insurance status, we believe that EVERYONE deserves access to quality health care. As a nonprofit, federally qualified health center (FQHC), we strive to meet the needs of our community and breakdown barriers that prevent individuals from seeking health care. Our service offering includes primary medical care, behavioral health, pharmacy and dental services in an integrated model that provides a comprehensive approach to care for our patients. Position Overview The Case Manager II - Population Health will provide medical case management services to a specified panel of patients within the clinical setting. The Case Manager II - Population Health will perform comprehensive assessments to evaluate the patient's health care needs and social determinants of health to develop individualized and person-centered care plans, and monitor and re-evaluate the plan as necessary. Also, identify patients with recent emergency department visits or hospital admission, and assist them with transitioning back to their primary care provider including medication reconciliation. THIS POSITION OFFERS A 40-HOUR WORKWEEK, NO WEEKENDS, FULL BENEFITS PACKAGE, 12 PAID HOLIDAYS, BI-ANNUAL BONUS, BI-WEEKLY PAY. Essential Tasks * Provide medical case management to medium/high-risk patients. * Perform annual comprehensive assessments to evaluate patients' health care needs and social determinates of health to develop individualized and person-centered care plans using a collaborative approach including patient and family participation, where possible. * Collaborate with community agencies for referral resources to assist patients and utilize NC Care 360. * Establish and document a care plan with the patient and/or family members. Update and document care plans as the patients' needs change and/or to address gaps in care. * Identify patients with recent emergency department visits or hospital admissions, and assists them with transitioning back to their primary care provider, including providing medication reconciliation and assisting with medication access. Experience and Education * Graduate of an accredited school of nursing as a Registered Nurse. * Current and unrestricted license to practice in North Carolina. * Previous experience, preferably, in a community health center setting in the area of nursing and/or case management. * Active North Carolina Driver License. * Must have personal vehicle readily available for frequent travel between hospital, patient's home, and site-to-site visits. * Effective communication and interpersonal skills. Schedule Monday to Friday 8am-5pm 8 hour shift Day shift Physical Requirements * Constant standing and walking, occasional bending, stooping, lifting, reaching forward and overhead. * May occasionally be required to lift patients, office equipment and paper, usually not exceeding fifty pounds of direct lift. * Frequent computer work required. Benefits * 401(k) and match * Paid time off * Holidays Job Type Full-time, On site License/Certification * BLS Certification * RN Base Pay Overview The starting pay for this position is $30.55 hourly. Please keep in mind that actual salary will vary based on various factors such as qualifications, skills, competencies, and proficiency for the role.